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Ak2!]80759
ORDINANCE NO. 82-F
IN THE MATTER OF REPEALING ORDINANCE NO. 82-E AND RE-ENACTING
THE SETTING OF FEES FOR SERVICES PROVIDED BY THE WELD COUNTY
HEALTH DEPARTMENT
BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF WELD
COUNTY, COLORADO:
WHEREAS, the Board of County Commissioners of Weld County,
Colorado has authority under State statute and the Weld County
Home Rule Charter to establish certain fees for services
provided by the various departments of Weld County Government ,
and
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WHEREAS, the Board of County Commissioners of Weld County ; �
desires, through this Ordinance, to set fees and charges for NUJ
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services provided by the Weld County Health Department.
73
NOW, THEREFORE, BE IT ORDAINED by the Board of County z o
Commissioners of Weld County, Colorado, that Ordinance No. 82-E z m
is hereby repealed and that the fee schedule set forth in h1 %.3
Exhibits "A" through "C" , copies of which are attached hereto
and incorporated herein by reference, shall be the fees charged
by the Weld County Health Department for the described services. m
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BE IT FURTHER ORDAINED by the Board of County Commissioners 0 c
of Weld County, Colorado, that this Ordinance shall supersede
all prior Ordinances and Resolutions concerning fees for the
services enumerated in this Ordinance.
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BE IT FURTHER ORDAINED by the Board of County Commissioners W
of Weld County, Colorado, that the effective date of said fee b1 +n
schedule shall be January 1 , 1987 , and such fees shall remain in e
full force and effect until the Board ordains to change such o0
tees.
n
Or
861374
A o
Page 2
RE: ORDINANCE 82-F
The above and foregoing Ordinance No. 82-F was, on motion
duly made and seconded, adopted by the following vote on the
15th day of December, A.D. , 1986.
BOARD OF COUNTY COMMISSIONERS
ATTEST WELD COUNTY, COLORADO
Weld C. vs end Recorder
and Cl ; ti ar a rd a qu n so. Chairman
d. G. rT' : .- mac , l 77.-Tem
.� ur�ty, C -rk
APPROVED FORM: e - R. Bran er
C. 1St
\ V i 'rJ t
County Attorney i m
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First Reading: November 17 , 1986 z
Published: November 20 , 1986 , in the Johnstown Breeze zco
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Second Reading: December 1 , 1986
Published: December 4 , 1986 , in the Johnstown Breeze PI
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Final Reading: December 15 , 1986
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Published: December 18 , 1986 , in the Johnstown Breeze H
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Effective Date: January 1 , 1987 n rn
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ORD082F
COLORADO DEPARTMENT OF HEALTH FAMILY PLANNING PROGRAM Exhibit "A"
ADJUSTED TOTAL GROSS INCOME AND FAMILY SIZE CODES - 1986
_FAMILY
SIZE ANNUAL INCOME MONTHLY INCOME WEEKLY INCOME CODE
Less than 5361 Less than 447 Less than 104 1
1 5361 - 8040 447 - 670 104 - 154 2
8041 - 10,720 671 - 893 155 - 206 3
More than 10,720 More than 893 More than 206 4
Less than 7241 Less than 603 Less than 139 1
2 7241 - 10,861 604 - 905 140 - 208 2
10,862 - 14,482 906 - 1206 209 - 278 3
More than 14,482 More than 1206 More than 278 4
Less than 9121 Less than 760 Less than 175 1
3 9121 - 13,680 761 - 114 0 176 - 263 2
13,681 - 18,242 1141 - 1520 264 - 350 3
More than 18,242 More than 1520 More than 350 4
Less than 11,001 Less than 916 Less than 211 1
11,001 - 16,500 917 - 1375 212 - 317 2
4 16,501 - 22,000 1376 - 1833 318 - 423 3
More than 22,000 More than 1833 More than 423 4
1 Less than 12,881 Less than 1073 Less than 247 1 I
5 12,881 - 19,320 1074 - 1610 248 - 371 2 I
19,321 - 25,760 1611 - 2146 372 - 495 3
More than 25,760 More than 2146 More than 495 4 'i w
H I--'
Less than 14,761 Less than 1230 Less than 283 i 1 N w
6 14,761 - 22,140 1231 - 1845 284 - 425 2 a co
22,141 - 29,520 1846 - 2460 426 - 567 3 z
More than 29,520 More than 2460 More than 567 4 k n
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Less than 16,641 Less than 1386 Less than 320 1 z o
16,641 - 24,960 1387 - 2080 321 - 480 2 z co
7 24,961 - 33,280 2081 - 2773 481 - 640 3 0
More than 33,280 More than 2773 More than 640 4 C 1/40
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Less than 18,521 Less than 1543 Less than 356 1 En ,-.
8 18,521 - 27,780 1544 - 2315 357 - 534 2 N
27,781 - 37,040 2316 - 3086 535 - 712 3 H
More than 37,040 More than 3086 More than 712 4 z al
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Use Codes 1 to 4 with Sliding Fee Scale prices to determine amount patients pay for services and x
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supplies. Q+ ••
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Code 1: Below .100% poverty as defined by 1986 guidelines. x N
Cede 2: Between 101% and 150% poverty as defined by 1986 guidelines. o
Code 3: Between 151% and 200% poverty as defined by 1986 guidelines. z7
Code 4: Above 200% poverty as defined by 1986 guidelines. 0 m
NOTE: For family units with more than 8 members, add $1,880 for each additional member. • .
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APRIL, 1986 °�
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Exhibit "A"
Con't
WALK-IN CLINIC
Blood Pressure: $ 1.00 each
Head Lice Check: $ 1.00 each
Immunizations:
.._�
DTP, Td, OPV, MMR $ 2.00 each
HIB _ y*$ 10.00 each
Flu 5.00 each
PPD (except case contacts) : $ 1.00 each
Pregnancy Screening: *$ 5.00 each
Rid Shampoo: $ 7.00 each
Travel Injections: $ 7.50 each
* Clients unable to pay will be reviewed by a supervisor. Service will not
be denied.
NO CHARGE CLINICS
Neurology
Orthodontia
Genetics o
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to CO
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WELL OLDSTER_CLINIC tii
Routine Clinic Visit $ 1.00 ui
Lab: UA $ 1.00 �
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Blood Sugar $ 1.00
Occult Blood $ 2.00 00
Cholesterol Screen $ 4.00
Wellness Screening _ _ $10.00 z
Flu Vaccine $ 5.00
Td Vaccine $ 2.00
Hearing Test $ 1.00 n N
Pap Smear $ 5.00
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WCHD
Revised 11/86
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Exhibit "A"
Con't
SEXUALLY TRANSMITTED DISEASE
HOUSEHOLD CODE SIZE
Service/Supplies Code 1 Code 2 Code 3 Code 4
Initial exams 2.00 5.00 7.50 10.00
Repeat exam 2.00 _3.00 4.00 5.00
GC (each site) -0- 1.00 3.00 5.00
Wet prep, gram stain, whiff -0- 1.00 3.00 5.00
Syphilis Serology -0- 1.00 3.00 5.00
Herpes culture* 30.00 30.00 30.00 30.00
Chlamydia Culture* 15.00 15.00 15.00 20.00
Chlamydia Screen* 7.00 8.00 9.00 10.00
Doxycycline - 1 week* 2.00 2.00 2.00 2.00
Doxycycline - 2 weeks* 4.00 4.00 4.00 4.00
Flagyl (each) .15 . 15 .20 .25
Gyne Lotrimin (Chlotrimazole)
Vaginal & Topical 2.00 4.00 5.00 6.00
Mefoxin* 15.00 15.00 15.00 15.00
Podophyllum 1.00 2.00 3.00 4.00
Rid 2.00 3.00 4.0O 5.00
Triple Sulfa 2.00 4.00 5.00 6.00
*Payment required at time of service PI to
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CHILD HEALTH CLINIC ^I (.•.)
