HomeMy WebLinkAbout2025-422-E-Health Dept-Services Agreement UNC Family Medicine-Services Agreement UNC Family Medicine1
UNC SOM #18-1751.t032
NORTH CAROLINA FY 25-26
ORANGE COUNTY
SERVICES AGREEMENT UNC FAMILY MEDICINE
July, 2025, by and between Orange County, North Carolina a body politic and
corporate of the State of North Carolina (hereinafter, the "County") on behalf of the Orange County
Carolina at Chapel Hill
(hereinafter, the "Provider") on behalf of its Department of Family Medicine in the School of
Medicine, (hereinafter, the "Department").
WITNESSETH:
That the County and Provider, for the consideration herein named, do hereby agree as follows:
1. General Services
a. Scope of Work.
i) This Agreement is for services to be rendered by Provider to the County for Medical
Director Services and Clinical Services identified in Section 3, below.
ii) This Agreement also includes clinical supervision for licensed clinical social
workers.
iii) By executing this Agreement, the Provider represents and agrees that Provider is
qualified to perform and fully capable of performing and providing the services
required or necessary under this Agreement in a fully competent, professional and
timely manner.
2. Responsibilities of the Provider
a. Services to be Provided. The Provider shall provide the County with medical director
services and clinical services as set forth
limitations set forth herein and in accordance with the highest professional standards.
b. Standard of Care.
i) The Provider shall exercise reasonable care and diligence in performing the
Services under this Agreement in accordance with the highest generally accepted
standards of this type of Provider practice throughout North Carolina and in
accordance with applicable federal, state and local laws and regulations applicable
to the performance of the Services. Provider is solely responsible for the
professional quality, accuracy and timely completion and/or submission of all work
related to the Services.
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
2
UNC SOM #18-1751.t032
ii) Provider shall be responsible for its acts and omissions, in the performance of the
Agreement.
iii) The Provider shall not, except as otherwise provided for in this Agreement,
subcontract the performance of any work under this Agreement without prior
written permission of the County. No permission for subcontracting shall create,
between the County and the subcontractor, any contract or any other relationship.
iv) Provider is an independent contractor of County. Any and all employees of the
Provider engaged by the Provider in the performance of any work or the Services
required of the Provider under this Agreement, shall be considered employees or
agents of the Provider only and not of the County, and any and all claims that may
or might arise under any workers compensation or other law or contract on behalf
of said employees while so engaged shall be the sole obligation and responsibility
of the Provider in accordance with applicable law.
v) Provider agrees that Provider, its employees, agents and its subcontractors, if any,
shall be required to comply with all federal, state and local antidiscrimination laws,
regulations and policies that relate to the performance of the Services under this
Agreement.
vi) If activities related to the performance of this Agreement require specific licenses,
certifications, or related credentials Provider represents that it and/or its employees,
agents and subcontractors engaged in such activities possess such licenses,
certifications, or credentials and that such licenses certifications, or credentials are
current, active, and not in a state of suspension or revocation. Provider agrees that
all employees, agents and subcontractors will provide the necessary information to
be credentialed with OCHD.
3. Services
a. Services. The Services to be rendered pursuant to this Agreement will consist of the
following medical director services and clinical services:
i) Medical Director Services. The Provider will designate a physician, as set forth in
this Agreement and Exhibit A, to serve as Medical Director
who will provide the following services in accordance with appropriate medical
standards, accepted methods and procedures:
1) Provide consultation, medical expertise, and technical assistance to the
OCHD Health Director and OCHD Personal Health Services Director to
inical programs and services.
2) Subject to applicable policies of Provider, represent the OCHD, as deemed
appropriate by the Health Director, with community relations, including but
not limited to, print media, TV and radio. Serve as the OCHD liaison to the
medical community at-large, including hospitals and physician practices
regarding public health issues.
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
3
UNC SOM #18-1751.t032
3) Provide medical oversight and supervision to the Advanced Practice
Practitioners (three point five (3.5) full time equivalent (FTE)) employed by
OCHD as required by the NC Board of Medical Examiners. To the maximum
practicable extent, OCHD shall include the Medical Director in the hiring
process of APPs, including an opportunity to interview and provide input on
all candidates. As the hiring authority for the Health Department, the Health
Director shall consult the Medical Director prior to any final hiring decisions.
Should the Medical schedule not permit participation and/or
consultation, the Health Director shall consult with the Chair of Family
Medicine. The parties acknowledge that the final hiring decisions of APPs are
the sole prerogative of the County.
