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<br />• Laboratory records confirming the disease, <br />• Laboratory records docum enting positive titers, <br />• Proof of TB screening and results to OCHD. This screening can be one of the <br />following: <br />• Evidence of negative 2-step TB skin testing (TST) as defined in the NC <br />TB Control Manual found at <br />http://epi.publichealth.nc.gov/cd/lhds/manuals/tb/toc.html; <br />• Evidence of a positive TST followed by a negative chest film and a <br />negative review of symptoms completed within 30 days; <br />• Evidence of a negative interferon gamma release assay (IGRA); <br />• Evidence of a positive IGRA followed by a negative chest film and a <br />negative review of symptoms completed within 30 days; <br />• If history of TB or positive TST, completion of a TB Screening form <br />by a medical provider found at Record of Tuberculosis Screening <br />(DHHS 3405) (ncdhhs.gov) <br />• Provide proof of vaccination or immunity to other emerging vaccines as <br />required by the Orange County Health Department. <br />• The immunization requirements listed in this subsection are waived for <br />Interpreters working remotely (e.g., telehealth appointments) or interpreting at <br />a public event. All other OCHD interpretation assignments require proof of <br />immunization <br /> <br />Add sentence to end of 6.b.i. <br /> <br />Exception: "Family" Refugee Health Assessment (communi cable disease and/or <br />physical exam) appointments with three (3) or more family members will on ly be <br />reimbursed for a total of two (2) hours in the case of same day cancelled appointments. <br />OCHD will not reimburse the Provider if an appointment is cancelled with more than <br />24-hour notice. <br /> <br />Add subsection to 6.b. For interpretation service only: <br /> <br /> <br />vi. Cancelled Appointments. In the event of a cancelled in-person appointment, the <br />Interpreter is required to stay until relieved of duty by the nurse supervisor or the <br />individual in charge of clinical operation s. OCHD staff may require other <br />interpreter-re lated services in place of the scheduled appointment. As stated above, <br />the Provider may submit an invoice in the event of a cancelled appointment (with <br />less than 24-hour notice). <br /> <br /> <br />Docusign Envelope ID: 0DE7F7A4-AE6C-4BF0-A572-9B8DC9166D2C