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R01-205RESOLUTION NO. R01- A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, AUTHORIZING AND DIRECTING THE MAYOR AND CITY CLERK TO EXECUTE AN AGREEMENT BE-I-WEEN THE CITY OF BOYNTON BEACH AND MEDICAL OFFICE CONCEPTS, INC., PROVIDING FOR PREEMPLOY~MENT EXAMINATIONS; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, the Cty Commission of the City of Boyntpn Beach, upon recommendat on of staff, deems it to be in the best interests of the citizens of the City of B0ynton Beach to enter into an Agreement between th~City of Boynton Beach and Medical: Office Concepts provid ng for pre-employmeht examinations; NOW, THEREFORE¢ BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY 0F BOYNTON BEACH,' FLORIDA, THAT: Section. 1. The City Commission of the City of Boynt0~n Beach hereby authorizes and directs the Mayor and City Clerk to execute an Agreement between the C ty of Boynton Beach and Medical Office ConCepts. Section 2. This Resolution shall become effective immediately upon )assage. PASSED AND ADOPTED this I~ day of June, 2001. CITY Og BOY/~T/ON/B2EACH, FLORIDA ~TTEST: COmmissioner AGREEMENT TItlSAGREEMENT, datedthis 7 dayofc_l/,EJ%/,._.- 2001, by and between: THE CITY OF BOYNTON BEACH, a mumcipal corporation orgapfi'zed and operating under the laws of the State of F10rida, with an address of 100 East Boynton Beach Boulevard, Boynton Beach, Florida 33425, hereinafter referred to as "CITY", and MEDICAL OFFICE CONCEPTS, INC., a corpgmfion.authorized to do busmess in the State of Florida, with an address at 1501 Corporate Drive, Suite 240, Boyrlton Beach, Florida, 33426, hereinafter referred to as ' CONTRACTOR". CITY and CONTRACTOR may be collectively referred to as the "Parties." WHEREAS, CITY has a need for certain medical services to be provided to its employees either as a requirement of their employment and duties or in furtherance of preve¢tative care; and / WltEREAS, the City Commission deems it to be in the best. interests ~.f. the health, safety and welfare of its employees, citizens and residents to enter into an agreement with Medical Office Concepts, Inc. to p~rform the desired medical services; and WHEREAS, CONTRACTOR has agreed to provide such medical services to the CITY and its employees; NOW, TItEREFORE, for and in consideration of the sum of the mutual covenants and other good and valuable consideration, the receipt of which are hereby acknowledged, the parties hereto agree as follows: SECTION 1. The recitations set forth in the above "WHEREAS" clauses are tree and correct and incorporated herc4n by this reference. Any exhibits attached hereto are hereby incorporated herein and made a specific part of this Agreement. SECTION2. CONTRACTOR'S RESPONSIBILITIES. The COI~_RACTOR shall can~ out the following responsibilities and such additional responsibilities as CITY may deem necessary for the fulffilment of CONTRACTOR's obligations under this Agreement: 2.1 CONTRACTOR shall perform the following medical services: 2.1.1 pre-employment physical examinations; 2.1.2 annual examinations for police and fire employees; 2.1.3 employee drug screening; 2.1.4 employee immunization as required by the CITY; and Page 1 of 10 2.1.5 specialized medical testing, as requested by CITY, including, but not limited to, heavy metal screening, serum chohnesterase, contagious disease profiles, cardiac stress testing and chest x-rays. 2.1.6 Be available to schedule and provide regular clinical services for CITY's employees at the employee's request. The cost of such services shall be borne by the employee. 2.2 CONTRACTOR shall conduct medical examinations which meet or exceed NFPA standards and guidelines and further in accordance with any and all required regulations necessary to maintain or achieve acceptance or accreditation by any applicable regulatory authority for such employee. 2.3 CONTRACTOR shall provide sufficient room for the s. toragq, maintenance and use of certain medical equipment, more specifically identified in Exhibit ~'A". to be provided by CITY in the testing of its police and fire employees. CONTRACTOR hereb~ certifies that such equipment shall be used solely in conjunction with the testing and exa~.ination of CITY employees. CONTRACTOR shall further be responsible for the regular maintenance of such equipment, upon prior notice and approval by the CITY, the cost of which shall be borne by the CITY. Upon termination of this Agreement, or' any subsequent renewals thereof, CONTRACTOR shall return all equipment supplied by CITY to the CITY immediately upon termination. The equipment shall be in the same condition as it existed uPnoa~ tmh..e initial transfer to CONTRACTOR, except for normal wear and tear and authorized repair and maintenance. 