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Health Department(hereinafter referred to as"OCHD") <br /> Additional Terms and Conditions <br /> These are additional terms and conditions to the Agreement between Orange County and the <br /> (PROVIDER)to the Countywide Interpreter Translator Contract of$15,000 or less. The additional <br /> terms and conditions shall supersede any terms in the original contract and are hereby incorporated <br /> as follows: <br /> Add to Section 2.b. <br /> vi. The Provider is required to sign the OCHD Conditions of Contract <br /> Statement containing the confidentiality, Title X and public health <br /> activities in emergency situations information which is hereby <br /> incorporated by reference. <br /> Add to Section 2.d.i.3 the following sentence: <br /> The Provider should generally instruct clients to call the Health <br /> Department front desk staff or the Spanish voicemail line at 644-3350 <br /> (when language appropriate) to schedule an appointment or to inquire <br /> about services. <br /> Add Section 2.e. <br /> e. Medical Documentation. <br /> i. The Provider is required to provide proof of immunity to varicella, measles, <br /> mumps and rubella prior to inception of contract work. Proof of immunity <br /> must be one of the following: medical records diagnosing the disease, <br /> laboratory records confirming the disease, laboratory records documenting <br /> positive disease titers, or medical records documenting receipt of 2 doses of <br /> each vaccine. (Exception: If the Provider has documentation of only one <br /> dose of vaccine, the Provider must provide documentation of a second dose <br /> within 60 days of the first day of contract work.) The Provider is <br /> responsible for covering all costs associated with acquiring any necessary <br /> titers, medical diagnosis or laboratory confirmation of disease or <br /> vaccinations. <br /> ii.The Provider is required to get a TB screening and provide those results to <br /> OCHD prior to beginning contract work. The Provider is responsible for the <br /> costs associated with acquiring such screening. The screening can be one of <br /> the following: <br /> 1. Receipt of a TB skin test (TST) if the Provider has no history of TB <br /> infection/disease or of a positive TST(Note: If the Provider has not <br /> had an additional TST within the previous 12 months, a second TST <br /> will be required one week after the first to establish an accurate <br /> baseline.) <br /> Revised November 2013 6 <br />