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N.C. Department of Environment, Health, and Natural Resources <br />Division of General Services <br />CONTRACT ADDENDUM <br />Children and Youth <br />Office, Secrion, or Branch w <br />Oran a County Health Dept. <br />Contractor <br />Page 2 of ---L <br />— <br />FY 1990-17, <br />91- 5421 -068 <br />Concract Number <br />Child Health <br />Acnviry <br />5. Persons enrolled in the Health Department's Child Health Program will be <br />provided the following services each time they receive a screening <br />assessment as documented in the medical records: <br />(a) An estimated 9 5 % will receive a health history (initial or interim) <br />which consists of at least 4 of the following 6 components: medical; <br />family; developmental /social; interim including review of systems; <br />Immunizations, and present illness detail. <br />(b) An estimated 9 5 % will receive a physical examination which consists <br />of at least 14 of the following 16 components: blood pressure <br />(4 years of age); eyes (Red.,Reflex /Pupils); acuity; eye muscle <br />balance; ears (canals /drums); hearing; mouth; teeth /gums; heart; <br />lungs; abdomen; genitalia; extremities /hips; back /spine; skin, and <br />lymph nodes. <br />(c) An estimated_9 8 % will receive an age appropriate developmental <br />evaluation recommended in the attached SCHEDULE OF HEALTH SERVICES <br />FOR CHILDREN. <br />(d) An estimated 95 % of children will have weight for age, length /height <br />for age and weight for length /height plotted on an age and sex <br />specific growth chart. (Note: It is only appropriate to plot weight <br />for length /height for children less than 11 years of age.) <br />(e) An estimated 97 x will have a dietary recall or food frequency. <br />(f) An estimated19 5)X will receive age - appropriate laboratory services as <br />recommended in the attached SCHEDULE OF HEALTH SERVICES FOR CHILDREN. <br />(g) An estimated 90 x of those children that are high risk as defined on <br />page D-42 of the Child Health Manual will be screened for lead <br />toxicity. <br />(h) An estimated 100 % of those children with suspected /identified <br />problems will be referred or receive consultation from an appropriate <br />source. <br />(i) An estimated 100 x will receive appropriate counseling /anticipatory <br />guidance which consists of at least 3 of the following 7 components: <br />nutrition; dental; safety; emergency care; hygiene; signs and symptoms <br />of illness and behavior /developmental. <br />Reviewed by <br />DEHNR 3300 (Revised 2/90) s <br />General Service Dlvidm (Review 1/95) Initials Date <br />