2015-497-E Housing - Saw San Mya for Karen interpretation services

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DocuSign Envelope ID:36A1758E-5364-41`8C-9594-955423313131D4 ORANGE COUNTY HEALTH DEPARTMENT Contracted Interprreters Conditions of Contract Statement Confidentiality As a Contract Interpreter for Orange County Health Department (OCHD), I acknowledge that I may have access to information that is confidential as mandated by state and federal law, HIPAA regulation.and/or Orange County policy I recognize my legal obligation as a Contractor to maintain the confidentiality of information about former and current recipients of OCHD services I understand that release ofinformation determined to be confidential by law to unauthorized persons may result in criminal prosecution I further understand that the failure to maintain legally required confidentiality of information constitutes "misconduct"within the meaning of the Orange County Personnel Ordinance and may lead to disciplinary action, including termination of contract. If a question arises regarding whether a release of information may be public record vs confidential client information, I will seek assistance from an OCHD Clinic Manager Title X Inlormation Requirement OCHD provides services solely on a voluntary basis A client's acceptance of'service is not a prerequisite to eligibility or receipt of a non-Title X service (F amily Planning) As an OCHD Contract Interpreter, you may be subject to prosecution under Federal law if you coerce or endeavor to coerce any person to undergo an abortion or a sterilization procedure As an Interpreter, your responsibility is to convey the message from the provider to the client to the best of your ability, without prejudice or personal bias If'you ar e pr esent when an OCHD employee attempts to coerce a person to undergo an abortion or a sterilization procedure, discontinue interprctirrg, and report this to the Clinic Manager Public Health Activities in Emergency Situations In order to fulfill the responsibilities of the department in emergency situations or in training, and due to our limited number of bilingual staff, you may be asked to work at emergency shelters or other locations designated by the Health Director or- emergency operations You may also be asked to participate in emergency drills and exercises. Asa Contractor, you do have the right to decline any of these special r equests. I certify that I have read and understand the conditions stated above. I have had an opportunity to discuss the conditions and requirements of my contract with a designated agency representative. Contractor Name: saw san Mya Date: 8/26/2015 Contractor Signature: Date: 8/26/2015 _�T 7RjT OCHD Representative: Date: 8/31/2015