113-25 Agreemement.pdf

113-25 SERVICES AGREEMENT BETWEEN NATIONAL DIAGNOSTIC SERVICES AND THE TOWNSHIP OF WEST ORANGE This service agreement is between the Township of West Orange (“Township”) and National Diagnostic Services (“NDS”) 28700 Cabot Drive, Suite 500, Novi, MI 48377, Attention: Michael Ketslakh, President. SECTION ONE: SCOPE OF SERVICES For the 2025 calendar year, NDS hereby agrees to serve as a consultant for cancer screening services to the West Orange Fire Department. The scope of services provided by NDS is as follows: 2 Phases a. Phase 1 - On site or in office visit Physical & Blood draw- Provider review of complete health history, Oral Cancer Screening & Full Skin Cancer Screening. Cancer Screening Ultrasound i. Script provided for Low Dose Lung CT Screening & appt scheduled at an offsite location convenient to member ii. Telehealth appt 1 week out from onsite or in office visit appt Testing should include, at a minimum, testing and screenings for the following types of cancer in accordance with N.J.S.A. 52:14-17.29ii(a)(1)-(11): 1. Colon 2. Lung 3. Bladder 4. Oral 5. Thyroid 6. Skin 7. Blood 8. Breast 9. Cervical 1 o. Testicular 11 . Prostate Phase 2 - 20-minute telehealth results review-Provider consults on patient results (Ultrasound & comprehensive Blood Work review). 11 member completed the CT screening and results are ready the consult will include those as well.