Fee Sheet for Billing for ID Services

Keywords / Description:

The Champaign-Urbana Health District developed this form for the purpose of billing for services provided by the Division of Infectious Disease Prevention and Management. For questions related to the form, please contact Candi Crause, Director-Infectious Disease Prevention and Management at ccruase@c-uphd.org.

Toolkit:

HIV/STI Toolkit

Keyword Area:

Billing, HIV/AIDS, Infectious Diseases, Sexually Transmitted Infections (STI)

Jurisdiction:

Institutional Author:

Champaign-Urbana Public Health District

Submitted:

06/21/2012

Modified:

The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.