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Banner Occupational®
Health Services
May 12, 2008
WCDPHL
Attn: Staci Datteri-Frey
Environmental Health Services
1555 N. 17th Avenue
Greeley, CO 80631
Dear Staci Datteri-Frey:
Thank you for having Banner Occupational Health Worksite Wellness at North Colorado Medical Center
provide a Health Fair&blood screenings for the employees of Weld County. We look forward to working with
you on this event as well as your future health and wellness needs.
The following services and rates shall be provided to your company effective May 12, 2008 through October 31,
2008. It is understood that either party may terminate this Letter of Agreement at anytime without cause or
penalty upon 30 days prior written notice.
The health fair is scheduled for:
Wednesday, May 21, 2008
Blood Screenings
7:30 a.m. to 8:00 a.m.
Greeley Health Fair
9:00 a.m. to 1:00 p.m. & 5:00 p.m. to 7:00 p.m.
To be held at: 4H Building Island Groove
Wednesday,June 4, 2008
Blood Screenings
7:30 a.m. to 8:00 a.m.
Fort Lupton Heath Fair
8:00 a.m. to 12:00 p.m.
To be held at: Grater Shed
Wednesday, June 4, 2008
Longmont Health Fair
2:00 p.m. to 6:00 p.m.
To be held at: South County Complex
Skin Cancer Screenings
Melanoma is the most serious form of skin cancer. If diagnosed and removed early, it is almost 100
percent curable. Skin cancer screenings should be part of everyone's preventive health care. Our
Cvn501I Agenda, 2008-1582 ilk Or7
' qualified medical personnel can provide this service as part of a company health fair or as a stand-alone
service.
Cost: $165 per hour- May 21' and June 4th (Depending on availability)
Weld County will cover the cost and/or collect money for this screening from employees.
Hearing Screening
24 million Americans (one in ten)have hearing loss. You can't reverse hearing loss. However, you don't
have to live in a world of less distinct sounds. A hearing screening can provide early detection of hearing
loss. This screening is performed by a CAOHC certified professional. An audiogram will be used to
screen a person's degree of hearing loss and type of hearing loss present. This screening is used as a tool
to evaluate one's hearing and is not intended to be used as a diagnosis.
Cost: $12 per person - June 4`h Only
Weld County will cover the cost and/or collect money for this screening from employees.
Health Fair Exhibits
The following educational services will be provided to employees at the health fair:
* Heart Healthy Living
* Germs
Cost: $100 for two booths, per day—May 21" & June 4`h
*** a one time travel fee of$75 will be added for the South City locations
Weld County will cover the cost and/or collect money for this screening from employees.
Nutrition Demonstration
Our R.D. will be present to make sample size smoothies for participants. A general nutrition booth with
handouts and displays is included.
Cost: $275 per day—May 21"Only
Weld County will cover the cost and/or collect money for this screening from employees.
Summary& Referral
Summary and Referral is a service available to your health fair participants who wish to review the
results of their individual Wellness Profile and lab work and/or have questions about making healthier
lifestyle choices. This service will be provided by our Registered Nurse and will be available at the
health fair, approximately three presentations will be held per hour with time for questions.
Cost: $65 per RN/hr
Weld County will cover the cost and/or collect money for this screening from employees.
Billing: Billing for all screenings will be sent directly to the company.
WCDPH
Attn: Staci Datteri-Frey
Environmental Health Services
1555 N. 17th Avenue
Greeley, CO 80631
• Submit payments to:
Banner Occupational Health Services
1441 N. 12th St.
Phoenix AZ 85006
**Please note: It is up to the employer to collect money from individual employees who are participating in
these events. We require one check from the employer for services rendered
If you are in agreement with the foregoing, please sign both copies and return them in the enclosed pre-
addressed envelope. They will then be reviewed and signed by a Banner representative and a fully executed
copy will be returned to you for your records.
If you have any questions, feel free to contact Roxane Smith at 970-395-2680 or
Roxane.Smithabannerhealth.com
Sincerely,
Roxane Smith Susan Arbini RN BSN CCM COHPM
Worksite Wellness Manager Occupational Health Consultant
Banner Occupational Health Services Banner Occupational Health Services
1801 16th Street 1800 15`h St., Suite 100B
Greeley, CO 80631 Greeley, CO 80631
970-395-2680 970-350-6672
Banner Health, dba
Banner Occupational Health Services Weld County Government
By: By: �r' k� (-Le
Name: Jag G1 Name: William H. jerke
Title: CEO Banner Medical Group Title Chair, Board of County Commissioners
Date Date 06/02/2008
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