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DocuSign Envelope ID:27C3F1A4-B27C-4BA8-99ED-AA998848F024 <br /> iv.Provide proof of current influenza(flu)vaccine. <br /> v.Unless otherwise provided, proof of immunization must take the form of <br /> one of the following: Provider's immunization record or medical record <br /> signed by a representative of the Provider's healthcare practice. In either <br /> case both the Provider's name and the date of immunization must be <br /> present. Only vaccines approved by the Centers for Disease Control and <br /> Prevention (www.cdc.gov/flu/protect/vaceine/vaceines.htrn) 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 O6/19 <br /> 12 <br />