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DocuSign Envelope ID:62E994DC-D78F-4C76-A015-72824302185F <br /> Orange County Health Department <br /> Additional Terms and Conditions <br /> These are additional terms and condition to the Agreement between Orange County and Provider to the <br /> Countywide Agency Interpreter Agreement. The additional terms and conditions shall supersede any <br /> terms and conditions in the original contract and are hereby incorporated as follows: <br /> Add to Subsection B.3.a Basic Services <br /> v. The Provider and Interpreters will follow the National Code of Ethics and <br /> Standards of Practice outlined by the National Council on Interpreting in <br /> Health Care which can be found at www.ncihe.org and is hereby <br /> incorporated by reference. <br /> vi. The Interpreters are 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 incorporated <br /> by reference. <br /> Add to Section B.3.iii 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- <br /> i <br /> 3350 (when language appropriate) to schedule an appointment or to <br /> inquire about services. <br /> Add to Subsection B.3 <br /> c. Medical Documentation. Prior to beginning work,the Provider is required to: <br /> i. Provide proof of immunity to varicella, measles, mumps and rubella. <br /> Proof of immunity must be one of the following: medical records <br /> diagnosing the disease, laboratory records confirming the disease, <br /> laboratory records documenting positive disease titers, or medical <br /> records documenting receipt of 2 doses of each vaccine. (Exception: If <br /> the Provider has documentation of only one dose of vaccine,the Provider <br /> must provide documentation of a second dose within 60 days of the first <br /> day of contract work.) <br /> ii.Provide proof of a TB screening and results to OCHD. The screening <br /> can be one of the following: <br /> 1. Receipt of a TB skin test (TST) if the Provider has no history of <br /> TB infection/disease or of a positive TST (Note: If the Provider <br /> has not had an additional TST within the previous 12 months, a <br /> second TST will be required one week after the first to establish <br /> an accurate 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 TST. <br /> iii.Provide proof of Tdap vaccine. <br /> Revised 06/17 <br /> 11 <br />