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HOUSEHOLD CODE SIZES tl
Services/Supplies Code 1 Code 2 Code 3 Code 4 K n
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VISITS z 0
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Physical Exam $ 2.00 $5.00 $8.00 $12.00 '1i
Repeat Visit 2.00 3.00 4.00 5.00 trio
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TESTS & SUPPLIES y N
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Hearing $ 2.00 $3.00 $5.00 $ 7.00 H
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Injections - each 2.00 2.00 2.00 2.00
Chlotrimazole Cream 2.00 4.00 5.00 6.00 r, �
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MATERNITY 0
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Code 1 - $-0- mirk c
Code 2 - $200
Code 3 - $350 A a
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Code 4 -_ $500 o
WCHD p
Revised 11/86
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Exhibit "A"
Con`t
COLORADO DEPARTMENT OF HEALTH FAMILY PLANNING PROGRAM
PATIENT CHARGES
SLIDING FEE SCALE
HOUSEHOLD CODE SIZES
Code Code Code Code
1 2 3 4
Item _
(0-100%) (101-150%) (151-200%) (200%+)_
VISITS:
Initial medical * 20.00 30.00 40.00
Annual medical * 15.00 35.00 45.00
Diaphragm fitting * 14.00—__ 25.00 30.00
(initial, w/ teaching
including diaphragm & one
jelly/cream)
IUD removal -0- 5.00 11.00 17.00
Medical revisit * 7.00 15.00 23.00
(when there is a problem)
Contraceptive revisit -0- _— 5.00 11.00 17.00
Repeat Pap smear -0- 5.00 11.00 17.00
Brief visit * 3.00 7.00 11.00
Pregnancy test only + .__ -� 5.00 5.00 5.00
*Herpes Cultures 30.00__- 30.00 30.00 30.00
*Chlamydia cultures 15.00 15.00 15.00 20.00 hi bd
*Chlamdia Screen __-_�—.___ _ ___ ___ 7.00 _.__ _ .8. ____ _00 ____9._00 _..... __ 10.00 ,r 1.
Counseling: _ 0-15 minutes -0- 500 11. .00 17.00 co w
16-30 minutes -0-
-�._._. 10.00 22.00 34.00 CO
31-45 minutes —0— 15.00 33.00_ 51.00
46-60 minutes 0- 20.00 44.00 68.00 O
GC cultures 0-T - 1.00 —3.005.00 K a
CONTRACEPTIVES: Z 0
Applicators -0- .30 .40 .50 o
DI Condoms - each -0- .15 M-- .20--- .25 DI -4
Diaphragms —0-_ 6.00 7.00 10.00 C `O
Encare Ovals -0- 2.00 3.00 4.00
Foam -0- 2.00 3.00 4.00 y n)
Jelly/Cream -0- 3.00 3.50 4.00 N
Oral Contraceptives -cycle -0 4.00 5.00 8.00 Z rn
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SUPPLIES: tl °1
Ampicillin, each 500 mg -0- . 10 .15 .20
Benemid, each -0- .10 .15 �20
Flayyl, each -0- . 15 .20 .25 sr w
Gyne Lotrimin -0- 2.00 3.00 4.00 W N
Podophyllum -0-__� 2.00 3.00 4.00 n
Rid -0- 6.00 7.00 8.00 0
Tetracycline, each 250 ml -0- .03 .05 . 10 C
each 500 mg_ -0- __ .05 .10 . 15 o
Triple Sulfa �__ _.-__ -0- T, 1.00_ ___2_00 _� - 3.00
_ - -- A o
_ _ _ M . _ t_,
November 1986 n
*Optional Service, part of STD Service, not identified as Family Planning. O oN
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O1/447
Exhibit "B"
WELD COUNTY HEALTH DEPARTMENT
1987 HEALTH PROTECTION SERVICES FEE SCHEDULE
ADMINISTRATION OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS
SERVICE FEE
Individual Sewage Disposal System Permit $150.00
Individual Sewage Disposal Repair/Alteration Permit 35.00
Holding Tank/Vault Permit 35.00
Systems Contractor License 50.00
Renewal of Systems Contractor License (Annually) 25.00
Systems Cleaners License 50.00
Renewal of System Cleaners License (Annually) 25.00
Pi to
Site Evaluation 90.00 - r
00 I--a
N W
Loan Approval Inspection without Water Sample 45.00 0 co
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Loan Approval Inspection with Water Sample 55.00 n
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ADMINISTRATION OF BOARD AND CARE HOME LICENSES z w
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FEE C
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A. 1-3 Persons $ 25.00
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B. 4-6 Persons 50.00 H
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C. 7-9 Persons 75.00 r co
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D. 10-12 Persons 100.00 z N
E. More than 12 Persons . . . 150.00
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Environmental Health Specialist Field Time Charge $30.00/hr. 03
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Exhibit "C"
ADMINISTRATION OF LABORATORY FEES
Laboratory Medical Sample Fee
* Gonorrhea Culture $ 3.35
Gonorrhea Smear 4. 10
Syphilis Serology 1.60
Syphilis Darkfield 41.05
Trichomonas/Clue Cell 8.20
Blood Group 1.90
Colorectal Screen 2.30
Urine Culture 8. 10
Blood Glucose 4.60
Fecal Culture 20.00
Streptococcal 1. 15
Miscellaneous Screen 34.65
Food
Swab Rinse 4.20
Hamburger Test 21. 10 F r
Suspect Food 31.75 00
N W
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Water(Potable)
tPei
Bacteria 5.40 k n
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Laboratory Chemistry Sample z
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Waste
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Detergents 24.45 Cup
Oil & Grease (Chem) 29.35 xy
Suspended Solids 10.50 y N
Settleable Solids 3.85 to
BOD 10. 10 Zen
Chlorine 5.30
00
Temperature .80 r
Nitrite 17.95 70
Potassium 4.45 x
Ionic Balance 1.40
Oil & Grease (Visual) 4.30 xfnw
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Bacterial - Pollution Investigation 0
t7
Fecal Coliform 17.70 M
Mo
Fecal Streptococci 17.70 £ o
Confirmation Culture 9.80 t O
$ 45.20 O
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Exhibit "C"
Con't
GC Samples FEE
Natural Gas 35.52
Benzene Series 46.55
Water Quality Chemical Assessment
Step 1
TDS $ 9.55
Ph 5.75
Nitrate 5. 10
Fluoride 5.90
Oil & Grease (Visual) 3.80
$ 30. 10
Step 2
Total Hardness 4. 15
Calcium 5.90
Chloride 5.90
Sodium 3.90
Iron 10.00
Turbidity 1.05 to
$ 30.90 t, s-,
co r
Step 3 o w
Magnesium .80
Sulfate 12.00 n
Total ALE 4. 15 I-C
Specific Conductance 4. 15 >a N
Manganese 10.00 z m
Copper 3.90 a
Zinc 3.90 u,
Potassium 3.90 C `o
Ionic Balance 1.20 W
Lead 4.65 y N
Mercury 3.90 H
Ammonia 4.55 Z rn
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$ 57. 10
CI
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Waste Water Sample E
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COD 12.20 WI N
Turbidity 1.20 0
Phen. Alkalinity 4.75 0
XI
Manganese 11.40 o
Detergent 27.95 XI 0
Oil & Grease (Chemical) 29.35 c
Suspended Solids 10.50 r 0
BOD 10. 10 o
Chlorine 5.30 n
Temperature .80 0 co
Nitrite 17.95 n o
$ 131.50 0 w
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AFFIDAVIT OF PUBLICATION
THE JOHNSTOWN BREEZE
STATE OF COLORADO )
I ss
COUNTY OF WELD I
I, Clyde Briggs, do solemnly swear that I
ta am publisher of The .Johnstown Breeze; '
that the same is a weekly newspaper
u ; ace Notice $ printed, in whole or in part, and published
in the County of Weld, State of Colorado,
ORDINANCE ■o 82-F and has a general circulation therein; that
said newspaper has been published
IN THE MATTER OF REPEALING ORDINANCE NO. 82-E AND RE- continuously and uninterruptedly in said
ENACTING THE SETTING OF FEES FOR SERVICES PROVIDED BY P y
THE WELD COUNTY HEALTH DEPARTMENT r County of Weld for a period of more than
BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF fifty-two consecutive weeks prior to the
WELD COUNTY, COLORADO: first publication of the annexed legal notice
WHEREAS, the Board of County Commissioners of Weld County, or advertisement; that said newspaper has
Colorado has authority under State statute and the Weld County
Home Rule Charter to establish certain'fees for services provided by been admitted to the United States mails as
the various departments of Weld County Government, and second-class matter under the provisions of
WHEREAS, the Board of County Commissioners of Weld County the Act of March 3, 1879, or any
dMkee,through this Ordinance,to set fees and charges for services
provided by the Weld County Health Department amendments thereof, and that said
NOW, THEREFORE, BE IT ORDAINED by the Board of County newspaper is a weekly newspaper duly
Commissioners of Weld County,Colorado,that Ordinance No.82-E is qualified for publishing legal notices and
hereby repealed and that the fee schedule set forth in Exhibits "A" advertisements within the meaning of the,
through "C", copies of which are attached hereto and incorporated
herein by reference, shall be the fees charged by the Weld County laws of the State of Colorado.
