a. Original card......................................................................... |
No Fee |
b. Renewal card.......................................................................... |
No Fee |
c. Corrected card......................................................................... |
No Fee |
d. Duplicate card......................................................................... |
No Fee |
e. Certified copy with seal.................................................................. |
$5 |
f. Search.............................................................................. |
$2 |
g. Applicant with a disability................................................................. |
No Fee |
h. Authorized release of medical information to public agency,
governmental body, or locally operated program performing services for a public agency or governmental body. |
No Fee |
i. Authorized release of medical information to public agency,
governmental body, or locally operated program performing services for a public agency or governmental body in certified form with seal. |
No Fee |
j. Authorized release of a cardholder's medical information to that same |
|
cardholder................................................................................. |
50¢ per page |
k. Authorized release of a cardholder's medical information to that same cardholder in certified form with seal............ |
50¢ per page, |
|
plus $2.00 |
|
certification. |