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Special Services & Exams Open to the Community

VISITS ARE BY APPOINTMENT ONLY

if needed, please text us about a possible same-day appointment

We understand that your time is precious. That’s why we build a little extra time outside of your appointment to review pre-visit documents in advance. This approach helps us address your needs efficiently and prevent stressful delays on the day of your visit. Please aim to submit any requested pre-visit documentation at least 3 business days before your appointment, if scheduled far enough in advance.

Our goal is to provide you with the most accurate and thoughtful care possible. Sometimes, unexpected details—like a high blood pressure reading or elevated lab results—might require us to take a closer look before giving the all-clear. We encourage you to keep up with your regular health check-ups, including eye care, so you’re well-prepared for your exam.

Rescheduling and Cancellation Policy:

We do understand that plans can change. Should you need to reschedule, please let us know ASAP, preferably at least 24 hours in advance. If you cancel after submitting your pre-visit documentation or if we must cancel due to lack of response, or a no show occurs, 50% of your service fee will be refunded. This helps cover the time and care our team dedicates to preparing for your visit.

We look forward to providing you with excellent, personalized care.

These Direct Care Services are Out-of-Network, by Self-Pay Only.

We are insurance-free and so do not directly participate with, nor bill insurance for in-house services.

If you are enrolled in Medicare, Medicaid (Apple State Health Plan), TRICARE,

or other government-sponsored health coverage program:

Please see our FAQ information page now for information on current eligibility for our services.

If you are Medicare Eligible or Enrolled we CAN still see you for:

DOT/CDL Medical Certificate Physicals

US Coast Guard Merchant Mariner Physicals

Occupational/Employment/Return to Work Physicals

Audiograms if strictly for Occupational Purposes

Pulmonary Function Testing (Spirometry) if strictly for Occupational Purposes

ECG if strictly for Occupational Purposes

Special Vision Testing strictly for Occupational Purposes

Respirator Clearances

Fitness to Dive Physicals

Occupational & Other Health Services

Audiogram

Community Pricing: $135 Members: $0 This is for pure tone audiometry with threshold determination. ANSI certified equipment used. Estimated visit time: 45 min

Basic Occupational/Employment Physical, Return to Work Physical

Community Pricing: $170 Members: 1 included/yr Please contact us to check for availability for your particular exam immediately after booking your appointment. - Includes urinalysis and point-of-care blood sugar testing if needed - if a Chest X-ray is needed, a referral order will be placed for outside imaging for discounted pricing. Community Pricing: - Additional $50 fee if advanced in-house testing such as Spirometry (PFT), standard resting ECG, Color Vision screening, or Threshold audiogram is indicated for clearance. Discount-package for 2 or more of these tests is available at $100. Members: - 1 basic occupational/employment/return-to-work physical included per year, $85 per exam after this Estimated visit time: 45 - 60 min

DOT/CDL Medical Certificate (inquire about us coming to you!)

Community Pricing: $150 Members: 1 included/yr - additional $10 for audiogram if indicated for clearance based on examination findings and requirements. Members: - 1 DOT/CDL certificate exam included per year, $85 per exam after this. Estimated visit time: 45 - 60 min

US Coast Guard Merchant Mariner Physical Exam for Mariner Medical Certificate (CG-719K)

Community Pricing: $175 Members: 1 included/yr Members: - 1 USCG certificate exam included per year, $85 per exam after this. Estimated visit time: 45 - 60 min

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At-home Sleep Study

Community Pricing: $425 Members: please reach out to discuss options This pricing includes the initial visit, the study, and a follow up visit. The initial visit includes the screening and home study kit, as well as execution of the study. The follow up visit after the study includes counseling, the study report, and study interpretation. If indicated by your study results, a prescription for a CPAP machine and/or sleep medicine specialist referral will be included with our service; you may choose to arrange obtain CPAP equipment by self-pay or potentially through insurance coverage. A sleep specialist review of your study to support possible insurance coverage for a CPAP machine will also be provided at no additional cost if needed. By reading this you acknowledge that we cannot guarantee insurance reimbursement/coverage for any aspect of this service nor prescription resulting from it, as we do not directly bill nor participate with insurance. *We ARE able to accept Medicaid and TRICARE patients for this service with your understanding that any service delivered directly by our practice cannot be billed nor submitted for Medicaid or TRICARE coverage. However, at this time we are sadly unable to accept Medicare eligible & enrolled patients for this service. Estimated visit time: two 45 min visits

