2003 S Health - UNC School of Dentistry for Pediatric Dentistry

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' #~ t RETURN THIS COPY TO THE CLERK'S OFFICE FOR THE PERMANENT AGENDA FILE STATE OF NORTH CAROLINA ~ ~ /~~ /Q COUNTY OF ORANGE ~~ AGREEMENT BETWEEN THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL ~,~ iTS SCHOOL OF DENTISTRY ~ / Q // FOR ITS ~ ~// DEPARTMENT OF PEDIATRIC DENTISTRY AND THE ORANGE COUNTY HEALTH DEPARTMENT DENTAL SERVICE AS PART OF THE COUNTY OF ORANGE THIS AGREEMENT, made and entered into this the 1st day of July, 2003, by and between the University of North Carolina at Chapel Hill for its School of Dentistry, hereinafter referred to as the "School of Dentistry", for its Department of Pediatric Dentistry and the Orange County Health Department hereinafter referred to as the "Health Department' for its Dental Service. WITNESSETH WHEREAS, OCHD desires the services of one resident in the Dental Service fo the academic year 2003-2004; WHEREAS, this agreement is established for the purpose of securing and providing educational and learning experiences for pediatric dentistry residents enrolled in the UNC School of Dentistry. WHEREAS, The Health Department desires to reimburse the School of Dentistry for the services; NOW, THEREFORE, in consideration of the premises and of the following Mutual promises, covenants, and conditions, School of Dentistry and the Health Department agree as follows: 1. The Health Department will reimburse the School of Dentistry at the close of each month $50.00, for each day of resident services. 2. The School of Dentistry will provide the services of one resident to the Health Department for the purpose of rendering resident dental services of one day/week. 3. The Health Department will not be responsible for damages arising from personal injury to residents of the School of Dentistry while they are present at the Health Department, unless personal injury was caused by the negligence of the Health Department, its employees, or agents. 4. The Cooperating Institution must provide HIV, HBV and HCV testing for the source patient in the event of ablood-borne pathogen exposure. In the event the student is exposed to blood or bodily fluids, the Cooperating Institution will be responsible for providing initial response, according to the Institution's Blood-Borne Pathogens Standard. The student will be required to return to the University of North Carolina Student Health Services for post-incident testing and counseling if feasible. In the event the student is unable to do so in a timely manner, the Cooperating Institution will provide access to testing and counseling for the student. The trainee will be responsible for the payment of services. UNC-CH will reimburse trainee for testing and counseling only but not for any emergency treatment or medication administered.