4) Develop medical policies and protocols, in consultation with the Personal
Health Services Director, which conform to standards set by the North
Carolina Department of Health and Human Services (DHHS), and the U.S.
Department of Health and Human Services.
5) Sign protocols and standing orders that will allow professionals working with
OCHD to utilize the optimum range of procedures/medical treatment legally
allowed by their Licensure Boards.
6) Provide 24/7 on-call consultation services for OCHD Communicable Disease
Programs.
7) Attend OCHD Leadership Team or Board of Health meetings as requested by
the Health Director.
8) Provide medical direction to the Communicable Disease Program via
meetings, TB Management and Outbreak Management.
9) Provide medical direction to school health programs in both school systems
in Orange County and medical consultation to both school and OCHD staff
working in or with school health programs.
10) Attend and complete required trainings to include but not limited to, the NC
Department of Public Health (DPH) Annual Tuberculosis Symposium, Title
X Training, NC DPH Annual STD Update, etc.
11) Other miscellaneous duties as provided for in the Agreement.
12) Discharge the above-described responsibilities through and with prior
knowledge of OCHD Health Director.
ii) Clinical Services. Provider shall make available physicians and other professionals
as set forth in Exhibit A to provide clinical services at OCHD in compliance with
State and Federal guidelines, program rules and all OCHD clinical practice
guidelines and standards for all Outpatient Clinics conducted by OCHD, including
without limitation the following OCHD Outpatient Clinics: Family Planning (FP),
Prenatal Care (PNC), Child Health (CH), Adolescent Health (ADOL), Tuberculosis
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
4
UNC SOM #18-1751.t032
(TB), Sexually Transmitted Disease (STD), General Communicable Disease
Control (GEN), Adult Health Preventive Services (AH/HP), Primary Care (PC),
and Refugee Health (RH). The clinical services provided by the Provider shall
include the following:
1) Collaboration with OCHD to ensure high quality standards of care for
Outpatient Clinics through routine review of program manuals. For the
mutual benefit of the Provider, OCHD, and its prenatal patients, prenatal
patients will be managed according to OCHD established protocols. These
protocols will be reviewed annually and will be developed in a manner that
attempts to be consistent with protocols used at UNC Department of OB/GYN
and Family Medicine outlying clinics.
2) Primary medical supervision of the Advanced Practice Practitioners (APPs)
who are employees of OCHD to include ongoing monitoring and evaluation
of the medical acts performed by the APPs. Meeting with APPs at least once
every six (6) months to identify and document clinical problems, progress
toward improving outcomes and recommendations for changes in treatment
plans. Documentation of clinical issues discussed, and actions taken will be
signed, dated, retained by the APP and physician and be available for review.
3) During the first six (6) months of practice, meet with new APPs monthly to
discuss practice-relevant clinical issues and quality improvement measures.
Documentation of clinical issues discussed, and actions taken will be signed,
dated, and retained by the APP and physician and be available for review.
4) Weekly case conference meetings with clinical staff at each site according to
an agreed upon schedule to discuss high-risk patient care, treatment changes,
and clinical operation issues.
5)
working in clinics. This includes orientation, supervision of practice and
assurance of compliance with OCHD program and documentation
requirements. Advance notice of medical resident and student placement will
be made to the Personal Health Director. Medical students are limited to those
involved in special projects with the Medical Director. All medical residents
and students must be in compliance with OCHD immunization requirements
and maintain documentation of such on file at UNC.
6) Provision of routine medical services during scheduled on-site times at
OCHD Outpatient Clinics, including documentation of clinical services,
follow-up on all labs, patient calls and medication refills for all clinical
services provided per established OCHD protocols.
7) Medical consultation to OCHD APPs as needed when the Medical Director is
not on-site at OCHD outpatient clinics.
8) Continuing education consultation for OCHD APPs and other OCHD staff to
include regular informal consultation and periodic formal sessions as
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
5
UNC SOM #18-1751.t032
appropriate.
9) After-
HealthLink program provides initial triage of after-hours calls for all patients
with the exception of Prenatal Patients. The Medical Director will provide
consultation and supervision to OCHD clinicians ( four (4) APPs) that provide
after-hours medical consultation (on a rotating basis) for OCHD clients referred
by HealthLink. The Medical Director shall also provide after-hours medical
consultation for HealthLink referred OCHD clients on a rotating basis such
that each of the five (5) clinicians shall provide such after-hours medical
consultation one (1) week, every four to five (4-5) weeks.
