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N.C. Department of Environme-ric,Health, and Natural Resources' Page 2 of 2 <br /> Division of General Services FY 1997-1998 <br /> CONTRACT ADDENDUM <br /> HIV/STD Control Branch <br /> Office,Section,or Branch Contract Number <br /> Orange County Health Departm n� t _ AIDS Federal <br /> Contractor Activity <br /> 2) Providers of services are appropriately trained HIV counselor, public health nurses and nurse <br /> practitioners. <br /> 3) Anonymous (as long as this option is available) and confidential HIV counseling and testing, <br /> are available by appointment, with walk-ins seen as time allows, in our Carr Mill site <br /> Monday through Friday from 8:00am- 12:00 noon and l:00pm-4:00pm. Confidential <br /> testing is available during OCHD prenatal, family planning, STD and TB clinical hours. <br /> 4) HIV counseling and testing policies, procedures and information are located in a procedure <br /> manual in each site. <br /> 2. We will comply with efforts of the 11IV/STD Control Branch to develop and implement a <br /> quality assurance system. <br /> 3. Blood samples for HIV serology are submitted to the State Laboratory on properly <br /> completed scannable serology forms. <br /> 4. Patients who receive STD/FP/Maternal/TB services will receive basic.HIV and STD <br /> information, with special emphasis placed on educating pregnant patients about the <br /> prevention of congenital syphilis. Patients whose behaviors place them at increased risk for HIV <br /> infection are advised of HIV counseling and testing options and are offered confidential testing. <br /> Patients who refuse confidential testing will be referred for anonymous testing until this option is <br /> no longer available. Written informed consent is obtained with confidential testing. All clients <br /> who receive testing are encouraged to return for their test results and post-test counseling. <br /> Letters and phone calls will be used for follow-up of patients who do not return for results. <br /> 5. Individual counseling is provided. <br /> 6. The health department will place a strong emphasis on its HIV/STD education and testing <br /> efforts on reaching persons at highest risk for HIV and STD's. <br /> 7.A. Funds will be used solely for HIV counseling.and testing and HIV/STD education. <br /> 7.B. All applicable state and federal cost accounting procedures and principles for the disbursement <br /> and accounting of funds will be followed. <br /> 7.C. State approved educational materials will be used. When new CDC guidelines-are available, <br /> OCHD will incorporate those educational guidelines in selecting educational materials. <br /> Reviewed by <br /> DEHNR 33CC(Revised 2/90) ' <br /> General Services Division(Review 1/95 ' " 'J J Initials Dace <br />