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DocuSign Envelope ID: 70B14FB4 -AE32- 4116- 89EE- 5DA48DF2569C <br />iv. Provide proof of current influenza (flu) vaccine. <br />v. Unless otherwise provided, proof of immunization must take the form <br />of one of the following. Provider's immunization record or medical <br />record signed by a representative of the Provider's healthcare practice. In <br />either case both the Provider's name and the date of immunization must <br />be present. Only vaccines approved by the Centers for Disease Control <br />and Prevention (www.edc.gov/ flu /protect/vaceine /vaceines.htm) will be <br />accepted. The provider is responsible for the costs associated with <br />acquiring the vaccination. <br />Add sentence to end of 5.2.ii. <br />Exception: "Family" Refugee Health Assessment (communicable disease and/or <br />physical exam) appointments with 3 or more family members will only be <br />reimbursed for a total of two (2) hours in the case of same day cancelled <br />appointments. OCHD will not reimburse the Provider if an appointment is <br />cancelled with more than 24 hour notice. <br />Replace 5.b.iii with the following <br />Cancelled Appointments. In the event of a cancelled appointment, the Interpreter is <br />required to stay until relieved of duty by the nurse supervisor or the individual in. <br />charge of clinical operations. OCHD staff may require other interpreter - related <br />services in place of the scheduled appointment. As stated above, the Provider may <br />submit an invoice in the event of a cancelled appointment (with less than 24 hour <br />notice). <br />Revised 46{1.8 <br />13 <br />