10) Discharge the above-described responsibilities through and with the prior
knowledge of OCHD Health Director.
iii) Designation of a Medical Director. The Provider shall provide, at a minimum, the
equivalent of point eight (.80) FTE personnel to carry out the Services described in
this Agreement.
1) -up
The Medical Director shall be board certified in
Family Medicine or an equivalent certification. The Medical Director will
report activities and services performed for OCHD as requested by OCHD
Health Director.
2) The Chair of the Department shall, concurrent with the execution of this
Agreement, designate the name of the Medical Director, and the names of up
to five Department physicians on Exhibit A, Designation of Medical Director,
attached hereto and incorporated herein by reference, who will rotate as back-
u
3) The Department and OCHD shall indicate their mutual agreement to the
designation of the Medical Director and designated back-up Department
physicians available to be scheduled in the absence of the Medical Director
by signing Exhibit A. Any changes in these designations will be mutually
agreed to by the Chair of the Department and OCHD Health Director. In the
event that the Medical Director or any designated back-up Department
physician becomes unwilling or unable to perform the duties required by this
Agreement, the Department and OCHD shall attempt to mutually agree upon
replacement physician(s). If such mutual agreement is not achieved, then this
Agreement shall terminate and any payment due as of the date of termination
shall be paid as provided below in this Agreement.
4) Coverage. The Medical Director or designated back-up Department physician
shall provide a total of sixteen (16) hours per week of the foregoing clinical
services on-site at OCHD Outpatient Clinics or other sites as provided
therefor and as agreed by the parties. Days and times and the identity of the
person or persons scheduled to be on-site to provide this coverage on behalf
of the Provider will be mutually agreed to by the Department and OCHD.
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
6
UNC SOM #18-1751.t032
Although the Provider is not required to provide the attendance of a Medical
Director or back-up Department physician on the premises of OCHD
outpatient facilities or other sites provided therefor at other times, the Medical
Director shall be reasonably available during other days and times as stipulated
in this Agreement.
5) Back-Up Coverage. Substitute coverage by a back-up Department physician
is expected during vacations and other anticipated absences of the Medical
Director or back-up Department physician originally scheduled to be
available. The Medical Director or designated back-up Department physician
shall be responsible for notifying OCHD of schedule changes. If attendance
as scheduled of the Medical Director or designated back-up Department
physician is impossible due to unremediable circumstances, phone coverage
of a designated back-up Department physician must be provided. In addition
to the foregoing described days and hours, at the request of OCHD Health
Director and as agreed to by the Provider, the Medical Director or designated
back-up Department physician will provide on-site medical supervision at
OCHD Outpatient Clinics or other sites as necessary during communicable
disease incidents or other public health-related emergencies.
6) Substitutions in the scheduling of the Medical Director or designated back-up
Department physician will be the responsibility of the Department in
consultation with OCHD Health Director. Vacation leave, continuing
education, and other assignments requiring temporary back-up coverage will
be mutually agreed upon by the Chair of the Department and OCHD Health
Director.
iv) The Provider will assure that the Medical Director and designated back-up
Department physicians are in, and maintain, compliance with OSHA guidelines
regarding bloodborne pathogens including Hepatitis B and TB status as well as
documentation of immunization against measles, mumps, rubella and varicella. In
the event of a bloodborne pathogen exposure, the Provider will be responsible for
providing follow-up according to its policies and procedures governing exposure
incidents.
v) The Provider will maintain current registration and licensure of the Medical
Director and designated back-up Department physicians and shall provide copies
to OCHD upon request.
vi) Monthly one-on-one clinical supervision by a Mental Health Clinical Supervisor to
OCHD Licensed Clinical Social
and mental health services to OCHD clients, in order to enhance and support best
clinical skills and recommendations for the development of an integrated
behavioral health program. The Mental Health Clinical Supervisor shall provide
professional support, guidance, and review of LCSW practice and services to
clients with issues related to mental health, substance abuse and behavioral health.
