APPENDIX A: FEES SCHEDULE
   Fees schedule established and collected in accordance with § 34.05(D) above and made a part thereof.
Services
Fees
Services
Fees
Vital Records Services
 
Birth certificate reg. size
$10
Birth certificate wallet size
$10
Additional birth certificate protective sleeve
$2
Death certificate
$10
Paternity affidavit
$10
Paternity upon marriage
$10
Affidavit of amendment
$10
Copies for genealogy (death certificates)
$5
 
 
Environmental Health Services
 
Commercial septic system application/permit
$100
Residential septic system application
$25
Residential septic system permit
$75
Septic installer certificate application
$100
Septic installer certification
$25 (annual)
Water sample collections
$50
Tattoo/body piercing parlor permit
$200 (annual)
Tattoo/body piercing artist permit
$50 (annual)
Temporary/mobile tattoo/body piercing permit
(5-day maximum per single event)
$500
Retail food service permit
$125
Late fee for retail/mobile food service permit
(submitted/postmarked after January 10 of the year due)
$100
Retail food service permit after July 1
$75 (new permit only)
Mobile food service permit
$100 (annual)
Retail/mobile food establishment plan review
$75
Bed and breakfast permit
$35 (annual)
Temporary food service permit (14 day maximum or single event)
$50
Late fee for temporary food service permit
(if not received one week prior to start date)
$50
 
 
Pubic Health Services
 
(Public health services fees shall be receipted into the Local Health Maintenance Fund)
Immunization record
Free
Mantoux test
$10
De-bug lice treatment
 
Small bottle
$6 or current market price
Large bottle with comb
$14 or current market price
Small bottle with comb
$6 or current market price
Oil
$5 or current market price
Lice comb
$3 or current market price
Community Educational Courses
 
CPR
$30
CPR card: heart saver
$20
CPR card: healthcare provider
$10
Adult first aid/CPR
$60
Safe sitter course
$35
Blood borne pathogen training
$10
TB course
$25
TB course recertification
$15
TB replacement card
$7
Sexually transmitted disease/ infection testing
$25 or hardship scale
STD/STI treatment
$10 or hardship scale
 
 
Lead
 
Nurse case management (15 minute increments up to the first 6.5 hours)
(Lead levels above 5 micrograms per deciliter and ages birth to 20 years)
$8.84/15 minutes
 
 
Immunization Administration
 
Immunization administration, 1 vaccine (single or combination vaccine/toxoid)
$40
Each additional vaccine (single or combination vaccine/toxoid)
$40
Immunization administration by intranasal or oral route, 1 vaccine (single or combination vaccine/toxoid)
$40
Each additional intranasal or oral vaccine administration (single or combination vaccine/toxoid)
$40
Janssen Covid-19 vaccine administration
$40
Moderna Covid-19 vaccine administration - first dose
$40
Moderna Covid-19 vaccine administration - second dose
$40
Pfizer-Biontech Covid-19 vaccine administration - first dose
$40
Pfizer-Biontech Covid-19 vaccine administration - second dose
$40
 
Immunizations
Vaccine Components
Fee
Immunizations
Vaccine Components
Fee
Rotateq
Rotavirus
$110
Rotarix
Rotavirus
$125
Pentacel
Dtap - Hib - IPV
$120
Pediarix
Dtap - HepB - IPV
$90
Haemophilus B Conjugate (ActHib)
Hib
$60
Prevnar-13
Pneumococcal
$310
Prevnar-20
 
$340
Polio (IPOL)
IPV
$40
Dtap (Infanrix/Daptacel)
Dtap
$40
Hepatitis A PEDIATRIC (Havrix/Vaqta)
Hep A
$65
Hepatitis B PEDIATRIC
Hep B
$35
Dtap and IPV (Kinrix)
Dtap - IPV
$65
MMR II
Mumps, measles, rubella
$115
Varivax
Varicella
$190
ProQuad
MMR-Varicella
$275
Tdap (Boostrix/Adacel)
Tdap
$55
Meningococcal (Menactra)
Meningococcal
$135
Heplisav-B
Adult Hepatitis B
$165
Shingrix
Shingrix shingles vaccine
$210
Meningococcal B
Meningococcal B (Bexsero)
$210
Meningococcal B
Meningococcal B (Trumenba)
$170
Gardasil 9
HPV 9
$300
Tetanus Diphtheria
Tetanus Diphtheria
$60
Hepatitis A ADULT (Havrix/Vaqta)
Hep A
$130
Hepatitis B ADULT
Hep B
$80
Twinrix ADULT
Hep A - Hep B
$100
Fluzone, age 6 months to 35 months
Influenza PVT 0.25
$30
Quadrivalent Flu 0.5 ml
Influenza
$25
Pedvax HIB Haemophilus B
HIB
$35
Imovax Rabies
Rabies
$340
Typhoid Typhim VI
Typhoid
$110
Hiberix
HIB
$35
Zostavax
Shingles
$240
High Dose
Influenza
$65
Pneumo-vax23
Pneumococcal
$155
Janssen Covid-19 Vaccine
Janssen Covid 19
$0
Moderna Covid-19 Vaccine
Moderna Covid 19
$0
Pfizer-Biontech Covid-19 Vaccine
Pfizer Covid 19
$0
BianaxNOW Rapid COVID Testing
 
$100
Vaxelis
 
$240
Menquadfi
 
$200
 
 
 
 
(Ord. 2011-4, passed 6-13-2011; Ord. 2012-3, passed 5-14-2012; Ord. 2012-5, passed 11-26-2012; Ord. 2013-4, passed 7-8-2013; Ord. 2013-5, passed 8-12-2013; Ord. 2014-1, passed 2-10-2014; Ord. 2014-2, passed 3-24-2014; Ord. 2014-6, passed 11-10-2014; Ord. 2015-6, passed 8-24-2015; Ord. 2016-1, passed 2-23-2016; Ord. 2016-8, passed 11-22-2016; Ord. 2017-2, passed 8-22-2017; Ord. 2018-3, passed 1-23- 2018; Ord. 2019-1, passed 1-8-2019; Ord. 2019-5, passed 7-23-2019; Ord. 2021-3, passed 6-8-2021; Ord. 2021-9, passed 10-12-2021; Am. Ord. 2022-5, passed 9-13-2022)