Orange County NC Website
DocuSign Envelope ID:88E4269D-F3C3-446D-8882-E8681643C2C4 <br /> ORANGE COUNTY HEALTH DEPARTMENT <br /> FY 2019-2020 <br /> Contracted Interpreters: Conditions of Contract Statement <br /> Confidentiality <br /> As a Contract Interpreter for Orange County Health Department(OCHD),I acknowledge that I may have <br /> access to information that is confidential as mandated by state and federal law, HTPAA regulation and/or <br /> Orange County policy. I recognize my legal obligation as a Contractor to maintain the confidentiality of <br /> information about former and current recipients of OCHD services. <br /> I understand that release of information determined to be confidential by law to unauthorized persons may <br /> result in criminal prosecution. I further understand that the failure to maintain legally required confidentiality <br /> of information constitutes"misconduct"within the meaning of the Orange County Personnel Ordinance and <br /> may lead to disciplinary action, including termination of contract. <br /> If a question arises regarding whether a release of information may be public record vs. confidential client <br /> information, I will seek assistance from the In migrant/Refugee Health Program Manager for referral to the <br /> OCHD HIPAA Privacy and Security Officex. <br /> Title X Information Requirement <br /> OCHD provides services solely on a voluntary basis. A client's acceptance of service is not a prerequisite to <br /> eligibility or receipt of a non-Title X service (Family Planning). <br /> As an OCHD Contract Interpreter, I understand that I may be subject to prosecution under Federal law if 1 <br /> coerce or endeavor to coerce any person to undergo an abortion or a sterilization procedure. I must also <br /> follow mandatory reporting requirements of child abuse, child molestation,rape,incest and human <br /> trafficking, and will seek assistance from the Clinic Manager and Immigrant/Refugee Health Program <br /> Manager if I have questions or concerns. <br /> As an Interpreter,my responsibility is to convey the message from the provider to the client to the best of my <br /> ability,without prejudice or personal bias. If I am present when an OCHD employee attempts to coerce a <br /> person to undergo an abortion or a sterilization procedure, I should discontinue interpreting, and report this to <br /> the Clinic Manager and Immigrant/Refugee Health Program Manager. <br /> Public Health Activities in Emergency Situations <br /> In order to fulfill the responsibilities of the department in emergency situations or in training, and due to o u:- <br /> limited number of bilingual staff, you may be asked to work at emergency shelters or other locations <br /> designated by the Health Director or emergency operations. I understand that I may be asked to participate in <br /> emergency drills and exercises. As a Contractor, I do have the right to decline any of these special requests. <br /> I certify that I have read and understand the conditions stated above. I have had an opportunity to discuss the <br /> conditions and requirements of my contract with a designated agency representative. <br /> Friday LUiU 7/19/2019 <br /> Contractor Name: Date: <br /> GocuSigned by: <br /> Contractor Signature:` �d by __ __ Date: 7/19/2019 <br /> AC850 DocuSigned by: Gr <br /> OCHD Representative: 3 �� (YaW � _ Date: 7/24/2019 — <br /> 2F52C29H147F4Q5. <br />