Choices You Can Live With

Phoenix Clinic Fees & Forms

SERVICE FEE
Urine pregnancy test Free
Blood pregnancy test $25
Office visit (infection check, exam, breast exam, IUD removal,
or bump check)
$30
Well woman exam with pap $55
Well woman exam with pap, Chlamydia & Gonorrhea $75
Well woman exam with pap, Chlamydia, Gonorrhea, HIV & Syphilis $100
STI testing – exam, Chlamydia & Gonorrhea $50
STI testing – exam, Chlamydia, Gonorrhea, HIV & Syphilis $80
HIV test $25
Limited Ultrasound $45
Herpes test (in addition to office visit) $40 – $80
HPV treatment (in addition to office visit) $10
Hepatitis B (in addition to office visit) $20
Hepatitis C (in addition to office visit) $30


STD testing and treatment is also available for men; the same charges apply.
Call 602-305-5100 for an appointment or for prices of other lab tests.

 

Forms

All clients will be asked to complete a medical history form prior to receiving services.

Women’s Forms:

  • Personal Health History (Patient information and medical history)

Men’s Forms:

  • Personal Health History (Patient information and medical history)

Completion of additional forms may be required for the following Medical Services:

  • Authorization to Release Information (To release information to another provider)