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i <br /> Sunrise Multispecialist Medical Center <br /> SERVICES PROVIDED <br /> Scope of Services <br /> The following physical examination categories list the basic physical examination. The full services to be performed for <br /> each physical exam categories will be developed in collaboration with the Executive Director of Human Resources or their <br /> designee. These additional services are listed below in the categories of Drug Screens,Other Services,Vaccines/Immune <br /> Titers, Labs,Mask Fit Respirator Testing and Clearance Evaluation and other services. <br /> $65.00-Pre-Employment/Pre-Assignment Medical Examinations and Screenings: <br /> Includes:Physical examination,Vital signs(height,weight,blood pressure,respirations,pulse,and temperature),UA dip in house, <br /> Vision:snellen&basic color,hernia check <br /> 120.00-Police Officer Medical Examination and Evaluation per Peace Officer Standard Training POST <br /> Medical Examination Evaluation Protocols: <br /> Includes:Physical examination,Vital signs(height,weight,blood pressure,respirations,pulse,and temperature),UA dip in house, <br /> Vision:snellen,basic color,and peripheral vision,hernia check,audiogram <br /> $300.00-Stress Treadmill Test <br /> $100.00-EIB Protocol <br /> $70.00-X-Ray Lumbar <br /> $50.00-PFT Pulmonary Function test <br /> $40.00-EKG <br /> $15.00—CBC <br /> $15.00-CMP <br /> $40.00-Lipid Panel <br /> $15.00-Isbihara Color Vision Test <br /> 65,00-Executive Medical Examination and Screenin <br /> Includes:Physical examination,Vital signs(height,weight,blood pressure,respirations,pulse,and temperature),UA dip in house, <br /> Vision:snellen&basic color,hernia check <br /> $40.00-EKG <br /> $15.00-C©C <br /> $15.00-CMP <br /> $40.00-Lipid Panel <br /> 6 . , urination and Screening: <br /> $65 00-Post-Exposure Medical Examination -,� <br /> Includes:Physical examination,Vital signs(height,weight,blood pressure,respirations,pulse,and temperature),UA dip in house, <br /> Vision:snellen&basic color,hernia check <br /> -COVID,Needlestick or other testing as warranted—See pricing below <br /> $90.00-Fit for Duty/Return to Work Examination/Evaluation: <br /> Includes:Physical examination,Vital signs(height,weight,blood pressure,respirations,pulse,and temperature),UA dip In house, <br /> Vision:snellen&basic color,hernia check <br /> -Additional fee for review of more than 20 pages of medical records:.$50.00 per 100 pages <br /> 65.00-_DMV Commercial Motor Vehlcle Driver Physical-Exam and Evaluation <br /> Physical Examination: <br /> Includes:Physical examination,Vital signs(height,weight,blood pressure,respirations,pulse,and temperature),UA dip in house, <br /> Vision:snellen,basic color,and horizontal field of vision,hernia check,whisper hearing test <br /> Page 15 <br />