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SH21-014 - Occupational Medicine Service Agreement
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2021-07-06 10:00 AM - Commissioners' Agenda
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SH21-014 - Occupational Medicine Service Agreement
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Last modified
7/1/2021 1:08:51 PM
Creation date
7/1/2021 1:08:13 PM
Metadata
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Template:
Meeting
Date
7/6/2021
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
c
Item
Request to Acknowledge an Amendment to the Occupational Medicine Services Agreement between KVH Workplace Health Medicine and the Kittitas County Sheriff's Office
Order
3
Placement
Consent Agenda
Row ID
78209
Type
Agreement
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KVH-KittitasValleyHealthcareW-KVHWorkplaceHealthGeneralInformationCompanyName:KittitasCountySheriff'sOfficePhysicalStreetAddress:307W.UmptanumRd.City,State,Zip:Ellensburg,WA98926MailingAddress(ifdifferentfromphysical):PrimaryContact:KimDawsonOfficePhone:509-962-7089ContactEmail:Kim.dawson@co.kittitas.wa.usOfficeFax:SecondaryContact(ifapplicable):SecondaryContactPhone:GuarantorInformationECheckifthesameasphysicaladdressCompanyName:StreetAddress(Mailing):City,State,Zip:Phone:Fax:ServicesPricingPhysicalExaminationOStandard:$100AudiogramOStandard:$55VenipunctureOStandard:$22Exec1PanelOStandard:$83Non-FederalDrugScreen,5panelOStandard:$45EKGOStandard:$75U/AwithmicroOStandard:$27StoolGuaiacOstandard:$40RangeofMotionOStandard:$45SpirometryOStandard:$60PAChestX-Ray(1view)OStandard:$100LSpineX-RayOStandard:$60TSpineX-RayOStandard:$60OptionalServicesHepBTiterOStandard:$60HepBInjections,each(seriesof3)OStandard:$103PSA(ifmedicallyindicated)Ostandard:$100Totalw/oOptionalServices$772
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