| Service |
Fee |
| Duplicate Immunization Record |
$ 5.00 |
| Health Card |
$ 10.00 |
| Health Card - Replacement |
$ 2.00 |
| HIV Rapid Test |
$ 14.00 |
| Immigration Immunization Supplemental Form to I-693 |
$ 21.00 |
| Immigration Physical (if required, other fees such as immunizations or laboratory test may apply) |
$ 84.00 |
| Immigration TB Referral Evaluation |
$ 42.00 |
| Immunization Review |
$ 11.00 |
| Pregnancy Test |
$ 20.00 |
| Sports Physical |
$ 51.00* |
| TB Clearance/Occupational |
$16.00 |
| TB Risk Assessment - Symptoms Review |
$ 16.00 |
| TB Work Clearance - Skin Test (negative) |
$ 26.00 |
| TB Work Clearance - Blood Test |
$ 69.00 |
| TB Work Clearance - Chest X-Ray and Consult required |
$ 112.00 |
| Transcription of Immunization Record |
$ 26.00 |
| Travel Consultation |
$ 92.00 |
| * Completion of external forms |
$ 15.00 |
| Revised 7/16/19 |
