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DocuSign Envelope ID:2131C227-EE7F-46A7-A603-446386DA3B96 <br /> iii Provide proof of Tdap vaccine <br /> iv. Provide proof'of current influenza (flu) vaccine. <br /> v Unless otherwise provided, proof of immunization must take the <br /> form of one of the following: Provider's irnmunization record or <br /> medical record signed by a representative of the Provider's healthcare <br /> practice, In either- case both the Provider's name and the date of <br /> Immunization must be present. Only vaccines approved by the <br /> Centers far Disease Control and Prevention <br /> (www cdc gov/flu/pr-otect/vaccine/vaccines htm) will be accepted <br /> The provider is responsible for the costs associated with acquiring the <br /> vaccination„ <br /> Replace Section 3 with the following paragraph: <br /> 3. County's Responsibilities. County will compensate Provider as provided in subsection 4 <br /> for inteipretation and translation services at the rate prescribed Per hour reimbursement <br /> will begin at the time the Provider meets with County staff for the appointment and ends <br /> at the time the staff and interpreter contact is completed There will be a minimum of <br /> one (1)hour of service for an appointment OCHD will reimburse the Provider for one <br /> (1)hour ofinterpretation service in the event of a same day cancelled appointment. That <br /> includes appointments for clients who do not show up for an appointment, and for those <br /> who cancel an appointment with less than 24 hour notice Exception: "Family"Refugee <br /> Health Assessment (communicable disease and/or physical exam) appointments with 3 <br /> or move family members will only be reimbursed for a total of two (2)hours in the case <br /> of same day cancelled appointments OCHD will not reimburse the Provider if an <br /> appointment is cancelled with more than 24 hour notice. <br /> Replace Section 4.b.iii the following paragraph: <br /> iii. In the event of a cancelled appointment,the Provider is required to stay until <br /> relieved of duty by the nurse supervisor or the individual in charge of <br /> clinical operations. OCHD staff may require other interpreter-related <br /> services in place of the scheduled appointment. As stated above, the <br /> Provider may submit an invoice in the event of a broken appointment (with <br /> less than 2.4 hoax notice) <br /> 7 <br /> Revised 06115 <br />