Health Department for the described services.
That the annexed legal notice or advertise-
BE IT FURTHER ORDAINED by the Board of County Commissioners ment was published in the regular and
of Weld County,Colorado,that this Ordinance shall supersede all prior
Ordinances and Resolutions concerning fees for the services entire issue of every number of said weekly
'enumerated in this Ordinance.
BE IT FURTHER ORDAINED by the Board of County Commissioners newspaper for the period of I consecu-
of Weld County,Colorado,that the effective date of said fee schedule tive insertions; and that the first
shall be January 1, 1987,and such fees shall remain in full force and
effect until the Board ordains to change such fees. publication of said notice was in the issue of
The above and foregoing Ordinance No. 82-F was, on motion duly said newspaper dated/.-;--/ .3 A.U. 1b.9.G
made and seconded,adopted by the following vote on thel_5th day of and that the last publication of said notice
December, AD., 1988.
_ BOARD OF COUNTY COMMISSIONERS was in the issue of said newspaper dated
WELD COUNTY, COLORADO A.D. 19
In witness whereof I have hereunto set
Jacqueline Johnson,
Chairman my hand his ...n day of ...Pe c_
GordonE. Lacy, Pro-Tern A.D. 19..��
Gene C. Bremner
C. W. Kirby
Frank Yamaguchi II 7' uhiisher
ATTEST: Mary Ann Feuerstein
Weld County Clerk and Subscribed and sworn to before me, a
tRecorder o the Board Clerk Notary Public in and for the County of
L.L.G'Wit State of Colorado) this ..,...27—day of
BY: Tommie Antune
APPROVED AS.TO FORM:
Charles O. David
County Attorney 1-- -:1,,G46-4,6 4,u. c.. .
First Reading: November 17, 1986 Notary Public.
Published: November 20, 1986, in the Johnstown Breeze
Second Reading: December 1, 1986
Published: December 4, 1986, in the-Johnstown Breeze My commission expires
Final Reading: December 15, 1986 r4 'SI
Published: December 18. 1986, in the Johnstown Breeze -
Effective Date: January 1, 1987
•
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Exhlhlc .
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Siy.IiAI.LY TRAHSIIITTED DISEASE
HOU. ..HULU COOK SIZE •
Service/Supplies Code 1_ Coda 2 Code 5.__Code 4
Initial exams 2.00 5.00 7.50 10.00 •
Repeat exam 2.0O 1.0O-r.00 5.00
GC (each site) -0- 1.00 3.00 5.00
Uet prep. grow stain, whiff -0- 1.00 .3.00 5.00
Syphilis Serology -0- 1.00 3.00 5.01
herpes culture* 30.00 30.00 30.00'-10.70
Chlamydta Cvlturs* _ 15.00 15.0(1 15.00 20.0(
Chlauydla Screen* 7.00 8.00 9.00 • 10,0:
Doxycveline - 1 week* 2,00 2,00 2.00 2.40
Doxycycline - 2 weeks* 4.00 4.00 4,00 4.00
Flagyl (each) .15 .15 _ .20 .25
Dyne l.otrin- 1�'hlotrimazole)
Vaginal 6 Topical 2,00 4,00 5.00 - 0.00
Mcfoxln* 15.00 15.0U 15.00 15,00
Podophyllum - --1.00 2.00"_- 3.00 6.00
Rid -_--1.00 1,00 4.00 5.00
Triple Sulfa �'_.00 _ 4.00 5,00 6.00
*Payment required at time of service
CHI1.D_HEAL331 CLIOlC
HOUSEHOLD COVE S12_ES
Services/Supplies Coda 1�Code _6.A.-J _Code 4
VISITS
Physical Exam $ 2.00 $5.00 _ $8.00 $12.00
Repeat Visit 2,OO 3.00 430 5'0
TESTS 4 SUPPLIES
Hearing $ 2.00 $3.00 $5.00 $ 7.(
Ini3ecclona -each 2.00 2.00 2.00 7.(
Chiotrtwaaole Cream 2..00 4.00 9.00 6.4
•
NATERNITY -
Code 1 - $-O-
CCode 2- $200
Cud. 3 - $350.
Code $506 •
lo /
VOID
Revised 11/86
Exhibit "A'
Con't
COLORADO DEPARTMENT OP HEALTH FAMILY PLANN.NG PROGRAM
PATIENT CHARGES
SLIDING FEE SCALE C4jCoda Code Codt rood.
1 2 4
Item
(0-100;} 101-190 ISi-IOOT�2002�)
PTSITS:
Initial medical '* 20.00 30.00 40.00
Annual medical * 15.00 35.00 4 .00
Diayphrise fittl'L_ _* 14.00 25.00 130.00
(1n-ela1, v/1seehlni
includijg diaphragm s one
3e11y/rreae)
IUD removal -0- 5.00 11.00 17.00
Medical revisit * - 7.00--13-.00 23.00
(when there is a probloI7_
Centrteeptive revlait _ -0- 5.00 11.00 17.00
Repeat Pap smear _0_ 5.00 11.00 17.00
Brief visit •_ 3.00 7,00 11.00
Pregnancy teat only __ �_t ---3755--------5750---.7--370
*llerpee Cultures _ 30.00' 30.00 30.00_ 30.00
*Chlsayd/a cultures _ 15.00 1_5.00 )15_00 _11.00
*Ch�i1rd1P Screen _ 1:66.L.:-9.00 900___. 10,00
Counsalin - 0-15 ainutei-_____-0- -'5:00__ __ -
11.00 :7.00
16-30 minuiei -0- 10.00 22.00 14.00
- 31-45 minutes -0- 15.00 33.00 51.00
46-60 minutes -0- 20.00 _ 44,00 68.00
CC cultures _0- 11.00 _ _3.00 5.00
COSTRACEPTIVES:
Applicators -0- .30 _.40 .50
Condoms - each _ 0- _ .15 .20--- .25
Disphragma 4�
' -_ -CO- 7.75"- 10.00
Eacare Ovals -0- 2.00 3.00 4.00
Foam - -0- 2.00 3.00 4.00
Jelly/Cream -0- 3.00 _3.50 4.00
Oral Contraceptives -cycle -0- 4.00 7.708.04
SUPPLIES:
Ampiclllln, each 500 mg -0- 10 .15 .20
Benemid, each 4-•---- 0--- .JS • 2U . .
