NMWC Forms & Fees

Students can utilize the NMWC services to complete medical forms and requirements for our Nursing & Allied Health programs. The Clinic provides a convenient low cost option for students to receive: Physical Exams, Titers*, Tuberculosis Screenings (PPD testing) and Immunizations. Our office manager can provide individualized assistance for completing forms as well as scheduling clinic services. Appointments are required.

Allied Health Programs

Allied Health Checklists
Essential Functions /Professional Technical Standards
Student Admission Physical Form
Two-Step Tuberculin Skin Test Form

 
Physical Exams:
Sports Physical $25.00
Sports Participation Physical $35.00
Well Exam $25.00
Health Risk Assessment FREE
   
Tuberculin Skin Test 2-step (PPD):  
(2-step TST requires 4 appointments within a 3-week time period)  
Step 1 Administer $20.00
Present to clinic for read result 48-72 hours  
Step 2 Administer one week after step 1 result $20.00
 Present to clinic for read result 48-72 hours  
   
Immunizations:
TDAP (tetanus, diphtheria, pertussis) $60.00
MMR   $90.00
Hepatitis B $60.00
Influenza $20.00
   
Titers:
Hepatitis B  $40.00
MMR  $120.00
Varicella  $40.00
   
Wellness Screenings:
Cholesterol  (requires fasting 15 hours, NO caffeine) $30.00
Diabetes screen Hemoglobin A1c $20.00
   

 

Appointments are required: Please call Anna Kephart, NMWC Office Manager @ 301-784-5670

 

Cash, check, or credit card payment will be collected at the time of service.

Services may also be paid using financial aid (via the bookstore) for eligible students. 

 

*prices effective Sept. 1, 2019

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