4. Duration of Services
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
7
UNC SOM #18-1751.t032
a. Term. The term of this Agreement shall be from July 1, 2025 to June 30, 2026, and shall
be renewable annually thereafter upon written notification executed by both parties.
b. Scheduling of Services.
i) The Provider shall schedule and perform the Services in a timely manner.
ii) OCHD Outpatient Clinics are operational during the normal business hours of 8:00
A.M. to 5:00 P.M., Monday through Friday. On Wednesday, the clinics operate
from 10:00 A.M. to 5:00 P.M.. In addition, one (1) weekday per site (Tuesday -
Hillsborough; Thursday - Chapel Hill) the Outpatient Clinics operate on a
flexible evening schedule (i.e., 9:30 A.M. 6:30 P.M.) to provide greater access to
care. Outpatient Clinics may run beyond their scheduled time and Medical Director
is expected to continue providing the Services in the event Outpatient Clinics run
beyond their scheduled time at no additional cost. In addition to the above-
described activities during the after-hours program, the Provider is responsible for
providing the Services in accordance with this Agreement during the entirety of the
hours specified in this paragraph.
5. Compensation
a. Compensation for Services. Compensation for Services shall include all compensation
due the Provider from the County for all Services under this Agreement except for any
authorized Reimbursable Expenses which are defined herein. The maximum amount
payable for Services shall not exceed Two Hundred Sixty-Nine Thousand Four Hundred
Sixty-Six and 00/100 Dollars ($269,466.00). In addition, County shall pay Provider a five
point five percent (5.5%) administrative fee, which shall not exceed Fourteen Thousand
Eight Hundred Twenty-One and 00/100 Dollars ($14,821.00). The maximum amount
payable under this contract for both Services and the administrative fee shall not exceed
Two Hundred Eighty-Four Thousand Two Hundred Eighty-Seven and 00/100 Dollars
($284,287.00) and shall be payable in equal monthly installments of Twenty-Three
Thousand Six Hundred Ninety and 59/100 Dollars ($23,690.59).
b. Provider shall invoice OCHD on a monthly basis with the first invoice being dated July 1,
2025.
c. Payment for Services shall become due and payable within thirty (30) days of Provider
properly invoicing the County. Any adjustments to the invoice shall be taken into account
in the next invoice or as soon thereafter as reasonably practicable.
d. Disputes. In the event the amount stated on an invoice is disputed by the County, the
County may withhold payment of all or a portion of the amount stated on an invoice until
the parties resolve the dispute. The parties will make good faith efforts to resolve any
dispute within thirty (30) days. Should Provider fail to perform its duties under the terms
of this Agreement, County may, without fault or penalty, withhold any payment
associated with the work to be performed until such time as said work is completed.
e. Additional Services. County shall not be responsible for costs related to any services in
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
8
UNC SOM #18-1751.t032
addition to the Services performed by Provider unless County requests such additional
services in writing and such additional services are evidenced by a written amendment to
this Agreement.
6. Responsibilities of the County
a. Cooperation and Coordination. The County has designated, the Health Director, to act as
the County's representative with respect to the Services and shall have the authority to
render decisions within guidelines established by the County Manager and/or the County
Board of Commissioners and shall be available during working hours as often as may be
reasonably required to render decisions and to furnish information.
b. OCHD agrees to furnish all supplies, equipment, office space and a computer as needed
by the Provider to perform the Services; to include the Medical Director in all appropriate
conferences, meetings, correspondence and publications necessary to appropriately
discharge the Medical Director's duties within budgetary constraints.
c. The County shall provide qualified and trained support staff (e.g., nurses, technicians,
registration staff) to support the Outpatient Clinics. The parties agree all support staff
shall be employees of the County. The County shall provide a medical records system to
document Services provided at the Outpatient Clinics. The parties acknowledge that the
Outpatient Clinics are clinics operated by the County and the medical records are property
of the County.
d. OCHD represents and warrants that it will provide such collaborative practice agreements
medical oversight and supervision services provided hereunder.
7. Insurance
a. General Requirements. The Provider shall provide adequate professional liability self-
insurance for its personnel who provide Services described in this Agreement. The
insurance limits will be stated in a Confirmation of Insurance submitted at the time this
Agreement is commenced. The professional liability insurance shall cover personal injury
by the persons designated as Medical Director under this Agreement in the amount of at
least $1 million, per occurrence, $2 million aggregate.
b. The County will be responsible for the negligence of its employees and agents to the extent
permitted by the North Carolina Tort Claims Act, and without waiver of sovereign
immunity. The County shall maintain professional liability insurance for its APPs in the
minimum amounts of $1 million per claim or occurrence and $2 million annual aggregate.
c. Evidence of Insurance. Evidence of such insurance shall be furnished to the County and
the Provider, as applicable, upon request of a party.