Fitness to Dive Physicals / Medical Clearance

Dr. Marshall is a Diving Medical Examiner (DMAC Level I) and is able to determine fitness to dive clearance for commercial, sport, scientific, other related public service, and recreational divers. Please contact us to confirm availability for your particular exam immediately after booking your appointment. - A Diver may be referred when medically appropriate for additional testing and evaluation such as Bone and Joint X-ray survey, Cardiac Stress Testing, ENT specialist evaluation, or additional special labs or testing when indicated on initial clearance or by age group, and is responsible for associated additional costs and appointment arrangements. - Referral orders will be placed for completion of any needed outside imaging and labs, which are available at discounted rates Commercial and Public Service Diver: A Flat fee covers as indicated: spirometry, standard resting ECG, standard Labs package, color vision screening, Audiometry, Chest X-ray, Physical exam - Community Pricing: $895 - DPC Members: $540 Scientific & Research Diver: A Flat fee covers: spirometry, standard resting ECG, standard Labs package, Audiometry, and Physical exam. Additional fee if Color Vision screening or CXR are needed. - Community Pricing: $705 - DPC Members: $425 Recreational Sport, Scuba, or Free Diver: - Community Pricing: $200 + if medically indicated: outside labs or imaging at discounted pricing, additional in-house advanced testing if indicated (such as Spirometry (PFT), standard resting ECG, Color Vision screening, or Audiometry) at the standard cost as listed on the website. - DPC Members: $120 + if medically indicated: outside labs or imaging at discounted pricing, additional in-house advanced testing if indicated (such as Spirometry (PFT), standard resting ECG, Color Vision screening, or Audiometry) at the standard member cost as listed on the website. Estimated visit time: varies based on needs, please plan for about 3 hrs for advanced dive exams

Sports Physicals

(Other than for Youth Sports)

Community Pricing: $170 Members: 1 included/yr Please contact us to check for availability for your particular Sports physical exam immediately after booking your appointment. - Includes urinalysis and point-of-care blood sugar testing if needed - if imaging such as Chest X-ray or other outside workup is needed, a referral order will be placed. Community Pricing: - Additional $50 fee if advanced in-house testing such as Spirometry (PFT), standard resting ECG, Color Vision screening, or Threshold audiogram is indicated for clearance. Discount-package for 2 or more of these tests is available at $100. Members: - 1 Sports physical included per year, $85 per exam after this. *We ARE able to accept Medicaid and TRICARE patients for this service with your understanding that any service delivered directly by our practice cannot be billed nor submitted for Medicaid or TRICARE coverage. *Please note we are sadly UNABLE to accept Medicare eligible & enrolled patients for this service at this time. Estimated visit time: 45 - 60 min

Special Vision Testing

(Ishihara, HRR)

Community Pricing: $135 Members: $0 Available testing: -Ishihara 14- or 24-plates for color vision testing -Hardy Rand Rittler 4th edition for color vision testing Estimated visit time: 45 min

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Respirator Clearance Questionnaire only

Community Pricing: $85 Members: $0 Clearance decisions are followed according to OSHA Guidelines. Additional cost will apply if a physical exam is required for clearance based upon review of the completed respirator questionnaire. Estimated visit time: 30 min

Respirator Clearance Physical

Community Pricing: $170 Members: please see service description This includes a Respirator Clearance Questionnaire and will be prorated into the pricing for this respirator physical if the clearance questionnaire was completed with us and directly resulted in the requirement of this physical exam. - if imaging such as Chest X-ray is needed, a referral order will be placed for outside imaging for discounted pricing. Community Pricing: - Additional $50 fee if advanced in-house testing such as Spirometry (PFT) or standard resting ECG is indicated for clearance. Discount-package for 2 or more of these tests is available at $100. Members: - 1 respirator clearance physical included per year, $85 per exam after this Estimated visit time: 60 min

Pulmonary Function Testing (Spirometry)

Community Pricing: $145 Members: $0 Estimated visit time: 45 min

Standard Resting 12-Lead Electrocardiogram (ECG)

Community Pricing: $135 Members: $0 Estimated visit time: 30 - 45 min

Vital Signs Check

Community Pricing: $65 Members: $0 Estimated visit time: 30 min

Point of Care Blood Glucose Check

Community Pricing: $65 Members: $0 Estimated visit time: 30 min

Additional Special Services

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Acute / Urgent Care Visits

Community Pricing: $299 Members: please see service description - Acute care visits are by appointment only, even if same-day. Please contact us regarding your medical concern and for scheduling. Messaging to support@mmm.sprucecare.com works best. *We ARE able to accept Medicaid and TRICARE patients for this service with your understanding that any service delivered directly by our practice cannot be billed nor submitted for Medicaid or TRICARE coverage. *We are sadly UNABLE to accept Medicare eligible & enrolled patients for this service at this time. Medical Emergencies: We are not an emergency department! If you feel that you are experiencing a medical emergency or severe urgency please immediately call 911 - Additional costs for some take-home supplies such as DME (crutches and splints) may apply. Members: - In-office or Telehealth visits as medically indicated are included with membership; home visits may be available for members for an additional fee depending on location and unique situations. - Additional costs for some take-home supplies such as DME (crutches and splints) may apply.

Youth Sports Physical

Community Pricing: $125 Members: please see service description - Includes urinalysis and point-of-care blood sugar testing if needed - if imaging such as Chest X-ray or other outside workup is needed, a referral order will be placed. Community Pricing: - Additional $25 fee if advanced in-house testing such as Spirometry (PFT), standard resting ECG, Color Vision screening, or Audiometry is indicated for clearance. Discount-package for 2 or more of these tests is available at $50. Members: - In-house services included with membership. Estimated visit time: 45 min

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Osteopathic Manipulative Treatment

OMT treatments are conducted as medically indicated for diagnosed somatic dysfunctions. .

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Pessary Services

The Pessary Boutique is available for pessary fitting and physician-guided maintenance care for symptomatic pelvic organ prolapse. .

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