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N.C. Department of Environment, Health, and Natural Resources Page 3 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 Co. Health Department Family Planning <br /> Contractor Activity <br /> (e) Syphilis Serology (required on initial visits, required on <br /> complete visits in the presence of a positive gonorrhea <br /> culture or on other visits as indicated by the clinician). Note: <br /> HIV testing is recommended in the presence of a positive <br /> syphilis serology. • <br /> 11. Immunity Assessment for Rubella & Tetanus-diphtheria will be <br /> documented in the patient's record on all initial and complete visits: <br /> (a) Rubella assessment includes documentation of Rubella <br /> vaccine or laboratory test indicating immunity. Once immune, <br /> no future assessments are needed. If no documentation of <br /> vaccine or immunity, Rubella vaccine is given to non- <br /> pregnant clients (see Medical Guidelines). <br /> (b) Tetanus-diphtheria assessment includes documentation of <br /> Tetanus-diphtheria vaccine. <br /> Assessment on complete visits is not required if '11.) vaccine was <br /> given and documented within the last ten years. If-no <br /> documentation, Td vaccine should be given (See Medical <br /> Guidelines). <br /> 12. Education and Counseling: <br /> (a) Client received information on all contraceptive methods and <br /> their risks and benefits (including natural family planning and <br /> abstinence for teens). See Medical Guidelines. <br /> (b) Client received additional information on contraceptive <br /> method(s) to be used. <br /> (c) Education in HIV infection and AIDS including counseling <br /> on risk assessment, HIV prevention and how to get tested <br /> (on site or referral) was provided. <br /> Reviewed by <br /> DEHNR 3300 (Revised 2/93) C ��3�/�- <br /> General Services Division (Review 1/95) Initials Date <br />