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N.C.Department of Environment.Health.and Natural Resources Page_of <br /> • Division of General Services <br /> FY 1997-98 <br /> CONTRACT ADDENDUM <br /> Women's Preventive Health <br /> Office,Section,or Branch Contract Number <br /> Family Plannin,2 <br /> Contractor Activity • . <br /> SECTION D:QUALITY ASSURANCE DELIVERABLES <br /> 1. The local health agency has written policies in place for family planning services: <br /> a. Description of local family planning services,including local protocols, <br /> standing orders and components of Initial,Complete,Limited and <br /> Extended Revisits. <br /> b. Tracking mechanisms for follow-up of abnormal clinical and laboratory <br /> findings. <br /> c. Follow-up of family planning patients with positive pregnancy tests to <br /> assure patient has access to health care provider. <br /> d. Protocol for clients wanting permanent contraception. <br /> e. There is a written plan/protocol which addresses education,counseling,and <br /> referral regarding:HIV/AIDS,Hepatitis B-infection and immunization. <br /> f. Identification of clients at risk for contraceptive failure and clients at high <br /> medical risk for complications of contraceptive use. <br /> g. Counseling family planning postpartum clients to delay pregnancy for at <br /> least 12 months after delivery. <br /> Reviewed by <br /> DEHNR 3300(Revised 2/97) <br /> General Services Division(Review 1/98) <br /> Initials Date <br />