HomeMy WebLinkAboutFlorida Physicians Medical Group Agreement -2000 02 17
, . ,. .
M E D I C A L G R 0 U p
NEWMAN FAMILY MEDICINE
BEN.JAMIN G. NEWMAN, M 0, FAAFP
DIPLOMATE'. AMERICAN BOARD OF FAMILY PRACTICE
FELLOW, AMERICAN ACADEMY OF FAMILY PHYSICIANS
.JULIA K. HARRIS, MD
DIPLOMATE, AMERICAN BOARD OF FAMILY PRACTICE
SAMUEL P. SHAY, MD
DIPLOMATE. AMERICAN BOARD OF' FAMILY PRACTICE
ELIZABETH FIELD, ARNP, MSN
LAURA .J. PHIPPS, PA-C AGREEMENT
This AGREEMENT is made and entered into by and between the CITY OF WINTER
SPRINGS, a political subdivision ofthe State of Florida and FLORIDA PHYSICIANS
MEDICAL GROUP, doing business as NEWMAN F AMlL YMEDICINE, hereinafter referred to
as "PROVIDERS".
WITNESSETH:
WHEREAS, the City desires to obtain the services of the PROVIDERS to provide specific health
. care services for City employees; and
WHEREAS, City employees shall be authorized to obtain health care services from the
PRO~ERS at the following location:
Newman Family Medicine Group
661 East Altamonte Drive
Suite 115
Altamonte Springs, Florida 32701
WHEREAS, PROVIDERS agree that the location for services shall be available for use by City
employees throughout the term of this Agreement.
NOW, THEREFORE, in consideration of the mutual agreement herein contained, the parties
agree as follows:
1. SERVICES: PROVIDERS will provide services as contained in this agreement and shall
comply with the terms and conditions. Services to be performed by PROVIDERS are contained
in Exhibit "A".
2. FEES: PROVIDERS shall be compensated for services in accordance with the list of services
and fees shown therein attached hereto as Exhibit "A". PROVIDERS shall have the right to
increase . rates for services up to 5% a year. In the event services are required which are not listed
in the attached schedule, compensation shall be as agreed by the City Manager.
661 EAST ALTAMONTE DRIVE, SUITE 1 15
ALTAMONTE SPRINGS, FLORIDA 32701
407/831'4040 . FAX 407/260-0281
3 TERMINA....TJ..Qli;. This Agreement may he terminated immediately by either party upon
thirty (30) days prior written notice.
4 INDEPENDANT CONTRACTOR: 1t is agreed by the parties that, at all times and for all
purposes within the scope of this Agreement, the relationship of PROVIDERS to the City are that
of independant contractors and not that of employees No statement contained in this Agreement
shall be construed so as to find PROV1DERS employees of the City, and PROVIDERS shall be
entitled to none of the rights, privileges or benefits of City employees.
5. If&M-:. The term of this Agreement shall be for a period of three years beginning on March
1, 2000 At the option of the parties, this Agreement shall be renewable for an additional three
year period. Should PROVIDERS elect not to renew this Agreement, PROVIDERS shall give
the City three (3) months \vritten notice of intent not to renew City shall give PROVIDERS
three (3) months notice of intent not to renew
6. ENTIRE AGREEMENT; It is understood and agreed that the entire Agreement of the
parties is contained herein and that this Agreement supersedes all oral agreements and
nt:gotiations between the parties relating to the subject matter hereof as well as any previous
agreements presently in effect bctween the parties relating to the subject matter hereof. Any
alterations, amt:ndments, deletions, or waivers of thc provisions of this Agreement shall be valid
only when express~d in writing and duly signed by both parties
"
PRE-EMPLOYMENT FIREFIGHTERS
This pre-employment package will include the following services:
Complete physical examination............. ........................ .$50.00
Vital signs......................................... ... ......................... . included in exam
Audiometry...................... .......... ......... ... .................... ...$25.00
Vision testing, including Ishiahara Screening................. .no charge
EKG.............................. ................. .... ..................... ... ...included in stress testing
Chest x-ray...... ...... ......................... ........ .... ... ............... .$45.00
Pulmonary Function Testing.......................................... $60.00
Blood Profile................... ....... ........ ....... ..... ................. ..$80.00
(including CBC, chemistry profile, thyroid functions, coronary risk profile)
Urinalysis.... ............. .............. ............ .......................... .$10.00
PPD................................................: ............. ............. ...$1 0.00
Stress test... ........ ....... ....... ....... ...... ............. ................. .$11 0.00
Package price:..... .............................. ....... ................... .$290.00
FIREFIGHTERS
This firefighter annual package will include the following services:
Complete physical exam.........:........ .... ......................... .$50.00
Vital signs.............. ............... ... ....... .... ......... ............. ... . included in exam
Audiometry................... ............. ... ..... .......................... .$25.00
Vision testing including Ishiahara screening................,.. no charge
EKG..... ... ........... ...... ... ......... ............,................... ........ $50.00
Chest x-ray......................... ......... .......... ....................... $45.00
Pulmonary function testing........ .......... .., ,..................... $60.00
Blood profile...... .......... ............ ............. ... ...... ........ ..... .$80.00
(includes CBe, chemistry profile, thyroid functions, coronary risk profile)
Urinalysis........:............................................... ~............. $1 0.00
PPD.. .... .. .. ..... ......................:................................ ........ $1 0.00
Package price:....................... ...... ......;..... ........... .......... .$240.00
. .