2.4 CONTRACTOR shall coordinate any and all laboratory testing necessa~ in conjunction with any and all examinations and testing performed by CONTRJACTOR unde~ this Agreement. 2.5 CONTRACTOR shall provide any and all necessary consultation or case review of examination results at the request of CITY or an employee/patient. Furth~, upon the employee/patient's request, CONTRACTOR shall forward a written review of the examination results to the employee/patient or his or her prima~y physician. 2.6 CONTRACTOR shall make flu shots available to any CITY employee who wishes to receive it at the City's cost, during the City's annual flu shot offer dates. 2.7 A primary review by CONTRACTOR of all physical examination results shall include, but is not limited to: 2.7.1 physical examination; 2.7.2 twelve (12) lead EKG; 2.7.3 pulmonary function testing; 2.7.4 audio metric testing; 2.7.5 visual acuity; and Page 2 of 10 2.7.6 all laboratory findings to include contagious disease profiles and drug screening. 2.8 CONTRACTOR shall perform a secondary review and all cases achieving abnormal results, deviations from baseline results as determined by comparison with previous examinations, and positive contagious disease profiles. CONTRACTOR shall further perform follow up monitoring upon initial exposure of an employee to air or blood bonie pathogens. 2.9 CONTRACTOR shall maintain any and all medical records and any other records created under this Agreement in accordance with the Public Records Laws as ~et forth in Chapter 119, Florida Statutes, as amended from time to time.· SECTION3. CITY'S RESPONSIBILITES. The CITY shall can~ out the following responsibihties and such other duties as may be necessary to fulfill its obligations under this Agreement: 3.1 CITY shall provide CONTRACTOR with the name, the desired testing to be conducted and any other necessary information for ~ach employee or pew hire sent to CONTRACTOR for testing or physical examination. 3.2 CITY shall designate a coordinator who shall facilitate the coordination of examination of the designated employee(s), the requested testing to be conducted and the CITY's receipt of the testing and examination results. 3.3 CITY shall provide CONTRACTOR with the medical eqmpmem specified in Exhibit "A" to be utilized solely in the performance of medical examination and testing of CITY employees. SECTION 4. TERM. This Agreement shall commence on the date of execution of tiffs Agreement by the last party to execute this Agreement and mn until June 7, 200~. This Agreement may be renewed upon the mutual consent of the parties for additional one (1) year terms. / SECTION 5. The CONTRACTOR hereby certifies that only Florida licensed physicians and medical personnel shall perform any and all medical procedures reqmred pursuant to this Agreement. CONTRACTOR shall supervise and accept responsibility for the medical performance of such personnel. SECTION 6. The CITY hereby agrees to pay CONTRACTOR for the faithful performance of the services required under this Agreement, in lawful money of the United States, in accordance with the billing schedule provided in Exhibit "B", attached hereto. CONTRACTOR shall provide CITY with a monthly invoice for payment and a monthly statement of services rendered hereunder. CITY shall pay CONTRACTOR within fifteen (15) calendar days' of CITY's receipt of both CONTRACTOR's invoice and monthly statement. SECTION 7. INSURANCE. Page 3 of 10 7.1 The CONTRACTOR shall nor commence work under this contract until it has obtained all insurance required under this paragraph and such insurance has been approved by the Risk Manager of the CITY nor shall the CONTRACTOR allow any Subcontractor to commence work on any sub-contract until all sLmilar such insurance required of the subcontractor has been obtained and approved. 7.2 Certificates of insurance, reflecting evidence of the required insurance, shall be filed with the Risk Manager prior to the commencement of the work These Certificates shall contain a provision that coverages afforded under these policies will not be canceled until at least thirty (30) days' prior written notice bas been given to the CITY.. Policies shall be issued by companies authorized to do business under the laws of the State of Flntidm ,, 7.3 . Financial Ratings' must be no less than "A" in the latest edition o~"Bests Key Rating Guide , pubhshed by A.M. Best Guide. 