FlaVi.•each _ -0- .15 .20---------7f:.
Cvne Lotrinln -0- 2.00 3.00 4.00
Podophyllum -0- 2.00 3.00 4.0'
_ -
Rid -0- 6.00 - 7,00 8,00
Tetracycline, each 250 mg - -0- .09 ..OL.4 .If
each 500 ng _ -0- .OS .lV_,�__.1-
rTr121a Sulfa - _�_�.JO_ _ 1,00_12.00 3.0
_
November 1986
*Optional Service, part of STD Steele', not,ldentiflsd as Family Planning.
COLOKAMO*E*'MITME$T(N IILAL Ill FAMILY I•LANNIM:MIIOGRAM 1,61611'A"
ADJUSTED TOTAL GROSS INrOM*E AND FAMILY SCE CONIES•I934
YAMILY
SEE —__, ANNUAL INCOME .ONTNLY INCOME WEEKLY INCOME COOL
Liss u.an 4 W Laos t11a..Me 1
Leas than)161 so?-470 .-. 104•134 1
1 .1061-1072
3041-10.770 671-191 Ill-266
4Mc:�Ihaaq.J20 Mate Ilan 193 Mae than 206 4
Less than 7241 • Low than 603 • Lew than 119 I
x 77.1.10.11! 604•90) III•203 7
•". 61,162•14.41? 904-1206 • 209•276
I Mhrr than 14.407 Mae than 1201 Mott than 271
Less than 9131 Las Its..760' • Lt.than 111 1
1 9111-11,610 741.1140 176-761 2
I2.424- I31•13,242 1141 - 1120 264-U0
W.Ili.11.102 Ma.than 1)70 •Ant.than)30 4
Lew than 11.001 • Las\Shan 910 I,1..u...211 I
11.001-16.100 917.117) • 212.317 2
4 16.101•27,000 1376 • 1111 )l1•171 )
Mt.than 17.000 Moro than 1111 Marc,Dan 411 a
1077 Less than 347 1
' less than 11,2111 Lew urn, 241-)21 2
s 11.321-19.120 1071-1610
11.121.21.760 1611-2416 172-491 3
Moe elan 22,760 More than 2141 Mote than 49) 1
Less than 14,761 Lew than 17)0 Lem than 237 I
.6 16,761•21,100 1231•1343 714.42) 2
21d41-29.130 146-2060 • 426-)47 I
More than 29,120 0ot.•ten 1440 ►late than 367 4 -• Less than 16.6,1 L..o than 1)36' Lam than 370 I
14441•24.960 1)37-3040 321-410 )
7 24,961 th-an 31,280
20111-277)- 411-640
Mere n31,,2 w
/0 M .slaw 7)71 Mrs than 440 4
Ln41Mh 1/.1217- T ..La.nia st-172)—--'.. tP► 346 1
4 tart-27040 1146.2113 iii-37. 2
37.781.37.040 2111.1016
•Mete MN.37,060 Mw.ten 1046 Mae than 712 11 h
•
Me Can 1 to 4 than Mein(Fa Scale prices to dnermine imam.pamnl 409 to 14.T.T1 408
rod.It Below 100%p.sot7 as dslbrd by 1916 guideline*.
•Celle 2. Dawson Nis an: 10%pearly as defined 47 19,44 soldelines.
Cede 31 Batten 1
III%and 200%meets so dens.'by 1016 to.dal.ne.
Coto 44 Nee.100%pearly es eetotsd by 1916 pathos..
NUTS. Fa 141.111 snots troth o,>e than 1 m.mWr1,odd$1,110 lot each a4dn.aW menthe.
• APRIL,1136 Exh:
WALK-IN CLINIC
Blood P __ • _.-,R__ 5 1.00 each '
__lead Lice Check: ---�_____. -S 1.00 ..ch .
(.suntsstioes:
. DTP, Yd, OPV, 2101 __---_,_ 5__2.00_-each
HIS ds 10_00_ each WELD COUNTY HEALTH DEPARTMENT .
Flu 5.0•9_tacb 1967 HEALTH PROTECTION SERVICES FEE SCHEDULE
PPD (ascent case conesea): ------7-x-00 each
Pregnancy Screenln1: 0a-_each ADMINISTRATION OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM REC01 MTIONS
;id Shsopyo: T_—_- =S 7_00 each )
ravel �.Ctfanel S 7_SO each SERVICE
a Clialta unable to pay will bel reviewed by a aupsrvisor. Servtc.will no, Individual Sewage Disposal Systole permit 1
Do denied. .
Individual Sewage Disposal Rapair/Alteration Permit
Holding Tank/Vault Permit 3
Systems Contractor License
,NO CIARCE CLINICS „--. Renaval of Systems Contractor License (Annually) 2
Neurology Syetees Cl License - 5'
Orthodontia 2
Genetics Renewal of System Cleaners Licaosa (Annually)
T.S. Sits.Evaluatloe 9
- Loam Approval Inspection Without Vatsr Sampla 4
Loan Approval Inspection with Hater Sample - •
O1D CLINIC ADMINISTRATION OF DOARD AND CARE HONE LICENSES
MEL 1601641 Clinic Visit _
8 1.00 t PEE .
Lab: SA 41766A. 1-3 Persons 1 23.00
Net _.D 1.
Blood Sugar
00
oeCvt1tt Dl D. 6-i persons 50.00
Coal}sterol Screen 1l�d C. 7-9 parsons 75.00
• Wellness Sclwalo, •
Fla Vaccine $ 5.00 2 0 D. 10-12 Persons 100.00
Td Vacate.
1332191`Tessri—C 0A E..Mor. than 12 Persons . . . . 150.00
Pa. Smear . r
AFFIDAVIT OF PUBLICATION
THEJOHNSTOWNBREEZE
STATE OF COLORADO )
ss
COUNTY OF WELD )
I, Clyde Briggs, do solemnly swear that I
am publisher of The Johnstown Breeze; •
that the same is a weekly newspaper
}bar printed, in whole or in part, and published
in the County of Weld, State of Colorado,
and has a general circulation therein; that
IN-THE REPEALING82-E said newspaper has been published
ENACTING THE SETTING OF FEES FOR FO SERVICES RVID D BD Y
continuously and uninterruptedly in said
THE WELD COUNTY HEALTH DEPARTMENT County of Weld for a period of more than
BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF fifty-two consecutive weeks prior to the
WELD DO first publication of the annexed legal notice
Colorado has
WHEREAS,the Board of County Commissioners of Weld County, or advertisement; that said newspaper has
Nameauth a aim State statute and the Weld County been admitted to the United States mails as
ish certain fees for services provided by the various departments of Weld Courts Government and second-class matter under the provisions of
WHEREAS,th the Board of County Commissioners of Weld County the Act of March 3, 1879, or any
sass,
of dm through
this Ordinance,
,to wets�and charges for services
Department amendments thereof, and that said
_Novi. THEREFORE, BE IT ORDAINED by the Board of County
newspaper is a weekly newspaper duly
COisiRi .ions of Weld County,Colorado,that Ordinance Na 82-E Is qualified for publishing legal notices and
homy gypped and that the he schedule set forth in Exhibits "A" advertisements within the meaning of the.
