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N.C. Department of Environment, Health and Natural Resources Paged of S <br /> Division of General Services FY 1994-95 <br /> CONTRACT ADDENDUM <br /> Women's Preventive Health Branch 95 51510 068 <br /> Office, Section, or Branch Contract Number <br /> Orange Family Planning <br /> Contractor Activity <br /> 10. Education and Counseling: <br /> (a) Client received information on all contraceptive methods and their <br /> risks and benefits (including natural family planning and abstinence <br /> for teens). See Medical Guidelines. <br /> (b) Client received additional information specific to the contraceptive <br /> method(s) to be used. <br /> (c) Education in HIV infection and AIDS including counseling on risk <br /> assessment, HIV prevention and how to get tested (on site or <br /> referral) was provided. <br /> (d) Breast self examination was taught or education reviewed. <br /> (e) Minors under 18 years of age were counseled about the importance <br /> of discussing birth control needs with parent(s) and minor signs <br /> form. <br /> (f) Required education offered outside the family planning clinic is <br /> documented and updated as appropriate according to the needs of the <br /> individual family planning patient. <br /> (g) Information about emergency and after-hour services was provided. <br /> 11. Method specific consent form was reviewed with client, dated, signed by <br /> client, and copy given to client. <br /> (a) A new consent form is signed with any change in method. <br /> (b) Any individual risk to contraceptive method was identified on the <br /> method specific consent form. <br /> Reviewed by <br /> DEHNR 3300 (Revised 2194) �,- <br /> GeneraI Services Division (Review 1195) Initials Date <br />