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N.C. Department of Environment. Health, and Natural Resources Page 1 of 4 <br /> Division of General Services FY 1993-94 <br /> CONTRACT ADDENDUM • <br /> Women's Preventive Health Branch 94-5151-068 <br /> Office, Section, or Branch Contract Number <br /> Orange County Health Department Family Planning • <br /> Contractor Activity • <br /> 1. 265 new patients age 20 and above will be served. <br /> 110 new patients age 19 and under will be served. <br /> 3. 915 total persons age 20 and above will be served. <br /> 4. 370 total persons age 19 and under will be served. <br /> 5. 12 % of low income women (age 20 and over) at or below 150% of federal <br /> poverty level will be served: • <br /> 6. 80 % of the total caseload at or below 150% of the federal poverty level will <br /> be served. <br /> 7. 13 % of sexually active teens (age .19 and under) will be served. <br /> 8. The local health agency has written policies in place for family planning services: <br /> (a) Description of local family planning services, including local <br /> protocols, standing orders and components of Initial, Complete, <br /> Limited and Extended Revisits. <br /> (b) Tracking mechanism for follow-up of abnorulaI tests, <br /> referrals and other indicators. <br /> • <br /> (c) Follow-up of family planning patients with positive pregnancy tests to <br /> assure patient has access to health care provider. (N0'1 E: An <br /> intermediate sensitivity urine pregnancy test which can reliably detect <br /> pregnancy within 14 days of conception should be used.) <br /> (d) Follow-up of missed appointments. <br /> (e) Follow-up and protocol for clients wanting permanent <br /> contraception. <br /> Reviewed by <br /> DEHNR 3300 (Revised 2/93) <br /> General Services Division (Review 1/95) Initials Date <br />