2019-447-E Human Rights Relations - Melissa Childers translation services

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DocuSign Envelope ID:29F69F49-AF01-438A-86A0-C2EF1EC6D661 ORANGE COUNTY HEALTH DEPARTMENT FY 20I9-2020 Contracted Interpreters: Conditions of Contract Statement Confidentiality As a Contract Interpreter for Orange County Health Department(OCHD), I acknowledge that I may 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 arises regarding whether a release of information may be public record vs. confidential client information, I will seek assistance from the Immigrant/Refugee Health Program Manager for referral to the OCHD HIPAA Privacy and Security Officer. Title X Information Requirement OCHD 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 OCHD Contract Interpreter, I understand that I may be subject to prosecution under Federal law if I coerce or endeavor to coerce any person to undergo an abortion or a sterilization procedure. I must also follow mandatory reporting requirements of child abuse, child molestation, rape, incest and human trafficking, and will seek assistance from the Clinic Manager and Immigrant/Refugee Health Program Manager if I have questions or concerns. As an Interpreter,my responsibility is to convey the message from the provider to the client to the best of my ability, without prejudice or personal bias, If I am present when an OCHD employee attempts to coerce a person to undergo an abortion or a sterilization procedure, I should discontinue interpreting, and report this to the Clinic Manager and Immigrant/Refugee Health Program 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. I understand that I may be asked to participate in emergency drills and exercises. As a Contractor, I 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: Melissa Childers Date: 7/5/2019 Contractor Signature: 7/5/2019 Date: 7/5/2019 Docu5igned by: OCHD Representative: �� Date: 7/9/2019 2F52C296147F405