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DocuSign Envelope ID:2131C227-EE7F-46A7-A603-446386DA3B96 <br /> ORANGE COUNTY HEALTH DEPARTMENT <br /> Contracted Interpreters <br /> Conditions of Contr act Statement <br /> Confidentiality <br /> As a Contract Interpreter foi Orange County Health Department (OCHD), I acknowledge that I may have <br /> access to information that is confidential as mandated by state and federal law, HIPAA regulation and/or <br /> Orange County policy I recognize my legal obligation as a Contractor to maintain the confidentiality of <br /> information about former and current recipients of OCHD services <br /> I understand that release of'infoimation determined to be confidential by law to unauthorized persons may <br /> result in criminal prosecution I farther understand that the failure to maintain legally required confidentiality <br /> of information constitutes "misconduct"within the meaning of the Orange County Personnel Ordinance and <br /> may lead to disciplinary action, including termination of contract.. <br /> If a question arises regarding whether a release of information may be public record vs confidential client <br /> information,I will seek assistance from an OCHD Clinic Manager <br /> Title X Information Requhement <br /> OCHD provides services solely on a voluntary basis. A client's acceptance of'seivice is not apt ei equi site to <br /> eligibility or receipt of a non-Title X service(F airily Planning). <br /> As an OCHD Contract Interpreter, you may be subject to prosecution under Federal law if'you coerce or <br /> endeavor to coerce any person to undergo an abortion or a sterilization procedure <br /> As an Interpreter, your responsibility is to convey the message from the provider to the client to the best of <br /> your ability,without prejudice of personal bias If you are present when an OCHD employee attempts to <br /> coerce a person to undergo an abortion or a sterilization procedure, discontinue interpreting, and report this to <br /> the Clinic Manager <br /> Public Health Activities in Emergency Situations <br /> In order to falfill the responsibilities of the department in emergency situations or in training, and due to our <br /> limited number of'bilingual staff, you may be asked to work at emergency shelters or other locations <br /> designated by the Health Director or emergency operations You may also be asked to participate in <br /> emergency drills and exercises. Asa Contractor, you do have the right to decline any of these special <br /> requests <br /> I certify that I have read and understand the conditions stated above I have had an opportunity to discuss the <br /> conditions and requirements of my contract with a designated agency representative. <br /> Contractor Name: Luca Centeno Date: 8/21/2015 <br /> Docuji ned b <br /> Contractor Signature: tu6x Date: 8/21/2015 <br /> OCHD Re iesentative: 8/23/2015 <br /> p � Date: <br /> 11,21,114'.1-- <br />