throurghereihh 'C', dcopies of which are attached hereto and incorporator
Health trepwrister6ean:te,shall be the fees charged by the Weld County laws of the State of Colorado.
for the described service&
That the annexed legal notice or adverlise-
BE IT FURTHER ORDAINED by the Board of County Commissioners MMWCount%Colorado,that this ordinance shall supersede all prior merit was published in the regular and
eersireraled in Resolutions i concerning fees for the services entire issue of every number of said weekly
BE IT FURTHER ORDAINED by the Board of County.Commissionersnewspaper for the period of ..L... consecu-
r Weil County,Colorado,that dm effective date of said fee schedule live insertions; and that the first
MY be January 1, 1987,and such fees shall remain in full force and.Bea until the Board
above and aaordains to change such feessaid publication of said notice was in the issuer
Igeontrec A.11, 1988.
reeds& secondsedWoDtedbithehallowing o was, on motion dayof and that theilaster 1publi�cation of said notice
was in the issue of said newspaper dated
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO , A.D. 19
In witness whereof I have hereunto set
Jacqueline Johnson, Chairman my hand this ...ft day of ..Q.r%-
A.D. 19.86
Gordon E Lacy, Pro-Tem V`
Gene R. Bremner, � r/C� � e/
C. W. Kirby Publisher
Frank Yamaguchi Subscribed and sworn to before me, a
A7TEST
Weld County Cork and Recorder Notary Public in and for the County of
+�d ck to the Board
W4 ./.6..
State of Colorado this .. ., day of .
ueerayor County'Clerk - -
A.D. 19.6-4
APPROVED AS TO FORM:
County Attorney .- . ;C 7 e /.-C[e a->4''-c�
Fiat Reatlin� November 17, 1986 168i. 4-,r - - F-,gyres Li oillrY21?"Iblic
Publisher: November 20, 1986, in the Johnstown Breeze 2 `:. r.
q
BepnC AReadinfx December 1. 1986
PhlYehe December 4, 1986, In the Johnstown Breeze My commission expires
runs Rearing: December 15, 1986 _
Published: December 18, 1986, in the Johnstown Breeze
Effective Date: January 1, 1987
Exhibit "A"
Con't
COLORADO DEPARTMENT Ile IC AM ALTII',WILY 1'LAIWW4 VY01.HAM Gal:6 -"4
11 "
p.0)1STt0 TOTAL GROSS INCOnt A7)FAMILY 31_1 CLX.CS-1936
10..1, COLORADO DEPARTMENT OF HEALTH FA3tILY PLANN-NG PROGRAM
SCE A.444uAL saco►R MONT33Lv saCOase WEEKLY INCOME COOE PATIENT CHARGES
Lea4.usae 3361 Leu n,an 447 Less 4,h,104 I L SLIDING FEE SCALE
1 3944•4,014 4.7-670 104-IN 1 __._._
1041-10.720 671-591 133-246 3 HOUSEHOLD CODE SILLS
ape...an q.770 Lw.dw!y3 LWre Iran 206 ° Code Code Cods Code
Ley nu..721, Leas Man 401 Leaf th.n 139 1 • t 2 3 4
40.-903 1°0-101 2 Ices
_ 706-r'� 209-271 3 0-LOOM (IO1-1502 L 1 -2'• ]1 20 2
144 - 0. 903-1206 MOSS than 773 •-
saee duet N.4 Loos hpare n 1204 VISITS:
Ley.x..9124 Le1.41....740 Lest Run Os 1 ' VISITytlal medical • 2$.00 30.00 40.00
3 13,6 - 10.2 71 - 1)2 264-330 23 • 15.00 35.00 45,01)
Do. -n 10,2 1 4r - IJ1a Mors
-n3 10 4 Annual medical �0
06me than 00,24) 16.. 0...1320 More R..'3f0 • Dia hragm fitting • 14.00 25.00---�0.
tea.Mao 11,001 Leta than 916 Lou than 211 1 (Snitfel, II sushina
11.001-14,900 917•1373 212-317 2 including diaphragm 4 on. 17.00
• 164.d.,3111-22.040 1)76 - 1131 Ill-423 ) jelly/cream) ° -0- 5.00 11.00
61an 72,600 Uwe Rhin 1113 Dore'ILIA 22) • It'D removal
I dical revisit • 1 '''"T3'.00 23.00
Les 4. 1.320 Less than 610 Lela nun 267 I 1 (,.t, there is s problesr
O 17.»1 11,32011,320t4»-1610 372-375 2 -0- 5.00 11.00 17.00 1
».1H-73,760 till113.3 26 37ee than 1 ) Contraceptive revisit
o..WWI 2s,lw More 1000 2N6 Ewe thin 494 • Repeat Pap _-0�5.00 11,00 17,00
brief visit �! 33 T.Wo 11.00
Leas man ,see tau.s.n 17)0 Les:1000 243 I --57.0.---1-60--• b'D
6 11,741-27-1.0 1211-1443 214•423 = PeeRMnev rest on Iy�,^- -:__.- '------� - ;Od
0711- 50,3 0. -)460 426-x7 ) *Der •es Cultures --�___30:00 30700 .Jb•.00 _ -2-E
Darr man 29.320 Dare than 2460 Mare 114.O xl • P LY.00
iDer •NdCu tures �^ _ 15.00-_30.00— _13.00- •_-
Las.eu4 14,441 L.s.tha..1144 Lest don 320 1 +Chi ,dto Screen ---7.00'__8.00_ 9_� ., 1.00
16.N1-24,940 1 317-204,0 521•410 7 =w :3.DU 11.00 r 1f.00
•
7 19.x1-63,210 eon-277) .0-610 3 Coonsellnac_O-1S ilaoes4-,_- ._ �--_10.00 ___"2.b .......4,....
.34.00
More teas 31,230 Ewe than 2773 blare than 440 ° 16-75°fmoe!s_, "-0- 15.30 13.00_. -. 31.00
31-45 milwigs_,__. ..... '-.43,00 dlt00
L.,3 tea.17.321 Leta Run 1763 Leas than 3f6 1 410 mlnmtsl.T-. 0.. 20.00 _._
g 27,710-27,040 1316-2016 517-712 = T._ 1.00 �..-2.05 - .
27)11-A,O.O 7317-3046 7,1-712 ) GC cultures
we a ,31,0.0 L4ore than 1014 blue Min 712
• C..01IRRACEPT IV ES_ _� ,30 _,60. .50 •
.-s Gin l u.rid.3+rd•K Fee)cal.paces 10 determine amount.0140016 pay In...r,tc et e..d Applicators .- . 3 2'a—__`,"
raa0.+- Cpndom4 - each , .O�'--TOE
eel:r.d y 1954 p..delines. D1.Phr*Rme -71� 6. 0 4.00
Came I. Amnon.np'.M 430 Encare Ovals -0 2.ob— ".
car 0 be...
