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Docusign Envelope ID:A24A576E-CC4E-4A07-BA5B-5968721C4755 <br /> ORANGE COUNTY HEALTH DEPARTMENT <br /> FY 2025-2026 <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, HIPAA 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 Compliance Manager/Language Services Supervisor who also <br /> serves as the OCHD HIPAA Privacy and Security Officer. <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 I <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 Compliance Manager/Language Services <br /> Supervisor 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 Compliance Manager/Language Services Supervisor. <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 our <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 /> Contractor Name: Christopher Pesce Date: 6/25/2025 <br /> Z <br /> /�'oc_u igne y: <br /> Contractor Signature: Sfb (Ur Pt.SU_ Date: 6/25/2025 <br /> ®� ZjOU 401... <br /> OCHD Representative: 5fcWof Date: 6/27/2025 <br /> 3C16F2D09E3445F... <br />