Rather than printing, save a tree and commit this number to your photographic memory or your phone’s with a screen shot.
NOTE: (For UNINSURED only): Persons submitting vouchers will have their lab fees waived for HIV, chlamydia, gonorrhea, syphilis, and viral hepatitis. (Medicaid or Privately Insured): Persons submitting vouchers will have their lab fees waived for HIV and syphilis. Clinics may have additional charges for other testing, examinations and consultation not covered by this voucher. Vouchers cannot be used if client service is being billed to private insurance or Medicaid.