8. Indemnity
a. Indemnity. The Provider will be responsible for the negligence of its employees and agents
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
9
UNC SOM #18-1751.t032
to the extent permitted by the North Carolina Tort Claims Act, and without waiver of
sovereign immunity. It is the intent of this provision to require the Provider to indemnify
the County to the fullest extent permitted under North Carolina law.
b. The County will be responsible for the negligence of its employees and agents to the extent
permitted by the North Carolina Tort Claims Act, and without waiver of sovereign
immunity. It is the intent of this provision to require the County to indemnify the
University to the fullest extent permitted under North Carolina law.
9. Amendments to the Agreement
a. Changes in Services. Changes in the Services and entitlement to additional compensation
or a change in duration of this Agreement shall be made by a written amendment to this
Agreement executed by the County and the Provider. The Provider shall proceed to
perform the Services required by the amendment only after receiving a fully executed
amendment from the County.
10. Termination
a. Termination for Convenience. Either party may terminate this Agreement at any time,
b. This Agreement or its renewals may be terminated upon failure of the parties to agree on
a replacement Medical Director or replacement designated back-up Department
physician pursuant to paragraph 6 of this Agreement.
c. Other Termination. Either party may terminate this Agreement due to a material breach
of any term or provision of this Agreement by the other party upon written notice of such
breach to the breaching party, and the failure of the breaching party to cure such breach
within thirty (30) days of receiving such written notice. However, if such breach is of
such character as to reasonably require more than thirty (30) days to cure, this Agreement
may only be terminated if the breaching party fails to commence action within such thirty
(30) days or, after commencing corrective action, fails to use reasonable diligence to cure
the breach.
d. Compensation After Termination.
i) In the event of termination, the Provider shall be paid that portion of the fees and
expenses that it has earned to the date of termination in accordance with Section
5.c.
ii) Should this Agreement be terminated, the Provider shall deliver to the County within
seven (7) days, at no additional cost, all deliverables including any property,
electronic data or files relating to the Services.
e. Waiver. The payment or receipt of any sums by a party under this Agreement or the
failure of a party to require compliance by the other party with any provisions of this
Agreement or the waiver by a party of any breach of this Agreement shall not constitute a
waiver of any claim for damages by the other party for any breach of this Agreement or a
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
10
UNC SOM #18-1751.t032
waiver of any other required compliance with this Agreement.
f. Suspension. County may suspend the Services and this Agreement at any time for
fourteen (14
Provider. Upon any suspension by County, Provider shall discontinue work on the
Services and shall not resume the Services until notified to proceed by County.
c. Additional Provisions
a. Limitation and Assignment. The County and the Provider each bind themselves, their
successors, assigns and legal representatives to the terms of this Agreement. Neither the
County nor the Provider shall assign or transfer its interest in this Agreement without the
written consent of the other
b. Governing Law. This Agreement and the duties, responsibilities, obligations and rights
of respective parties hereunder shall be governed by the laws of the State of North
Carolina. By executing this Agreement Provider affirms that Provider and any
subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter
64 of the North Carolina General Statutes. By executing this Agreement Provider
certifies that Provider has not been identified, and has not utilized the services of any
agent or subcontractor identified, on the list created by the State Treasurer pursuant to
G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not
been identified, and has not utilized the services of any agent or subcontractor identified,
on the list created by the State Treasurer pursuant to G.S. 147-86.81.
c. Anti-Discrimination. Provider shall at all times remain in compliance with all applicable
local, state and federal laws, rules and regulations including but not limited to all state
and federal anti-discrimination laws, policies, rules, and regulations. Any violation of this
requirement is a breach of this Agreement and County may immediately terminate this
Agreement without further obligation on the part of the County. This paragraph is not
intended to limit and does not limit the definition of breach to discrimination.
d. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with
respect to any provision of, or the performance or non-performance of, this Agreement
shall be brought in the General Court of Justice of North Carolina sitting in Orange
County, North Carolina. It is agreed by the parties that no other court shall have
jurisdiction or venue with respect to such suits or actions. The parties may agree to
nonbinding mediation of any dispute prior to the bringing of such suit or action.
e. Entire Agreement. This Agreement represents the entire and integrated agreement
between the County and the Provider and supersedes all prior negotiations,
representations or agreements, either written or oral. This Agreement may be amended
only by written instrument signed by both parties.
f. Nondiscrimination. OCHD hereby agrees with the Provider that, in their educational
and/or employment practices, OCHD and the Provider will comply with such state and
federal non-discrimination laws as may be applicable to it in the performance of this
Agreement.
