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DocuSign Envelope ID:A70900D0-A55E-4E6C-87AE-D788DF2AC51 C <br /> Health Department(hereinafter referred to as"OCHD") <br /> Additional Ierms and Conditions <br /> These are additional terms and conditions to the Agreement between Orange County and the <br /> (PROVIDER) to the Countywide Interptetet Translator Contract of$15,000 or less.. The additional <br /> terms and conditions shall supersede any terms in the original contract and axe her 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.ox iz and is her incorporated <br /> by reference <br /> vi The Provider is requited 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 TB screening and results to OCHD The screening can <br /> be one of the following: <br /> 1. Receipt of a TB skin test (TST) if the Provider has no history of IB <br /> infection/disease or of a positive IS (Note: If the Provider has not <br /> had an additional I S I within the previous 12 months, a second T S I <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 TB disease or of having a positive I SI <br /> Revised 06115 6 <br />