2011-089 Health - Helene Ramos Montgomery - Amendment to Contract for Spanish & French Interpreter $45 Per Hr for interpretation $35 for translation not to exceed $15,000

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i. The Provider acknowledges that she/he may have access to information that is confidential and provided by state and federal laws- and agrees to comply with all privacy policies, regulations, and laws as well as the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (P.L.104- 191}. ii. The Provider agrees to protect health information (e.g., client name, appointment type, telephone number) that he/she may receive in doing business with OCHD. The Provider should ensure proper, safe storage and protection of client information during use, and shredding/deletion of such information when it is no longer necessary for business purposes. iii. Breaches of client confidentiality will result in automatic termination of this Agreement. c. Medical Documentation. i. The Provider is required to provide proof of immunity to varicella, measles, mumps and rubella prior to inception of contract work. Proof of immunity must be one of the following: medical records diagnosing the disease, laboratory records confirming the disease, laboratory records documenting positive disease titers, or medical records documenting receipt of 2 doses of each vaccine. {Exception: If the Provider has documentation of only one - ~ , h~Ft•vvizler~nrstp~ravidezlnourrreu~iz~rrcarrd~~ within 60 days of the first day of contract work.) The Provider is responsible for covering all costs associated with acquiring any necessary titers, medical diagnosis or laboratory confirmation of disease or vaccinations. ii. The Provider is required to get a TB screening and provide those results to OCHD prior to beginning contract work. The Provider is responsible for the costs associated with acquiring such screening. The screening can be one of the following: I. Receipt of a TB skin test (TST) if the Provider has no history of TB infection/disease or of a positive TST (Note: If the Provider has not had an additional TST within the previous 12 months, a second TST will be required one week after the first to establish an accurate baseline.) 2. Completion of a TB Screening Form by a medical provider if the Provider has a history of TB disease or of having a positive TST. d. Scope of Services. i. Procedures and Guidelines Upon Acceptance of an Interpretation Assignment: The Provider agrees to give at least 24 hour notice if he/she is unable to participate in a scheduled client contact. 2. The Provider will be expected to make confirmation phone calls to clients in advance of an assigned appointment, when feasible, and Revised June 2010 2