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N.C. Department of Environment, Health and Natural Resources Page 2 of 5 <br /> Division of General Services FY 1995-96 <br /> CONTRACT ADDENDUM <br /> Women's Preventive Health Branch 96 51510 068 <br /> Office, Section, or Branch Contract Number <br /> Orange Family Planning <br /> Contractor Activity <br /> b. Tracking mechanism for follow-up of abnormal clinical and laboratory <br /> findings. <br /> c. Follow-up of family planning patients with positive pregnancy tests to assure patient <br /> has access to health care provider. <br /> d. Follow-up of missed appointments. <br /> e. Follow-up and protocol for clients wanting permanent contraception. <br /> f. Offering HIV-STD and Hepatitis B prevention method (condoms and <br /> spermicide) to clients who have high-risk behaviors (use high-risk behaviors <br /> for HIV as defined by HIV/STD Prevention Program). <br /> g. Identification of high risk contraceptors. <br /> h. Counseling family planning postpartum clients to delay pregnancy for at least <br /> 12 months after delivery. <br /> 6. Persons enrolled in the local agency's family planning program will be <br /> provided the following services as documented in their medical records: <br /> a. All patients will receive an initial or updated history which includes: medical; <br /> social; family; surgical, menstrual, douching, genetics, contraception, <br /> drugs/medication, obstetrical and immunization (Td, Rubella) on initial or <br /> complete visits. <br /> b. All patients will receive a physical examination on initial or complete visits <br /> which includes: weight, height (if growth not complete), blood pressure, <br /> breasts, heart, lungs, abdomen, extremities, complete pelvic examination and <br /> rectal examination, if indicated. <br /> c. Limited revisits include reason for visit, method specific history, weight, blood <br /> pressure and education and counseling if indicated. <br /> i <br /> jReviewed-by <br /> DEHNR 3300 (Revised 2!95) 0) —.S 7—/ 5 S <br /> General Services Division (Review 9!95) Initials Date <br />