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1582 Extended Panel - Comprehensive Medical Exam "Exhibit B" This “all-inclusive” NFPA 1582 Compliant Exam has promotional pricing (through FY2020) for your consideration includes the On-Site Mobile Fee. Our exams are conducted onsite on your Department’s Battalion Shifts. We can provide contract pricing and timeline commitments to fit your Department needs. As required in NFPA 1582, we use only licensed physicians for your evaluations. Our competitor(s) use mid- level providers, such as nurse practitioners or physician assistants for your member evaluations which does not fulfill the NFPA standard. 1582 Extended Panel Laboratory Blood / Urine Testing: 1582 Extended Panel Complete Blood Count w/ Differential Included Comprehensive Metabolic Panel Included Fasting Lipid Panel (LDL, HDL, Trig, Cholesterol) Included Urinalysis (with Micro if indicated) Included Diabetes Screening - Fasting Blood Glucose / Hemoglobin A1C Included Thyroid Panel with TSH Included Hemoccult Test (at age 40+) Included CA-125 (female fighters only) Included Prostate Specific Antigen Screening (male firefighters only) Included Occupational Health Testing Audiogram (OSHA Rated Hearing Booth) Included Biometric Screening (BMI or Calipers Skinfold) Included Spirometry (Pulmonary Function Test) Included Vital Signs Included Vision Screening Included Blood Pressure Monitoring Included Resting EKG Included Cardiopulmonary / Fitness Evaluation (Chapter 8) Stress EKG, WFI Protocol (Chapter 8.2.2.1 - An evaluation of aerobic capacity shall be performed after appropriate medical evaluation) Included Physician Exam - (NFPA 1582 Compliant) Physical Examination (as outlined in Chapter 7.6) Included Medical History Review Included Skin Cancer Assessment Included Health Promotion Counseling Included Sleep Disturbance Apnea Questionnaire Included Cardiac Risk Stratification Included Behavioral Health / Mental Health Screening Included OSHA Resp. Questionnaire / Clearance Letter Included Firefighter Medical Clearance – 1582 Tiers Included Ultrasound Screening Component Carotid Artery Ultrasound Screening* Included Abdominal Aortic Aneurysm Screening* Included Thyroid Ultrasound Screening* Included $525.00 Total Cost per Fire Member Minimum of 40 appointments at this rate, El Mirage pricing is exempt from min.40 exams, 1st year only Expanded Tests, Services and Panels are also available *Ultrasound Screening is non-diagnostic screening test only Optional Services Price Expanded Ultrasound Screening Panel* $ 75.00 Echocardiogram (Heart Ultrasound)* Liver, Bladder, Gall Bladder, Spleen and Kidney Ultrasound* Optional: External Pelvic Ultrasound (Females)* Optional: Prostate Ultrasound (Males)* Optional: Testicular Ultrasound (Males)* * denotes this is a non-diagnostic screening only Chapter 8 - Muscular Strength, Endurance & Flexibility $ 50.00 Lab Testing Hepatitis A Titer $ 30.00 Hepatitis B Titer $ 30.00 Measles, Mumps, Rubella (MMR) Titer $ 80.00 Meningococcal Titer $ 30.00 Polio Titer $ 50.00 Tetanus Diphtheria Titer $ 45.00 Varicella Titer $ 45.00 Testosterone Blood Test $ 35.00 C Reactive Protein (Cardiac) $ 45.00 NMR Lipoprotein $ 75.00 Heavy Metal (24 Hour Urine Occupational Exposure – Hazmat Testing) $ 125.00 Cholinesterase (Hazmat) $ 76.00 Infectious Disease Screening Hepatitis A Virus Screening Test $ 35.00 Hepatitis B Virus Screening Test $ 35.00 Hepatitis C Virus Screening Test $ 35.00 Hepatitis Profile Screening (Immunization and Infection Hep A,B,C) $ 80.00 HIV Screening $ 40.00 PPD TB Skin Test $ 20.00 QuantiFERON Gold TB Blood Test $ 75.00 Infectious Disease Management Flu Vaccine $ 25.00 Hepatitis A Vaccination Shot (Series of Two) $ 75.00 Hepatitis B Vaccination Shot (Series of Three) $ 60.00 Meningococcal Vaccine $ 150.00 MMR $ 80.00 TDaP (Tetanus Diphtheria Pertussis) Vaccine $ 80.00 TwinRix Vaccination Shot (Series of Three) $ 105.00 Varicella Vaccine $ 120.00 Polio Vaccine Booster $ 125.00 Additional Services Two View Chest X-Ray (PA and LAT) with Overread $ 65.00 Quantitative Fit Test (Porta count) $ 35.00 CDL Paperwork (if bundled with 1582 Physical) $ 30.00 DOT CDL Examination and Paperwork (Standalone) $ 80.00