7.4 Insurance shall be in force until all work required to be performed under the terms of the Contract is satisfactorily completed as evidenced by the formal accepta< the event the insurance certificate provided indicates that the insurance shall ' during the period of this contract, then in that event, the CONTRACTOR thirty (30) days prior to the expiration of the date of such insurance, a re~ insurance as proof that equal and like coverage for the balance of the period extension thereunder is in effect. The CONTRACTOR shall not continue to w contract unless all required insurance remains in full force and effect. :e by the CITY. In enninate and lapse all furnish, at least :wed certificate of ~f the contract and )rk pursuant to this 7.5 Comprehensive General Liability insurance to cover liabilit property damage. Exposures to be covered are: premises, operations, operations, and certain contracts. Coverage must be written on an occurre: following limits of liability: Bodily Injury 1. Each Occurrence $1,000,00( 2. Annual Aggregate [,000,000 bodily injury and >roducts/completed ice basis, with the Property Damage 1. Each Occurrence 1,000,000 2. Annual Aggregate 1,000,000 C. Personal InJury Annual Aggregate 1,000,000 Property, Damage Liability Insurance shall include Coverage for the following hazards: X - explosion, C - Collapse, U - underground. Page 4 of 10 7.6 Workers Compensation hasurance shall be maintained during the life of this Agreement to comply with the statutory limits for ali employees. In the case any work is sublet, the CONTRACTOR shall require the Subcontractors similarly to provide Workers Compensation Insurance for all the latter's employees, unless such employees are covere4 by the protection afforded by the CONTRACTOR. The CONTRACTOR and his subcontrac~or~ shall maintain during the life of this policy Employers Liability Insurance. The followingq limits must be maintained: A. Workers Compensation Statutory B. Employer's Liability $500,000 7.7 CONTRACTOR shall comply with the financial responsibi Chapter 458, Florida Statutes, as amended fi:om time to time, and provide c compliance to CITY. 7.8 CONTRACTOR shall hold the CITY, its agems, and empl account of claims for damages to persons, property, or premises arising out ~ complete this Agreement and name the CITY as an additional insured under the er occurrence ~y requirements of ~fication of such .yees, harmless on .f the operations to r po[icy. 7.9 The CITY reserves the right to require any other insurance coverage it deems necessary depending upon the exposures. SECTION 8. INDEMNIFICATION. 8.1 CONTRACTOR shall indemnify and save harmless and defend the CITY, its trustees, elected and appointed officials, agents, servants and employees from and against any and all actions, claims, suits, causes of action, proceedings, penalties, liabilities and judgments for damages, or equitable relief of any nature whatsoever, arising out of or in connection with any processes, or procedures, acts or omissions, errors, or negligent act of CONTRACTOR, its agents, servants or employees in the performance of services under this Agreement, excluding bona fide statements/expressions of opinion, set forth as such, for all costs, losses and expenses, including but not limited to, damages to persons or property, judgments and attorneys' fees arising out of or in connection with the services performed by the CONTR32CTOR pursuant to this Agreement. 8.2 CONTRACTOR shall indemnify CITY.for all loss, damage, expense or liability including, without limitation, court costs and attorneys fees and costs that mhy result by reason of any infringement or claim of infringement of any patent, trademark, copyr other proprietary right relating to sermces furnished pursuant to CONTRACTOR will defend and/or settle at its own expense any action t CITY to the extent that it is based on a claim that products or services fur CONTRACTOR pursuant to this Agreement. or if any portion of the services the performance of the service becomes unusable as a result of any such infrin ght, trade secret or his Agreement. rought against the fished to CITY by or goods related to re'tent or claim. Pag~ 5 of 10 8.3 The parties recognize that various prowsions of this Agreement, including but not necessarily limited to this Section, provide for indernff~fication by the CONTRACTOR and that §725.06, Florida Statutes, requires a specific consideration be given therefor. The parties therefore agree that the sum of Ten Dollars and 00/100 Cents ($10.00), receipt of which is hereby acknowledged, is the specific consideration for such indemnities. The providing of such indemnifies is deemed to be part of the specifications with respect to the se~Sces to be provided by CONTRACTOR. Furthermore, the parties understand and agree that the covenants and representations relating to this indemnification pmvisiun shall serve the term of this Agreement and shall continue thereafter in full force and effect as to the party's responsibi~ty to indemnify. SECTION 9. INDEPENDENT CONTRACTOR. 