2011-090 Health - Magnolia Ko - Amendment to Contract for Karen Interpreter $35 per hr not to exceed $7,500

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i. The Provider is required to provide proof ofimmunity 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 dose of vaccine, the Provider must provide documentation of a second dose 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: 1. Receipt of a TB skin test (TST) if the Provider has no history of TB infectiort/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. Procedures and Guidelines upon acceptance of assignment: i. The Provider agrees to give at least 24 hour notice if he/she is unab}e to participate in a scheduled client contact. ii. The Provider will be expected to make confirmation phone calls to clients in advance of an assigned appointment, when feasible, and when fire Provider is provided the information by OCHD staff. The Provider should notify OCHD staff as soon as possible if the client has told the Provider that he/she will not be able to make the appointment and/or if he/she needs to reschedule. These confirmation calls will not be paid for separately, but are considered part of fire service when the Provider accepts an assignment for an appointment. iii. The Provider shall not have contact with OCHD clients with OCHD staff being present, unless specifically asked by staff to call clients to confirm . or schedule appointments. It is not acceptable for the Provider to give out his/her home telephone number or cell phone number for later contact between the family and Provider. The Provider should generally instruct clients to call the Health Department front desk staff or the Spanish voicemail line at 644-3350 (when language appropriate) to schedule an appointment or to inquire about services. e. -The Provider shall complete and submit the OCHD Invoice for Payment of Interpreting Services form to the OCHD staff at the time services are rendered. OCHD staff will verify the information, sign and forward the form for payment of services. i. The Provider will record the start and finish time worked to the minute. After the first hour of service, payment will be calculated and paid per minute. Revised June 2010 2