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.~' <br />:'~ .. . <br />4. Other Requirements <br />OCHD shall provide a Licensed Clinical Social Worker to serve as the mental health counselor <br />and agrees to provide CHCCS with a copy of credentials upon request. CHCCS agrees to provide <br />appropriate confidential counseling space, cooperation in getting students from class for <br />counseling sessions, assistance with scheduling appointments, and arranging for parental <br />permission. <br />5. OCHD is designated as a covered entity under HIPAA Privacy and Security rules. CHCCS agrees <br />to treat and maintain protected health information (PHI) confidentially as described in the <br />Business Associate Agreement signed by both parties. Notwithstanding the foregoing, the parties <br />agree to treat and maintain the confidentiality of all information shazed by the parties in <br />conformity with the most stringent of applicable federal, state and local privacy laws, regulations <br />and policies. <br />Termination for Cause <br />In the event that OCHD shall cease to exist as an organization or no longer provide Child and <br />Adolescent Psychosocial Counseling Services or not fulfill the obligations of this contract, <br />CHCCS may terminate this Agreement with OCHD. If payment has been made for any services <br />for which no satisfactory accounting has been rendered, OCHD will return such payments to <br />CHCCS. <br />This agreement is entered into between OCHD and CHCCS beginning September I, 2005, and ending June <br />30, 2006. This agreement may be terminated or suspended by either pazty at any time prior to its <br />expiration date upon written notification of the other party. When possible such notification shall be given <br />thirty days in advance of termination. <br />Signed: <br />Neil G. Pedersen <br />Superintendent <br />Chapel Hill-Carrboro City Schools <br />Date <br />r ' <br />Rosemary Summ r <br />Health Director <br />Orange Co my Health Department <br />Date ~~ <br />Ruby Pittman <br />Finance Director <br />Chapel H}ll Carrboro City Schools <br />Date ~ZS~aS <br />1(~oses Cazey <br />Chair <br />Orange Cou ty Bo d of C <br />Date ~"v b <br />i~~~ ~ <br />Ken Chavious <br />Finance Director <br />Orange County <br />Date <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br />Control Act and the School Budget and Fiscal Control Act. <br />