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DocuSign Envelope ID: B8F1B8CC-996A-4A3C-9F85-D3D0499CC2D7 <br /> Orange County Health Department (hereinafter referred to as "OCHD") <br /> Additional Terms and Conditions <br /> These are additional terms and conditions to the Agreement between Orange County and the <br /> (PROVIDER)to the Countywide Interpreter Translator Contract. The additional terms and <br /> conditions shall supersede any terms in the original contract and are hereby incorporated as follows: <br /> Add to Section 2. b. <br /> V. The Provider will follow the National Code of Ethics and Standards of <br /> Practice outlined by the National Council on Interpreting in Health <br /> Care which can be found at www.ncihc.org and is hereby incorporated <br /> by reference. <br /> vi. The Provider is required to sign the OCHD Conditions of Contract <br /> Statement containing the confidentiality, Title X and public health <br /> activities in emergency situations information which is hereby <br /> incorporated by reference. <br /> Add to Section 2.d.i.3 the following sentence: <br /> The Provider should generally instruct clients to call the Health <br /> Department front desk staff or the Spanish voicemail line at 644-3350 <br /> (when language appropriate) to schedule an appointment or to inquire <br /> about services. <br /> Add Section 2,e, <br /> e. Medical Documentation. Prior to beginning work,the Provider is required to: <br /> i. Provide proof of immunity to varicella, measles, mumps and rubella, Proof <br /> of immunity must be one of the following: medical records diagnosing the <br /> disease, laboratory records confirming the disease, laboratory records <br /> documenting positive disease titers, or medical records documenting receipt <br /> of 2 doses of each vaccine. (Exception: If the Provider has documentation <br /> of only one dose of vaccine, the Provider must provide documentation of a <br /> second dose within 60 days of the first day of contract work.) - <br /> ii.Provide proof of a TB screening and results to OCHD. The screening can <br /> be one of the following: <br /> 1. Receipt of a TB skin test(TST) if the Provider has no history of TB <br /> infection/disease or of a positive TST(Note: If the Provider has not <br /> had an additional TST within the previous 12 months, a second TST <br /> will be required one week after the first to establish an accurate <br /> baseline.) <br /> 2. Completion of a TB Screening Form by a medical provider if the <br /> Provider has a history of TB disease or of having a positive TST. <br /> 5 <br /> Revised 06119 <br />