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Docusign Envelope ID:A24A576E-CC4E-4A07-BA5B-5968721C4755 <br /> Orange County Health Department(hereinafter referred to as "OCHD") <br /> Additional Terms and Conditions <br /> These are additional terms and condition to the Agreement between Orange County and Provider to the <br /> Countywide Agency Interpreter Agreement. The additional terms and conditions shall supersede any terms <br /> and conditions in the original contract and are hereby incorporated as follows: <br /> Add to Subsection 4.a Basic Services <br /> ii. The Provider and Interpreters will follow the National Code of Ethics and Standards <br /> of Practice outlined by the National Council on Interpreting in Health Care, which <br /> can be found at www.ncihc.org and is hereby incorporated by reference. <br /> iii. The Interpreters are required to sign the OCHD Conditions of Contract Statement <br /> containing the confidentiality, Title X and public health activities in emergency <br /> situations information which is hereby incorporated by reference. <br /> iv. The Provider should generally instruct clients to call the Health Department front desk <br /> staff or the Spanish voicemail line at (919)245-2398 (when language appropriate) to <br /> schedule an appointment or to inquire about services. <br /> V. If interpreting for a video or phone telehealth appointment, all Interpreters shall be <br /> in a private, separate room where others cannot hear or see the conversations between <br /> the Provider and/or Interpreter and client.All interpreters shall a phone number with a <br /> Country Code that is accessible in the United States. <br /> vi. Medical Documentation. Prior to beginning work, the Provider is required to: <br /> • Provide proof of vaccination or immunity to the vaccine preventable diseases <br /> (VPD)defined below as well as current TB evaluation as defined by the current <br /> NC Tuberculosis Manual. <br /> • Vaccine Preventable Diseases (VPD) —the following list includes the VPDs <br /> included in this contract <br /> • Influenza(flu) <br /> • MMR(measles,mumps,and rubella) <br /> • Varicella(chicken pox) <br /> • Pertussis(Tdap) <br /> • Acceptable proof of vaccination to VPDs includes one or more of the following: <br /> • Provider immunization record or medical record signed by the provider. <br /> Record must include the following: <br /> • Provider name,address,and telephone number. <br /> • Patient name and date of birth. <br /> • Vaccine name, dosage, route, signature of person <br /> administering,and date of vaccination. <br /> • NC Immunization Registry(NCIR)with NC Seal; <br /> • Patient name, date of birth, and date of vaccinations must be <br /> included on NCIR record. <br /> • If documentation of only one dose of vaccine, the interpreter must <br /> provide documentation of a second dose within 60 days of the first <br /> day of contract work.) <br /> • Acceptable proof of immunity to the VPDs includes one or more of the <br /> following: <br /> • Proof of immunity must be one of the following: <br /> • Medical records diagnosing the disease, <br />