2016-736-E Human Rights Relations - Lissette Saca Spanish interpreter

Browse Search

DocuSign Envelope ID:5FF56C04-3BB8-4567-932F-25B632A40E72 ORANGE COUNTY HEALTH DEPARTMENT Contracted Interpreters Conditions of Contract Statement Confidentiality As a Contract Interpreter for Orange County Health Department(QCHD), I acknowledge that I inay have access to information that is confidential as mandated by state and federal law, HIPAA regulation and/or Orange County policy. I recognize my legal obligation as a Contractor to maintain the confidentiality of information about former and current recipients of OCHD services. I understand that release of information determined to be confidential by law to unauthorized persons may result in criminal prosecution. I further understand that the failure to maintain legally required confidentiality of information constitutes"misconduct"within the meaning of the Orange County Personnel Ordinance and may lead to disciplinary action, including termination of contract. If a question anises regarding whether a release of information may be public record vs. confidential client information, I will seek assistance from an QCHD Clinic Manager. Title X Information Requirement QCHD provides services solely on a voluntary basis. A client's acceptance of service is not a prerequisite to eligibility or receipt of a non-Title X service(Family Planning). As an QCHD Contract Interpreter, you may be subject to prosecution under Federal law if you coerce or endeavor to coerce any person to undergo an abortion or a sterilization procedure. As an Interpreter, your responsibility is to convey the message from the provider to the client to the best of your ability, without prejudice or personal bias. If you are present when an QCHD employee attempts to coerce a person to undergo an abortion or a sterilization procedure, discontinue interpreting, and report this to the Clinic Manager. Public Health Activities in Emergency Situations In order to fulfill the responsibilities of the department in emergency situations or in training, and due to our limited number of bilingual staff, you may be asked to work at emergency shelters or other locations designated by the Health Director or emergency operations. You may also be asked to participate in emergency drills and exercises. As a Contractor, you do have the right to decline any of these special requests. I certify that I have read and understand the conditions stated above. I have had an opportunity to discuss the conditions and requirements of my contract with a designated agency representative. Contractor Name: .Li ssette Saca 1 DacuSigned by: Date: ,fir usstk S� 7/20/2016 'C ontractor Signature. DocuSigned�dy: Date, E��-�Ca ww7/20/2016 QCHD Representative. 2F52C296147F405 __ Date.