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DocuSign Envelope ID:218BDE7F-0473-4740-91 FB-B8ACB26A75F7 <br /> Orange County Health Department(hereinafter referred to as "OCHD") <br /> Additional Terms and Conditions <br /> These are additional terms and conditions to the Ageement between Orange County and the <br /> (PROVIDER)to the Countywide Interpreter Translator Contract of$15,000 oz 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 /> v. the Provider will follow the National Code of Ethics and Standards of <br /> Practice outlined by the National Council on Interpreting in Health <br /> Care which can be found at www.ncihc.m4 and is hereby incorporated <br /> by reference. <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 Prior to beginning work,the Provider is required to: <br /> i Provide proof of immunity to varicella, measles, mumps and rubella. Proof <br /> of immunity must be one of the following: medical records diagnosing the <br /> disease, laboratory records confirming the disease, laboratory records <br /> documenting positive disease titers, or medical records documenting receipt <br /> of 2 doses of each vaccine (Exception: If the Provider has documentation <br /> of only one dose of vaccine, the Provider must provide documentation of a <br /> second dose within 60 days of the first day of contract work.) <br /> ii Provide proof of a IB screening and results to OCHD the screening can <br /> be one of the following: <br /> 1 Receipt of a IB skin test (IS I) if the Provider has no history of TB <br /> infection/disease or of a positive TSI (Note: If the Provider has not <br /> had an additional TST within the previous 12 months, a second IST <br /> will be required one week after the first to establish an accurate <br /> baseline) <br /> 2 Completion of a TB Screening Form by a medical provider if the <br /> Provider has a history of I disease or of having a positive I S T <br /> 6 <br /> Revised 06/15 <br />