ISIS ae..1901 r«..as def..y 1904 ..d.Iu...- - -p- 2.00 - 7,00 4.00
Car 40. m...*1 Isis ned 2044,weer.s 046..y Ifif p.W.lu.ea. Foam 6,00
cam.. Are ma pwwy-•*hove by 1+14 pse.Ive.. - Jelly/Cress 1lylGress -0- 3.00 _�
..oTf: k lye.04.'.r note eaae t mYMR1,ma 34410 ler..d'adein0N1,'.ens..*. Oral Contraceptives -cycle -0- 4.00 3.Ody
SUPPLIES; -0- .10 .15 .20
Exhibit "A 0.411:1111 n. each 500 mS - . .10 .20---------725'cu u'4, Eaog5't. echh - -0- .15 Flegy 1, each -0- — 2.00 3.00 4.00
Cvne Lot*loin 4,D0
SEXUALLY TRAdSIIITTEO DISEASE POdophyllum -6- 2.00 3.00
Rid _� _0- -" 7:'oa'IrGU
LIOUSF.HOLD 0006 SIZE - Tetracycline. each 250 mg --0^ 01 .05 .10
Sa rules/SuPPlles Code l ---Code 2 Code 3_•_Code 4 y _�ch 200 ma -�.'��5 'ls—.---•lS
—6: 1.00 X2.00 .00
Triple Sulfa
Initial exams 2.00 5.00 7.50 10.00 ---- ~
Lp.dc .x000 i.00_____• 4:00-----f.�o
CC (each site) - -0- 1.00 3.00 5.00 November 1986 not identified a6 Family Planning.
Net prop,Aram grain .5111 -0- 1.00 3_00 5.00 _ *Optional•Optional Service;pert of STD Service.
Syphilis Serology -0- 1.00 3.00 sS00
Hespes culture• ' 30,00-70.00 30.00 30.00
Chlemyd11 Culture* _ 15.00 15.016 15.00 20.00
131la.ydla Screen• 7.00 8.00 9.110 10.00
Doxycvcllne - l meek• 2.00 2.00 2.00 2.00
Doxycycline - 2 veeke° `-4.0 .a--,-4-.00 4100 4.00
-
Flaey'1 (n.orh) _15 .13"'' .:S
Gync LorrIP llIotrimasole)
Vaginal A Topical _ _ 2_700 4.0_0 5.00 6_00
Mcfoxfn* 5.00' 15.00 _ 00 - IS.OD
PodoPnyl[u�_ - - 1.OOr 2.00 3:O 4.00
Rld ..._.T.0o'- _3.00—470"43 3.00
Triple Sulfa ...— 2.0�—_4•�0--(.00.77_ .00
.Payment required at cfine of s.lvies
c#D.p_Hutgy CLINIC
HOUSEHOLD CODE SIZES
Servfrea/Supplies I Cods I---Codi 7--Cods 3 Code 4
-
VISITS a
Physical Exam $ 2.00 ' $5.00 $5.00 $12.00
Repeat Visit 2.00 c.65---Z3b 3.03
TESTS I SUPPLIES
Hearing $ 2.00 $3.00 $3.00 $ 7.00
Inlectfoos - e ach 2.00 2.00 2 00• 2.00
Ch Lot lees Dic Cream 2.00 4.00 5.00 6.00
KATENNITY ,
Code_1 - S-M
Code 2 200
cod!
7 - $350
Code 4=-1300
I'CH0 ,
Revised 11/86
Ares.rata Exhibit '
WLFIB 61RIG
Blood Pressure: ----__--.. $ 11.00. each - _
Br.Mr sate Cbr[kt _ ___.__$ 1.00_each
an. Td.OPW' Mtl[ ------- -'��$ Iot00 _nch VELD COUNTY HEALTH DEPARTMENT
NIB ------ 500_each 1987 HEALYN PROTECTION SERVICES FEE SCHEDULE
2::
$ 1.00 Kcn
[ ems comrades): ' e$- 5.00. ...eh ADMINISTRATION OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS
kliCaS'eresufK: - ------$1.00 each
t Injections;
—f--J.50 each SERVICE PEE
• gtesud mmsBle 4 pay will be reviewed by •supervisor. Service N11 urn
Individual Sewage Disposal System Permit $150.0
be SiM. Individual Sewage Disposal Repair/Alteration Permit 35.06
55.00
Bolding Tank/Vault Permit
• 50.00
Systems Contractor License
Renewal of Systems Contractor License (Annually) 25.00
NO CHARGE CLINICS - 50.00
Neurology Syste.s Cleaners License
Orthodontia Raoewal of System Cleaners tissues (Annually) 25.00
Osve[fem 90.00
T.R. Sire Evaluation
Loan Approval Inspection without Water Sample 65.0,.
loan Approval Inspection with Water Sanpla 55.1
ADMINISTRATION OF BOARD AND CARE HOME LICENSES
MILL OLDSTER CLINIC ., wee
Batin lt.le Platt $ I.00
W: OA 3$ A. L-3 Person $ 25.00
and arpr 1.00 B. 6-6 Persons 50.00
B1 2.00
�IfO[e' tee[ C. 7-9 parsons 73.00
FloVellsess BesusufeR 6 gyp lL&TO D. 10-12 Persons 100.00
HIIsuelea $ 23
TaeeW _.& B. Mora than l8 Persons 150.00
Bsur 'Teat
r
bmireeseetel health Specialist Field Time Charge $30.00/hc
ADMINISTRATION OF LABORATORY FEES
Laboratory Medical Bemis Fee
' Gonorrhea Culture $ 3.35
Gonorrhea Sneer 4.10
Syphilis Serology 1.60
Syphilis Backfield 41.05
Tricholonee/clue Cell _ '.20
Blood Group - 1 90
Colorectal Screen 2.30
Urine Culture 610
Blood Glucose 4.60
Fecal Culture 28.00
Streptococcal 1.13
Miscellaneous Screen 34.65
Food
Such Rinse 4.20
Nob urgar Test 21.10
Suspect Food 31.75
Wrar(Foteble)
Bacteria 5.40
laboratory Chemistry Saeol•
Nate
Detergents 24.45
Oll A Cn,se (Chem) 29.35
Suspended Solids 10.50
Settleable Solids _ 3.03
BOO 10.10
Chlorine 5.30
Temperature .00
Nitrite - 17.93
Pntssism 4.45
ionic Balthus 1.40
011 S Grease (Visual) 4.30
Herbaria! +Pollution fnvestisetion
Fecal Calltore 17.70
fetal Streptococci 17.70
Confirmation Culture 9.80
$ 40.20
GC Samples FEE
Natural Gas 35.82
Benzene Series 46.55
rater Quality Chemical A[eeeement
gteo 1
Phi $ 9.55
Ni 5.75
Nitrate 5.90
Fluoride 5.90
Oil L crux (Visual) 5.80
9 TB.Io
Sto2
Total Hardness _ 4.15
Calcium 5.90
Chloride 5.90
Sodium . . 3.90
Iron 10.00
Turbidity $ -51.05
5718
Stem 3
Sulfateue .OB
Sulfate 13.00
Total icR 6O-
Specific Conductance - 0.00
Manson' . . . . . . . . . . . . 10.00
Copper 3.90
Zinc - - 3.90
Potassium 3.90
Ionic Balance 1.20
Lead 4.65
Naveury 3.90
Ammonia 4_55
9 31.10
Vesta Voter Staple
COO 12.20
Turbidity - 1.20
•
Phan. Alkalinity 4.75
Manganese - 11.40
27.95
011 S Grebe (Chemical) 29.35
Suspended Solids 10.50
Boo 10.10
Chlorine 5.30
Temperature - .80
Nitrite
11.95
9 131.50
1-8-.,— Breese, Now 20, 1986 ,, ' i' ^``
it
• .._, AFFIDAVIT OF PUBLICATION
Tmvirodeehtel Health 3pd<ialisr held Tilt Charge 830.00/hr.
