List of Medical Examination.pdf
PDF 84 KB Posted
- Solicitation number
- PR16184335
- Issued by
-
Department of State
About this file
This document is a pricing template for occupational health screening packages offered to employers for employee medical evaluations.
The template presents three distinct service packages: a New Hire Package that includes a tuberculosis risk assessment, chest X-ray (if moderate or high risk), and either a Tuberculin Skin Test or Interferon gamma release assay (if low risk); a Driver Package that includes a Department of Motor Equipment questionnaire, audiometry, urine test, and chest X-ray; and a combined New Hire & Driver Package for candidates requiring both evaluations, which consolidates the TB risk assessment and DME questionnaire with conditional chest X-ray and TB testing based on risk level. All three packages have designated total cost fields, though specific pricing amounts are not populated in this template. The document is designed to allow employers to select the appropriate package based on whether candidates are new hires, commercial drivers, or both.
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| File | Type | Posted |
|---|---|---|
| List of Medical Examinatin Tests.pdf |
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Text version
New Hire Package Price List
New Hire
Description Amount
New Hire Physical TB Risk assessment ONLY
Chest X-RAY (If the patient is Moderate or High risk.)
Tuberculin Skin Test (TST) or Interferon gamma release assay
(IGRA) If the patient is low risk.
TOTAL
Driver Package Price List
Driver
Description Amount
DME Questionnaire ONLY
Audiometry
Urine test
Chest X-RAY
Package selected when New Hire & Driver tests are required for the same candidate
New Hire & Driver
Description Amount
New Hire Physical TB Risk assessment ONLY & DME
Questionnaire ONLY
Chest X-RAY (If the patient is Moderate or Hight risk.)
Tuberculin Skin Test (TST) OR Interferon gamma release assay (IGRA) If the patient is low risk.
File details come from the government source that posted it. Updated .