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
11
UNC SOM #18-1751.t032
g. Conduct of Service. The Provider shall abide by pertinent rules and regulations of OCHD,
Orange County, and the North Carolina Department of Health and Human Services in the
conduct of service, provided such rules and regulations are provided to the Provider in
advance.
h. Confidentiality. The Provider and OCHD shall comply with such confidentiality laws as
may be applicable in the performance of this Agreement and acknowledge that in
receiving, storing, processing or otherwise dealing with any confidential information,
they will safeguard and not further disclose the information except as permitted by the
Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, as
amended.
i. Severability. If any provision of this Agreement is held as a matter of law to be
unenforceable, the remainder of this Agreement shall be valid and binding upon the
parties.
j. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the
validity of this Agreement is based upon the availability of public funding under the
authority of its statutory mandate.
In the event that public funds are unavailable and not appropriated for the performance
expire without penalty to County immediately upon written notice to Provider of the
unavailability and non-appropriation of public funds. It is expressly agreed that County
shall not activate this non-appropriation provision for its convenience or to circumvent
the requirements of this Agreement, but only as an emergency fiscal measure during a
substantial fiscal crisis. For purposes of this Agreement, the County represents that
sufficient funds have been appropriated.
rity, mandate and/or mandated
functions, by state and/or federal legislative or regulatory action, which adversely affects
authority to continue its obligations under this Agreement, then this Agreement
shall automatically terminate without penalty to County upon written notice to Provider
k. Notices. Any notice required by this Agreement shall be in writing and delivered by
certified or registered mail, return receipt requested to the following:
Orange County The University of North Carolina at
Attn: Kimberlee Quatrone Chapel Hill School of Medicine
300 West Tryon Street Department of Family Medicine
Hillsborough, NC 27278 Attn: Andrew Olsson
590 Manning Drive, CB #7595
Chapel Hill, NC 27599-7595
With a copy which shall not constitute
notice to:
UNC-CH Office of University Counsel
Campus Box #9105
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
12
UNC SOM #18-1751.t032
123 W. Franklin St., Suite 600A
Chapel Hill, NC 27599-9105
Attn: Vice Chancellor and General
Counsel
l. Signatures. This Agreement may be executed in any number of counterparts, each of
which when executed and delivered shall constitute a duplicate original, but all
counterparts together shall constitute a single agreement. Counterparts of this Agreement,
together with any amendments or modifications, may be executed electronically. All
electronic signatures affixed hereto have the same legal force and effect as any wet or ink
signatures affixed hereto. All electronic signatures evidence the intent of the parties to
comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66.
m. No Third Party Beneficiaries. This Agreement is made only to benefit the parties hereto.
Nothing in this Agreement is intended to create, nor has it created any rights, interests, or
benefits for any other parties whatsoever.
[SIGNATURE ON FOLLOWING PAGE]
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
13
UNC SOM #18-1751.t032
IN WITNESS WHEREOF, the parties, by and through their authorized agents, have
hereunder set their hands and seal, all as of the day and year first above written.
ORANGE COUNTY THE UNIVERSITY OF NORTH
CAROLINA AT CHAPEL HILL
SCHOOL OF MEDICINE
By: _____________________________ By: ______________________________
Jamezetta Bedford, Chair, Josephine Tetteh, JD
Orange County Board of County Director, Office of Professional
Commissioners Service Contracts and Affiliations
Date: _____________________ Date: ______________________
This instrument has been pre-audited in the manner required by the Local Government Budget and
Fiscal Control Act:
_____________________________ Date__________________________
Gary Donaldson, Finance Director
__________________
________
By: _____________________________
Quintana Stewart, MPA
Health Director
Date: _____________________
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A
7/14/2025
UNC SOM #18-1751.t032
EXHIBIT A
Designation of Medical Director
Exhibit A to Contract between the Department of Family Medicine, University of North Carolina,
School of Medicine and the Orange County Health Department for July 1, 2025 through June 30,
2026.
The following clinicians are designated by the Department of Family Medicine to fulfill the terms
of the attached contract:
Erica Pettigrew, MD Medical Director, Physician
Rachel Hughes, MD Physician
Ashley Rietz, MD Physician
Morgan McEachern, MD Physician
Modjulie Moore, MD Physician
Sylvia Becker-Dreps MD Physician
Linda Myerholtz, PhD Clinical Psychologist, LCSW Supervisor
Copies of current registration and licensure for these clinicians are attached.
Signed:
Margaret Helton, MD, Chair Date
Department of Family Medicine
Agreed:
Quintana Stewart, Health Director Date
Orange County Health Department
Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A