Reproductive Health Fees

Name: The Two Rivers Public Health Department office is located at:
Address: 516 W. 11th Street, Suite 108B, Kearney, NE 68845
Telephone: 888-669-7154

Data Table
Reproductive Health Fees	Cost
HIV/Syphilis Screen	$55
Blood Draw and Labs	$50
Pregnancy Screening	$30

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Full Name

First Name *

Last Name *

Phone Number

Service Received

HIV/Syphilis
Blood Draw and Labs
Pregnancy Screening

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Reproductive Health Services

Reproductive Health Fees

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