Laserfiche WebLink
w <br />2 N <br />N <br />W <br />o .0 <br />O <br />QJ 0 <br />W di <br />c) <br />a7 <br />Z W <br />0 <br />U J <br />¢ (0 <br />pW <br />Z <br />LL <br />RESOLUTION 2007-136 <br />Laboratory Services 0% - A 17% - B 33% - C 50% - D 67% - E 83% - F 100% - G FEE <br />IN-HOUSE LAB <br />LAB $0.00 $2.55 $4.95 $7.50 $10.05 $12.45 $15.00 $15.00 <br />Contracted Laboratory Services <br />- <br />LAB $0.00 $4.25 $8.25 $12.50 $16.75 $20.75 $25.00- $25.00 <br />NOTE: Tests which exceed a charge of $100.00 will be billed individually on a sliding fee scale percentage based on IRCHD cost of lab service <br />IN-HOUSE and CONTRACTED LAB Fee is for all labs performed at the time of service. <br />All Lab fees will be charged in addition to office visits on a sliding fee scale as above. <br />Records Fees <br />Copy of Medical Record/per page $0.15 per page and an additional $.05 for double sided copies plus cost of postage if mailed. <br />Large scale copying requets requiring extensive clerical assistance will be subject to an $10.00 administration fee in addition to the above statad farm <br />FL St <br />)N <br />4) <br />c <br />a) <br />8a <br />— a) <br />per atute 119.07. <br />NOTE: Florida Statutes regarding release of medical records must be met prior to release of medical records to any source. No fees are <br />ch dt <br />1 <br />I <br />I <br />i <br />by and under the purview of the Health Department shall be predicated upon the basis of actua <br />hased on a sliding fee basis. Insulin and Epilepsy medications can be Provided at no champ if n <br />Case Workers who are involved in a custody case. <br />signed court petition. Only one certified cony win ha <br />i <br />L <br />arge o physrGan offices/orner medical agents with the understanding that IRCHD will also be exempt from such Payment. <br />3 only: Children & Families <br />request and copy of the <br />000000S8 <br />N <br />09 <br />16 O O O M6 <br />p <br />ER EA ER V} EA EH <br />IN��vi�cu NCS JlA (o) monm penoa. <br />ea <br />c0 <br />CL <br />• <br />O I <br />1i V <br />�1 <br />7.6 <br />V i <br />c <br />€ i <br />° <br />I l,u, ui�r rsmg Tee Tor eacn item purc <br />Oc <br />c <br />C <br />5 <br />a v <br />6 <br />a <br />: <br />1L <br />mmoo.2 <br />.c <br />>mm<< <br />J1h <br />"C= <br />S a) <br />t <br />0 <br />88 <br />a) <br />-c:€ <br />1 <br />o a) 0 a) a <br />0 0 <br />to fa N .0 w 1 <br />c c U c <br />ow a 0 f <br />m a ag <br />wC <br />'Birth Certificates are provided free of charge k <br />9/26/2007CLFEE2007-08 FINAL <br />