HomeMy WebLinkAboutCity of Bremerton TDC 09.2026
Date: August 31, 2026
Services: Price:
Basic Physical (Pre-Employment/Volunteer/Respirator) $ 95.00
DOT Physical $ 122.00
Hepatitis B Titer $ 37.00
Hepatitis A Titer $ 66.00
Specimen Collection (Blood Collection) $ 13.00
Hepatitis A vaccine, each $ 73.00
Hepatitis B vaccine series, each $ 65.00
TDap Vaccine $ 41.00
Immunization Administration $ 10.00
OSHA Questionnaire Review only $ 26.00
Pulmonary Function test w/OSHA Questionnaire review $ 51.00
Chest X-ray 2 view, if indicated $ 62.00
*Please note, appointments not cancelled 24 hours in advance of the scheduled time may incur a
no show fee.
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AGREEMENT:
I have reviewed the services and associated fees effective August 31, 2026. I
hereby authorize the services as outlined above for employees referred to The
Doctors Clinic, A Part of Franciscan Medical Group, Occupational Medicine
Department.
Occupational Health Service Contract
COMPANY: City of Bremerton
__________________________________________________________________
Authorized Signature Title Date
TERMS: Payment is due in full 30 days from billing date. Renewal contracts may
be provided yearly.
Services provided at:
The Doctors Clinic, a Part of Franciscan Medical Group
Occupational Medicine Clinic
9621 Ridgetop Blvd NW Silverdale, WA 98383
Office 360-782-3300 Fax 360-782-3345
Tax ID 91-1939739
Director of Human Resources 09/18/2026