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N.C. Depax unent of Env~'onment, He~l~, ~nd Natural ReSOurces Division of General Services CONTRACT ADDENDUM Page __ 1993 Immunization Branch Office, Section, orBranch Cabafrus County. Health Department Con~a~or 4524 Con.aa Number Immunization Act/~ e) f) Plans to provide immunizations on demand and without prerequisites. Such prerequisites include, but are not limited to, county residence, a physical exam, well child check, or a note from a physician. Plans to augment your current system to track immunizations and conduct follow-ups to remind patients of scheduled and/or missed vaccinations. Health Departments may elect to hire additional clerks to conduct record assessments and perform selected outreach activities. II. Basic Local Immunization Services: ae To eliminate barriers that delay or prevent delivery of immunizations, local health departments should do the following: 1) 2) 3) 4) 5) Provide on-site immunizations during all hours the health department is open. Provide walk-in immunizations during the health department working hours~ If appointments are used, clients should be able to schedule _ an appointment within one week of request. Immunizations visits should be kept brief. Administration of needed vaccines should not be contingent on enrollment in - a well-baby program unless enrollment is immediately available. Waiting times should be no more than thirty - minutes and ideally fifteen minutes or less. The actual -- immunization should be completed within thirty minutes and ideally should take no more than fifteen minutes. Whenever possible immunizations should be provided as an integral part of other health services, such as well child care and WIC. Referral of patients within the health department should be minimized and, when necessary, 'patients internally referred should be "fast tracked" to avoid waits and rescheduling. DEHNR 3300 (Revised 2/90) Genera] Services Division (Review 1/95) Reviewed by InitiaLs Date