POLICE DEPARTMENT
Police Department annual and pre-employment packages will include:
Complete physical exam.....................................,......... $50.00
Vital signs........... ...... ,... .....,. .... .......,. ........ ........ .... ...... ..included in exam
Audiometry................................,...............,................. $25.00
Vision testing, including Ishiahara screening................. no charge
EKG... .............. ..... ... .......... ..................".. ... ................. $50.'00
Che'st x-ray.....,. ....... ..... ................................. ........ ....... $45.00
Blood profile.... ....... ............ ..... ............... ...... ....., ......... $80.00
(including CBC, chemistry profile, thyroid function, coronary risk profile)
Urinalysis..,.,....,...........................,............................... .$1 0.00
PPD......... ..............................................-..... .................. $1 0.00
Package price:.. .......... ...... ....... ........ ......... ............. ...... ..$180.00
PUBLIC WORKS DEPARTMENT
Public works annual and pre-employment package will include:
Complete physical exam..... :..... ................................... ..$50.00
Vital signs.................................................................... .included in exam
. , $
Audiometry....,' ..................... ...... ......... ......................... 25.00
Vision testing. ..... ... ... ....... ..... ... ........................... ......... .no charge
Blood profile.......,.... .............. .................................... ..$80.00
(including CBC, chemistry profile, thyroid function, coronary risk profile)
Urinalysis......... ...... .......................:............ ................. .$1 0.00
Package price:........... ............ ................. .............. ........ .$95.00
PARKS AND RECREATION DEPARTMENT
Parks and Recreation annual and pre-employment packages will include:
Complete physical exam............................................... $50.00
Vital signs..............................................:..................... included in exam
Audiometry............ ............... ..... ........................ ..... .... .$25.00
Vision testing............................................................... no charge
Blood profile.......... ....... .............. ....... ..............,.......... .$80.00
(includes CBC, chemistry profile, thyroid function, coronary risk profile)
Urinalysis.............. ...................................................... .$1 0.00
. . -
Package price:............ ..... ............ ..... .... ....... ............:.... .$95.00
* Stress testing that may be indicated for asymptomatic patients 45 & over, for anyone who
demonstrates a medical necessity. ..... ...... ... ........... .... .... .$11 0.00
MISCELLANEOUS
Tetanus booster.... ..... ........ ............ ......... ...................... .$12.00
Hepatitis B Vaccination (series of3)................... ......... ..$135.00
Hepatitis Titer(to confirm hepatitis B immunity)............$35.00
Urine Drug Screen........................................................ $40.00
HIV antibody testing..... .... ...... ........... ..... ........... .......... ..$50.00
Hepatitis Profile, including A,B and C............................ $120.00
January 25, 2000
NFMlFPMG
. . '" 'l'lt
IN WITNESS WHEREOF, tlle parties hereto have made and executed tllis Agreement on tlle day, montll
and year herein written.
Signed and sealed in the presence of: Florida Physicians Medical Group
Newman Family Medicine Group
~~0~&rf= By: \~~f'" \<K
As:
Date: \ \~3~ \Q~
STATE OF FLORIDA
COUNTY OF (")'(A..,.("\0..ll.-
r.:.
TIle foregoing iStnlment was acknow~ged be~ore l!ie.on thiSd-~ ..:~ of '-=?~r"\' ~O.OO, by .
6"t" -J 0......... ,,-. , \ -\C- asG,z~-CI."~' II<::: \)Lrc.... \.v{tltle) of Flonda PhysIcians Medical
Group ~ Newman Family Medicine Group, having authority to execute this Agreement, 'who is .---
personally known to me OR who has produced his/her State of Florida Driver's License
Number, as identification and who did (did not) take an oatll.
,
SE~F~~.~ Laura L. Carter '-...// ~C
. ~l \ , I'." '-; . .('\ \ {.......... _
.-
{~<;~):~ MY COMMISSION N CC638934 EXPIRES Notary Public
'.. .~.' July 7. 2001 )____('\ I. ',- ~ Coo
"{9f.,f.~~'" BONDED THRU TROY FAIN INSUfI.'.NCE.INC. Ie
)~ c, v -\ \.: ,
Printed Name
S~f City of Winter Springs
By: /!auUM~ ."..
/ .' .- As: ~~~
Date: JJ'/"7- OC>
s1 ATE OF FLORIDA
COUNTY OF S.Oi'....-h y.,J () ~
TIl~ instrument was ackn2-wledged before me on this li+'-day of ~a....:N1-y 2000. by
. ~. t-ik~~ . as c:::.'J'{ ~\(,L ~OftM-~~
WINTER SPRINGS, having authority to execute this Agreement, who is son~ly.~o~ e OR
.who has produced hislher State of Florida Driver's Lice se, Number: as
identifi~ation and who did (did not) take an oath. -
. SEAL:
N-nPublic . ~
~~7<::>- ~~
~ ANDREA lORENZQ-WACES Printed Name
. MY COMMissiON II CC 831931
EXPIRES: May 9. 2003
HIOO,S.NOTARY Fla NoUlly SeM'" & BondIng Co,