9.1 This Agreement does not create an employee/employer relationship between the parties. It is the intent of the parties that the CONTRACTOR is an independent contractor under this Agreement and neither is the emptoyeeof the other for all purposes, including, but not limited to, the application of the Fair Labor Standards AcT m/nimum wage and overtim~ payments, Federal Insurance Contribmion Act, the Social Security Act, the Federal UnemploYment Tax Act, the provisions of the ~temal ~evenue Code, the State Workers Compensation Act. and the State unemployment insurance law. The Parties shall each retain sole and absolute discretion in the judgment of the mauner and me~ans of carrying out the their activities and responsibilitiesan hereunder provided, further that administrative pro~:edures applicable to services rendered under tiffs Agreement shall be those of each individualiparty. Services provided by each p ~a~xy pursuant to tkis Agreement shall be subject to the supervision of such party. In providing such services, neither party nor its agents shall .act as officers, employees, or agents of the other party. The Parties agree that they are separate.and independent enterprises, and that this Agreement shallpot be construed as creating any joint emploh,Y~,, ~nt relationship between the Parties and neither par~., will be liable for any obligation incurred by the other party, including, but not limited to, unpaiit minimum wages and/or overtime premiums. SECTION 10. THIRD PARTY BENEFICIARIES. 10.1 Neither party intends to directly or substantially benefit any ~hir,d party by this Agreement. Therefore, the Parties agree that there are no third party beneficiaries to this Agreement and that no th/rd party shall be emtitled to assert a claim against either party based upon tl~s Agreement. The Parties expressly acknowledge that it is not their intent to create any rights or obligations in any third persons or entity under this Agreement. SECTION 11. MISCELLANEOUS. 11.1 Legal Representation. It is acknowledged that each party to this Agreement had the opportunity to be represented by counsel m the preparation of this Agreement and, accordingly, the role that a contract shall be interpreted strictly against the party preparing same shall not apply due to the joint contribution of both parties. Page 6 of 10 shall not 11.2 Asszgnments. This Agreement, or any interest herein, be assigned, transferred or otherwise encumbered, under any circumstances, by the Parties without the prior wrinen consent of the other party. 11.3 Amendments. Any modification or amendment to this Agreement must be fonnalized in writing and executed with the same dignity and formality herewith. 11.4 requ/re any and all subcontractors to keep books and records as may be necessm complete and correct entries as is related to personnel hours charged to thJ expenses for which the Parties expect to be reimbursed, or any other records th Agreement. Such books, accounts and records will be available at all re examination and audit by the other party and shall be kept for the required ret, Florida Public Records Act (Chapter 119, Florida Statutes) or as may otherwise Incomplete or incorrect entries in such booksand records wilt be grounds for ~ other party of any fees or expenses based upon such entries. Records. The Parties shall keep, maintain and preserve books and records and 11.5 Public Records. Pursuant to Chapter 119, Florida Statutes, Flo. laws, the Parties shal/maintain and make available for inspection any and generated pursuant to this Agreement as required by law. in order to record engagement, any are related to this ~sonable times for ~ntion period of the be required by law. tisallowance by the ~ta's Public Records 11 business records 11.6 No Contingent Fees. The Parties warrant that they have not employed or retained any company or person, other than a bona fide employee working solely for such party, to solicit or secure this Agreement, and that it has not paid or agreed to pay any person, co~ apany, corporation, individual or firm, other than a bona fide employee working solely for ~ ~ Parties, any fee, commission, percentage, gift, or other consideration contingent upon or resulfin from the award or making of this Agreement. For the breach or violation of this provision, the ( ITY shall have the right to terminate the Agreement without liability at its discretion, to deduct riot ~ the contract price, or otherwise recover the full amount of such fee, commission, percentage, gift,, r consideration. 