annuisnstwa OF LABORATORY FEES THE JOHNSTOWN H N STO W N BREEZE
STATE OF COLORADO 1
Laboratory Medical Fee ) ss
•Coeotrhee asters $ 3.35 COUNTY OF WELD i
Syphiiia Serology 1.60 I, Clyde 13riggs, do solemnly swear that I
Syphilis Dsrkueld 41.05 am publisher of The Johnstown Breeze:
Trschemunaa/Clue Cell 8.20
Blood cramp e 1.90 that the same is a weekly newspaper
Colorectalu Screen 2 30
Oriole Cullers 8.10 printed, in whole or in part, and published
stow cfaense 4.60 in the County of Weld, State of Colorado,
Fecal Culture 20.00
Streptococcal 1.15 and has a general circulation therein; that
Miscellaneous Screen 34.65• said newspaper has been published
F=d continuously and uninterruptedly in said
Swab Rinse 4.20 County of Weld for a period of more than
gaeburger Test 21.10
Suspect Food 31.75 fifty-two consecutive weeks prior to the
wter(Potable) first publication of the annexed legal notice
or advertisement; that said newspaper has
Bacteria 5.40 been admitted to the United States mails as
laboratory Chemistry Sample second-class matter under the provisions of
haste the Act of March 3, 1879, or any
Detergents 24.45
Olt a (Chem) 29.35 amendments thereof, and that said
suspended solids 10.50 newspaper er is a weekly newspaper daly
Settleable Solids 3.85
200 10.10 qualified for publishing legal notices and
Chlorine 5.30
Temperature .A0 advertisements within the meaning of the
Nitrite 17.95 laws of the State of Colorado. •
Ionicv lam 4.45
11 a Ceeeee 4.40 That the annexed legal notice or advertise-
011 4 crtes. (Visual) `•'° ment was published in the regular and
Bacterial - Pollution Investigation entire issue of every number of said weekly
Fecal Conform 17.70 newspaper for the period of I consecu-
Fecal Streptococci 17.70
Confirm.Lion Culture 9.80 live insertions; and that the first
$45.20 publication of said notice was in the issue of
sapp ded Km✓ 2c'A.D e,�G,
°c Samples TEE and thatnews the laster pubatlication of said notice
Natural °a., 35.52 was in the issue of said newspaper dated
Benzene geriee • 46.55 , A.D. 19
water Quetity Chemral Assessment' In witness whereof I have hereunto set
3". _I my hand tJJus 2 6 day of _a, 1"...ros $ 9.55 A.D. 19.x'?
Ph 5.75
Nitrate 5.10
Fluoride 5.90
001 6 Cruse (Visual) 3.80
$T.-ill
Publisher
Total Hardness 4.15
_ Calcium 5.90
Chloride 5.90
Sodium 3.90
Iron- 10.00 Subscribed and sworn to before me, a
Turbidity 1.05
$ 30.90 Notary Public in and for thg C'punty of
•
Step 3 - WGId, State of Colorado, this .dl—ANN day of
Magnesium .80 )I./ A.D. 19.43.
Sulfate 12.00
Total Ala 4.15
Specific Conductance= 4.15
Manganese 10.00
Copper 3.90Zinc 3.90
..... ... .. .
Potassium 3.90 bqr �A) }I-4- 'otary Public
ionic Solana 1.20 <J b ✓1641/' 0Sj`I
Lead 4.65
Mercury 3.90
Ammonia $--54-:?(1
,i5 My commission expires
7. o
Caste °agar Sample,
Coo 12.20
turbidity 1.20
Phen. Alkalinity 4.75
Manganese 11.40
Detergent 27.95 5
031 4 Crease (Chemical) 29.35
Suspended Solids 10.50
BOO 10.10
Chan 4 ie 5.30
Temperature • .80
Nitric 17.95
-- __ $ 131.10
cULOIIAIp IYI'ANTNINI ul I,LALIII\na ILY I LANNM•YMWI'AM r-,',�
Anl•',,r•.n TJrAL C.AJaf1A I,Fwylly SIZE r�4aea�
IILY
5 E A.N.\I L CU£ )NTIILY INCOA,F EI. l N'.JL,C COOL
Len s161 L >n 44} L ,u.I04 1 1
1 v lui9 ) }0 1 nu l 6
3 Zh __ L. I.
3 L)}I 101611 5.5-323, M
L 604 9021 Lese h0 360 3
9
10.367., e} 6 1$04 M1-3)a .1N 1 e 1 4A3 1506 6Wr Ian}]d 4
9en Ilv.n 9,24 Lea,ID-In)40 Le„than 1}s
l 1}I-Il•6a0 }61-1140 I)6-]61 3
').sdl.Ie.]•3 ,9141 - 1,M }4a-)s0
Public Notices „ .11.01 rama1. ,}4 . 176•tl)l0
4
L.n Ie>n I l.cm Le$1 In>n 916 Le„10111 n 1 I
IL:6I.16au 9u.un m '7 x
6.)001-}3.040 Il)6 - Ia)1 )Ia-Y3] 2
41ue,.2l3.rg0 Abra tMn,l)) Al.,re than 4x]
ORDINANCE NO. 84F h l
Len,n Izan Len,11101 Less n$V 1
l 1}.d+14219]30 10)Y1�1602 naulll 3
1N THE MATTER OF REPEALING ORDINANCE Na 82-E AND RE-- 03]24-z5,i40 Itux246 vz.4ss
ENACTING THE SETTING OF FEES FOR SERVICES PROVIDED BY 1Fie?
.33„Mn x5,66 Alve,m11 24.4 Less nar.49s
THE WELD COUNTY HEALTH DEPARTMENT Len 324,,9 Ns1 Le,L,inn In0 ten than 2.4z» I
6 1•.161-33.140 IESI aIeY] `, -42) 3
$].lux-x9.)30 Iltl6-1460 24-]6} )
BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF u e > $9 uo amr3....n12,;11,242.3160:
,9,01 nw aloe,01,11 24} •
WELD COUNTY. G1� Le„,tun 16.61.1 Len Own Llf6 Le„„•w,)34 I
Iesu1-np60 in,0-x363 )n->a4 $
WHEREAS:.the Board of County Commissioners of Weld Goun Y• n 13,.84 1103,inn ,,,,,„„a„,,,,,
—
n y,641-24,960 loll.2773 •fl
Horne Rule Charter toestablish r certaiate n fees torn services and
by d the Weld County } 0 ,
Len,han 1322x1 Le„than 3543 Less than]56
the various pepartments of Weld County Government, . + 27.611-37.)10 uw-:51s n/-ue }
v.nl-27,710 1544-)m6 )D-n$ I
WHEREAS.through this
Board of County Commissioners of Weld County u,oe.,Inn}}2446 1103 Imn 06 110„4-n]Iz
provided by u the tWeld rCountY Health'fDepartment
ees and ar9es for services Use elae.1,14..rh sh9ml Fee ale P,a,aber3,m 00,;"M.,,pt•ennpr.715 ae,as
•
he,.
NOW, THEREFORE, BE IT ORDAINED. by the Board of County Ca.I, 0241.Iwx p.e.,r>,61,133 sla.
re
e•,amn3..
clue 3: 0,man 101%w1 IIOx pue>e>,d.lilea by 19+6 N;ae0"332
Commissioners of Weld County,Colorado,that Ordinance No.82- is
oat p2"rry..aelxxee.by 19d.e•2a.mM,.
hereby
reppealeopesand
othat
which h fee attached herefo forth
througand incorporated co, ne a's anb zs0x 9r•,+,r 1.64136 br 19+4 e1•awe,.
