CONTRACTOR RESPONSIBILITIES Contractor will: Perform complete blood count test or hepatic function panel tests for patients referred by System. Notify System Agency by phone within 24 hours of any critical lab values which may require urgent therapeutic action. Critical lab values are defined as any test result that may require rapid clinical attention to avert significant patient morbidity or mortality. Maintain throughout the term of the Contract Clinical Laboratory Improvement Amendments (CLIA) or College of American Pathologists (CAP) certification or accreditation, as applicable. Ensure that all its employees, volunteers, and subcontractors providing services under this Contract obtain and maintain in active status all licenses, certifications, permits, registrations and approvals required to perform their duties under this Contract. Contractor will prohibit any person who does not hold a current, active required license, certification, permit, registration or approval from performing services under this Contract. Contractor will notify System Agency within five (5) calendar days of any revocation of licenses, certifications, permits or registrations. (N.) HIV/STD PURPOSE Contractor will provide Sexually Transmitted Disease (STD) testing, diagnosis and/or treatment services to clients referred by System Agency Health Service Region ## (HSR-#). CONTRACTOR RESPONSIBILITIES Contractor will: Provide medical management in accordance with the Centers for Disease Control and Prevention (CDC) Sexually Transmitted Disease Treatment Guidelines 2010 () and all current CDC treatment guidelines for System Agency-referred clients and their sexual contacts/partners. Will provide services, testing and treatment to 100% of HSR # referrals. Provide STD testing, diagnosis and/or treatment at: (insert location) , by referral and appointment arranged on behalf of the identified client or their sexual partners/contacts by HSR (Insert #) headquartered at (Insert address) (Insert Phone Number). Use supplies provided by HSR# for purposes of testing and treatment provided under this Contract.
CONTRACTOR RESPONSIBILITIES Contractor will: Perform complete blood count test or hepatic function panel tests for patients referred by System. Notify System Agency by phone within 24 hours of any critical lab values which may require urgent therapeutic action. Critical lab values are defined as any test result that may require rapid clinical attention to avert significant patient morbidity or mortality. Maintain throughout the term of the Contract Clinical Laboratory Improvement Amendments (CLIA) or College of American Pathologists (CAP) certification or accreditation, as applicable. Ensure that all its employees, volunteers, and subcontractors providing services under this Contract obtain and maintain in active status all licenses, certifications, permits, registrations and approvals required to perform their duties under this Contract. Contractor will prohibit any person who does not hold a current, active required license, certification, permit, registration or approval from performing services under this Contract. Contractor will notify System Agency within five (5) calendar days of any revocation of licenses, certifications, permits or registrations. (N.) HIV/STD PURPOSE Contractor will provide Sexually Transmitted Disease (STD) testing, diagnosis and/or treatment services to clients referred by System Agency Health Service Region ## (HSR-#). CONTRACTOR RESPONSIBILITIES Contractor will: Provide medical management in accordance with the Centers for Disease Control and Prevention (CDC) Sexually Transmitted Disease Treatment Guidelines 2010 () and all current CDC treatment guidelines for System Agency-referred clients and their sexual contacts/partners. Will provide services, testing and treatment to 100% of HSR # referrals. Provide STD testing, diagnosis and/or treatment at: (insert location) , by referral and appointment arranged on behalf of the identified client or their sexual partners/contacts by HSR (Insert #) headquartered at (Insert address) (Insert Phone Number). Use supplies provided by HSR# for purposes of testing and treatment provided under this Contract.
pkg-6-form-e-service-selection-form.docx