11.7 Notice. Whenever any party desires to give notice unto any other party, it must be given by written notice, sent by certified United States mail, with remm receipt requested, by facsimile transmission with certification of transmission to the receiving part~, or hand delivery addressed to the party for w_hom it is intended and the remaining party, at the places last specified, and the places for gi~g of notice shall remain such until they shall have been changed by written notice in compliance withJthe provisions of this Agreement. For the present, the Parties and the CITY designate the following as the respective places for giving of notice: CITY: City Manager City of Boynton Beach 100 Boynton Beach Boulevard Boynton Beach, Florida 33425 Telephone No. (561) 742-6010 Facsimile No. (561) 742-6011 Page 7 ofl0 Copy To: James A. Cherof, City Attorney Josias, Goren, Cherofi Doody & Ezrol, P.A. 3099 East Commercial Boulevard. Suite 200 Fort Lauderdale, Florida 33308 Telephone No. (954) 771-4500 Facsim/le No. (954) 771-4923 CONTRACTOR: Kenneth Lee, M.D., President Medical Office Concepts, Inc. 1501 Corporate Drive, Suite 240 Boynton Beach, Florida 33426 Telephone No. (5t51) 736-8806 Facsimile No. (561) 736-3384 11.8 Binding Authority. Each person signing this Agreement on behalf of either party individually warrants that he or she has full legal power to execute this Agreement on belmlf of the party for whom he or she is stgning, and to bind and obhgate such party with respect to all provisions contained in this Agreement. 1 t.9 City Self-Insured. The Parties hereto understand and agree tha~ the CITY is self- insured. 11.10 Exhibits. Each Exhibit referred to in this Agreement forms an essential part of this Agreement. The exhibits if not physically attached should be treated as part of this Agreement and are incorporated herein by reference. 11.11 Headings. Headings herein are for convenience of reference only and shall not be considered on any interpretation of this Agreement. 11.12 Severability. If any provision of this Agreement or application thereof to any person or situation shall, to any extent, be held invalid or unenforceable, thg remainder of this Agreement, and the application of such provisions to persons or situations o~er~ than those as to which it shall have been held invalid o-r unenforceable shall not be affect,ed[thereby, and shall continue in full force and effect, and be enforced to the fullest extent permitted by law. 11.13 Governing Law. This Agreement shall be govemed by the lacvs of the State of Florida with venue lying in Palm Beach County, Florida. 11.14 Disputes. Any claim, objection, or dispute arising out of the terms of this Agreement shall be litigated in the Seventeenth Judicial Circuit Court in mid for Palm Beach County. 11.15 Joint Defense. In the event that the validity of this Agreement is ~hallenged through legal proceedings or otherwise, the Parties agree to cooperate with each other in defense of this Agreement, with each Party to bear its own attorney's fees and costs associated With such defense. Page 8 of 10 11.16 Attomefs Fees. In the event that either party brings stat for enforcement of this Agreement, the prevailing party shall be entitled to anomey's fees and costs, including paralegal fees, in addition to any other remedy afforded by law. 11.17 Extent of Agreement. This Agreement together with the attached Exhibits, as amended herein above represents the entire and integrated agreement between the Parties and supersedes all prior negotiations, representations or agreements, either written or oral. 11.18 Multiple Counterparts. This Agreement may be executed in multiple counterparts each of which shall '~e deemed an original, and alt of which together shall constitute one and the same instrument. 11.19 Materiality and Waiver. The Parties agree that each reqtd_rement, duty and obligation set forth herein is substantial and important to the formation of this Agreement and, therefore, is a material term hereof. Failure of either parry to insist upon strict performance of any provision or condition of this Agreement, or to execute any right therein contained, shall not be construed as a waiver or relinquishment for the future of any such provision, coi~dition, or right, but the same shall remain in full force and effect. 11.20 Compliance with Laws. The Parties shall comply with all federal, state, and local laws, codes, ordinances, rules and regulations in performing its duties, responsibilities and obligations pursuant to this Agreement. 11.21 Equal Employment Opportunity. In the performance of this Agreement, the Parties shall not discriminate against any firm, employee or applicant for employment or any other finn/individual in providing services because of sex, age, race, color, religion, ancestry or national origin. iN WITNESS WHEREOF, the parties have hereunto set its authorized hand this dayof g cl. r~_., ,2001. ATTEST: CITY CLE,R~xx¢x~ullUtl#/.