NOTE: Fo family✓•n,web more nun+rnemben,.ua 31.330 tor elf!,alamewl nwmbes.ed herein Department reference.
for t tlhe described servl be the fees ices.by the Weld County ,
Health '1''
sy,
BE IT FUCounty,
ORDAINED by the n Of County supersede
all pars
Weld County' Resoli that this nceinance shell for
all s
ofOrdinances i and Resolutions concerning fees for the services �„
enumerated in this.Ordinance.
ti4yllM tY 1ySA� 3IITTF0 DISEASE
The above and foregoing Ordinance No. 82-F was. on motions duly ISEAS:uo1_u CODE sv.l:
made and seconded,adopted by the following vote on the — servl re/s„pp lea •c_,ae_i_ c„a__npe t_..Code 4
day of
December. A.D.. 1986. -
Initial •
exa.us zoo s.nn zw__ 105.op
BOARD OFVVELDNCOUNTV TY COMMISSIONERS
Seise exam �-_-__ .un=%oo :uu =.og
GC leach site] -0- Loll 1.nil 55 00
Let prep, pram roam. whit' -u- I.0-0- 3i.nn Coo
-- - - " JacOueline Johnson. Chairman svehflt. setol„g•r -u- I,ou _ .ui1 C6ii
W.00 31.1.uU JU.OU J0 01)
__ __ ehl.lnva fa ,„re„yea 15.00 15._no Icon z0.nu
_ V F' 10.110
__-- Gordon E. LaeY. Pro-Tern 6h 1.1u,a 11 se pee -
r Oita Itne I vecka 4.00 x.00 ?.00 _ 3.11.6
...un --Cub• _—____.- - - -... - Tin 271
------__ ----_-_- Gene R. Braniner or,artr.a m.. z we.]. > - - - -1.- Irhlr '1 'z olu) 1 ) 4.011
. _-—-- C. W. Kirby 4 1 s I c i I,, I ou 4.00 5.—
!1„Fa Farrar' __-15.00 1 IO15 n, 15.00
.Op-
_ - it llu _ -- ,00 f 1 01 5.00
-------- It IJ Frank Yamaguchi It - -
]Yam r __
ATTEST:
'Payment required ,t U mco' as 1
Y: County Clerk and Recorder 32)(11a).111 ITx 01121x111
and Clerk to the Board - -
De: xors[now cux,_slzxs
Deputy County Clerk sery 1,e=ilnppue8 c„i t --rbae_2'-_0303 1_ c„ae 4
APPROVEm AS TO FORM: - -
___- YIFfT5
OuntY Ad $ c.uh 55 ex _ea nu she.Ou
Attorney Ih 1 1 1. .1 _-00 i n7i UU__ s�0e
first Reeding November 17,
Publidhe NNove ff 20, 1986. ip the Johnstown Breeze TESTS A SLp1ill's
.... •'+ e�t�ylyl9� •
$ ].0o $3.nx of $ 7.00'Sed �'In : ere. 1916-T98,a town Breeze Hearin.: (1 7.00
published Dumber 6, 1986, m i arin.:t.n. each :.uu zuu
_ 41„12 r'maeole t-rvam __'[_00 4.00 s n 6.011 Final 86 -u Reading:De: mber 8. 19 in
Published: December 18. 1986, in the Johnstown Breeze
,Effective 'Date: January 1, 1987
IWIXII131
Cone 2 - $200
F2:417F2:417 3-------$-3c6
d,de:4 -,$500
UCI10
Revised II/66
Exhibit "Y'
cue':
COLORADO DEPARTMENT OP HEALTH PAIILY PLANNING PROGRAM
PATIENT CHARGES
SLIDING FEE SCALE
•
Code .Code
1p sl ]00 ]Obi el
P SITS: • 20.90 30.00 40.00
a [ al cal a] — e 15.00 15.00 45.06
Mn 1 mad N c la• _ cio•--30-60•
i1 ebl
' nu a en Y" L
S 5 01.00 11,00
-`- -7.000 15.00_ P5_000
1
Coot ajtti t evblt. -0- _ 5.00 'Lon 17.00
11:00 17.00
Brief
Psi eaar !c—..��•0�-- orir..00
Brfet visit --ad—__ 5.00 ._-5.00
ter tGa.Lure mnl __ -.:___-
*Herat< It _JO w 3o a6 _30.90_ Jo 6d
Mt, tleu IS 60 1500 15,00__:. ]0 eq
ate
t daeaereell'- _ 1 0o d,oD 9 0o TO.�
eNll [i— Nffute 0- 5 00 !t DO. 11 00
-16- Ys('i P _ n !0.. x_.00 )4 00
—T-4S sievkn 0- 15.00 _ 11_00 _ 5100
-, cc tw5tures - .__.__o___
C9I[/OCEPTIVE$: _o- .JO .40 s0
Appliatoti - .o-
Coadosa-each. o-- —.i.00 10.00
Foam Oval. r 2.00 --i.10_ 4.00
Foam -0- -2.00 J.-0O 4.00
Jelly/Cream -0- 3.00 3.50 4.00
Oral Contraceptives -cycle -0- 4.00 5.00 8.00
SUPPLIES: -a .10 - .IS •]O
Mpicillin, each 500 me .10 -15 •]0
Senemld. each -0-
Flegyl. each -0- _ .15 .20 .x5
Cvne totrioin -0- 2.00 3.00 4.00
Podophyllum -0' 2.00 3.00
Rid -0- 6.00 1.00 E-00
Tetracycline, each x50 mg ---0- 03 _ .OS i0
— —.;15--S---- .S
.aacM1 sW.ms.�_—ua_..I.OD__-1:00 3:D
_�41p1a ____—
November ISIS .
aOptm eal Service, part of SID Service. not identified as Family Planning.
APRIL.iti4 I Exhibit "Bx
WALii4N CLINIC
Bleed Presence: $ 1.00_Each '
._..._____—_.... ach
Ind isat C :L --1--1:66
Immunisations:
$ 2.00 each
DTP. Ti,d. OPT, MMR
NIS ______�____ a6 10:00 _acM1 WELD COUNTY HEON l DEPA EM
Flu 5.00_each 1981 HEALiN PROTECTION SERVICES FEE SCHEDULE
PPO (except case contacts): —— —t•5.00 such
e ancy Screening: ab_500 cn ADMINISTRATION OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS
]�I}[OShampoo: -�$ 7.00 each
Tfabe l Injections: __-- —S 7.50 eaci SERVICE PEI
a
Cli Clint. unable to pay will be reviewed by a supervisor. Service will nor Individual Sewage Disposal System Permit 8150.00
be denied' Individual 5ewage Disposal Repair/Alteration Permit 35.00
holding Tank/Vault Permit - 35.00
Syateta Contractor License - 50.00
xw-. NO CHARCE_CLINICS Renewal of Systems Contractor License (Annually) - 25.00
Neurology Systems Cleaners License 50.00
Orthodontia of System Cleaners License (Annually) ]5.00
Gnt[lo
T.B. Site Evaluation 90.00
Loa Approval Inspection without Water Steels 45.00
Loan Approval Inspection with Water Sample 55.00
ADMINISTRATION:OP BOARD AND CARE ROME LICENSES
VSLL OL08TY CLINIC
FE!
Routins Clinic Visit $.1.00 E!
Lab: UA 8-1M A. I-5 Parsecs . . .y . 6 25.00
Bat
Bleed Sugar . . b 1.le B. 4-6 Pirsonp 50-00
gee:It Blood 9 2.00 $.00
Cholesterol Screen $$ 4.00 C. 1-9 Person
Wellness Screening •en
Flu Martin ---1-5—.-011. D. 10-12 Persona .100.00
Ti Vaccine b �'
Olen on
Nearing Teat _ ' - 8 E. More tn 1] Pars . . . [50.00
Pep Sitar 6 5. _
Hello