///&, CITY OF BOYNTON BEACH Page 9 of 10 CONTRACTOR: BY: ~ KENNETH LEE, M.D., PRESIDENT MEDICAL OFFICE CONCEPTS, INC. STATE OF FLORIDA ) ) SS~ COUNTY OF PALM BEACH) ON THIS ? day of ]~k,kdN ~ , 2001, before me, the tmdersigned notary public, personally appeared KENNETH LEE, M.D., as PRESIDENT of MEDICAL OFFICE CONCEPTS, INC. and is the person who subscribed to the foregoing im4tmment and who acknowledged that he executed the same was duly authorized to do so. Personally Known '~'~ OR Produced Identification Type of Identification Produced IN WITNESS WHEREOF, I hereunto set my hand and official seal. NO~AR-Y PUBLIC _ Print or Type Name My Commission Expires: [" OFfiCIAL NOTARy SF.A£ [ P. HON~^ L C~USO [ NOTARY PUBLIC STATE OF FLORIDA [ COMMtf$ION NO. [ M¥COMMISSION E~p. IUNE Page 1.0 oflO Vision testing equipment Pulmonary function testing equipment Audiometric testing equipment (hearing) Electrocardiogram machine Examination table EXHIBIT "B" FEE SCHEDULE Fees to be paid by CITY to CONTRACTOR under this Agreement shall be in ~cordance with the following schedule. Physician and Clin/cal Service Fee: Includes: 1. 2. 3. 4. 5. $3,312.50 per month All initial and secondary physical examinatic~ns for New Hire Employees and Annual examinations for Police a/ad Fire employees. Administrative management of all required documentation for examination and drag screen processing. Twen~-four (24) ho~r on-call service availabilit~ for employee drug screemng. Twenty-four (24) hour on-call service availability for emergency access to medical records. Processing of all specialized testing results. Immtmization Includes: 1 2. 3. 4. and Supplies Fee: $318.00 pe~ month All fees for tuberculosis screening for all anaual examination employees and new-hire employees. Hepatitis B immunizations for all employees f~r wkich the CITY requires. Flu immunization for all CITY employees, excluding serum and including staff to admiulster Disposable.supplies for Pulmonary Function testing and EKG testing as required for CITY employees. Specialized and Miscellaneous Testing Fee: $1,325.00 per month Includes: _ 1. All laboratory fees for specialized medical testing, as requested by CITY, including, but not limited to, heavy metal screening, serum cholinesterase, contagious disease profiles, cardiac stress testing and chest x-rays. Do Includes:Lab°mt°ry and Drag Screening Fee: $1,669.50 per month 1. All laboratory testing for annual physical examinations on required employees and other employees as requested by CITY. Drag screening for new-h/re employees and alt random drug screening as requested by CITY. II. HI. EXHIBIT "C" Examination Format - City of Boynton Beach Fire Dept. ANNUAL EXAIvlS 1. 2. 2. T & D as needed TB test (Time, PPD as needed, CXR as needed billed $70.00 to HR) All examination components (PFT, EKG, Visual, Hearing) Labs a. Blood Work 225484 I(CMP, LP, 6AC, CBC, RPF, UA, Hep, HIV) Stress Test (over 40, as needed, SEE LIST) billed $200.00 to I-I~) Fire Dept. NEW HIRE exams 1. All examination components (PFT, EKG, Visual, Hearing) 2. T&D as needed 3. TB test (Tine, PPD as needed, CXR as needed & billed $70.00 te HR) Contact Lynn or Carol to confirm prior to CXR appt. Labs a. Blood Work 225484 (CMP, LP, 6AC, CBC, RPR, UA, Hep, HIV) b. Drag Screen 75041-0 (10-Panel) Pohce Dept. ANNUAL exams 1. All examination components (PFT, EKG, Visual, Hearing) 2. T&D as needed 3. TB test (Tine, PPD as needed, CXR as needed & billed to HR) 4. Labs a. Blood Work 225484 (CMP, P, 6AC, CBC, RPR, UA, Hep, HIV) b. Blood Work 007625 (Lead, blood (adult)) 5. Stress Test (Sgts. and Lts - age 30 then every other year- optional) (bill $200.00 to HR for stress tests) 6. Stress Test (Officers and Detectives - Age 30, then every third year- optional (bill $200.00 to HR for stress tests) Pohce Dept. NEW HIRE exams 1. All exam components (PFT, EKG, Visual, Hearing) 2. T&D as needed 3. TB test (Tine, PPD as needed, CXR as needed & billed $70.00 to HR) (Contact Ly~n or Carol to confirm prior to CXR appt.) 4. Labs Blood Work 225484 (CMP, LP, 6AC, CBC, RPR, UA, Hep, HIV) b. Blood Work 007625 (Lead, blood (adult)) c. Drug Screen 75041-0 (10 Panel, send to LabCorp) General Employees NEW H/RE exams 1. Physical exam (Visual test only) 2. T&D as needed 3. TB test (Tirie, PPD as needed, CXR as needed & Patient to pay) ~ 4. Drag Screen 75041-0 [10-Panel) All employees - Walk in service: refer to Boynton Premier Walk-in Clinic Billing; Private insurance if accepted NOTATION: Repeat laboratory testing or confirmation testing must be referred to the employee's private physician or billed to insurance.