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<p class="MsoNormal">----------------------------------------------------------------------------------------------------------------<o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:black">Hello community partners,</span>
<o:p></o:p></p>
<h2 style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:6.0pt;margin-left:0in">
<span style="font-size:13.5pt;font-family:"Arial",sans-serif;color:black;background:white;font-weight:normal">Please feel free to share this broadly within your organizations and networks.</span><span style="font-family:"Times New Roman",serif;color:#444444"><o:p></o:p></span></h2>
<h2 style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:6.0pt;margin-left:0in">
<span style="font-size:13.5pt;font-family:"Arial",sans-serif;color:black;background:white;font-weight:normal">Back in late June we sent out communication that beginning in July, there would be changes to the services offered by Multnomah County Health Department’s
Downtown STI Clinic.</span><span style="font-size:13.5pt;font-family:"Arial",sans-serif;color:black;background:white"> We are now in a place where we can slowly begin adding capacity to the services we provide in our clinic!</span><span style="font-family:"Times New Roman",serif;color:#444444"><o:p></o:p></span></h2>
<h2 style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:6.0pt;margin-left:0in">
<span style="font-size:16.0pt;font-family:"Arial",sans-serif;color:black;background:white;font-weight:normal">What’s changing? </span><span style="font-family:"Times New Roman",serif;color:#444444"><o:p></o:p></span></h2>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l1 level1 lfo2;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><b><i><span style="font-family:"Arial",sans-serif;color:black;background:white">The clinic will begin, in a limited capacity, offering appointments for routine HIV/STI screening to individuals who do not have symptoms or do not
have an exposure to a partner with a positive test or symptoms. </span></i></b><span style="font-family:"Arial",sans-serif;color:black"><o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l1 level1 lfo2;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><b><i><span style="font-family:"Arial",sans-serif;color:black;background:white">The clinic will begin including into its STI list focus Chlamydia along with HIV, Syphilis and Gonorrhea for individuals with symptoms or exposure
through a partner. </span></i></b><span style="font-family:"Arial",sans-serif;color:black"><o:p></o:p></span></p>
<div>
<h2 style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:6.0pt;margin-left:0in">
<span style="font-size:16.0pt;font-family:"Arial",sans-serif;color:black;background:white;font-weight:normal">What’s not changing?</span><span style="font-family:"Times New Roman",serif;color:#444444"><o:p></o:p></span></h2>
</div>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l6 level1 lfo4;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black;background:white">The clinic will continue to focus on scheduling appointments for concerns related to HIV, Syphilis, Gonorrhea, and PrEP initiation/refills.<b>
</b></span><span style="font-family:"Arial",sans-serif;color:black"><o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l6 level1 lfo4;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black;background:white">The clinic
<i><u>will no longer provide appointments</u></i> for concerns that are not related to HIV, Syphilis, Gonorrhea, Chlamydia or PrEP. This includes concerns related to yeast infections, UTIs, Mycoplasma Genitalium (Mgen), Herpes, HPV, genital warts, bacterial
vaginosis, chancroid and trichomoniasis.</span><span style="font-family:"Arial",sans-serif;color:black"><o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l6 level1 lfo4;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black;background:white">Clinic staff will refer individuals seeking appointments for services no longer provided to urgent care or other community providers.</span><span style="font-family:"Arial",sans-serif;color:black"><o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l6 level1 lfo4;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black;background:white">Some targeted community testing through our program will continue. Our mobile testing unit will still continue offering asymptomatic screening at a smaller
number of priority locations. </span><span style="font-family:"Arial",sans-serif;color:black"><o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l6 level1 lfo4;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black;background:white">We will also continue to offer testing for people who use drugs through our harm reduction syringe services sites. </span><span style="font-family:"Arial",sans-serif;color:black"><o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l6 level1 lfo4;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black;background:white">We remain committed to the sexual health of our patients and the residents of Multnomah County. Our DIS and clinic providers will continue to provide consultation
to community clinicians on best practices for STI management and treatment. Our Community Testing Coordinator can offer technical assistance to organizations interested in starting their own testing programs. While we cannot do it all ourselves, we are here
to support referrals and ensure the broader health system has access to current and up to date sexual health guidance. </span><span style="font-family:"Arial",sans-serif;color:black"><o:p></o:p></span></p>
<h2 style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:6.0pt;margin-left:0in">
<span style="font-size:16.0pt;font-family:"Arial",sans-serif;color:black;font-weight:normal">Why the change to services?</span><span style="font-family:"Times New Roman",serif;color:#444444"><o:p></o:p></span></h2>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l7 level1 lfo6;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black">The downtown STI Clinic received a significant decrease in funding that began Jan 1st, 2023. We were able to identify alternative funding to sustain the same level of service
delivery January-July 2023 to allow for a planning period. Reduced staffing and services will go into effect July 1st.<o:p></o:p></span></p>
<h2 style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:6.0pt;margin-left:0in">
<span style="font-size:16.0pt;font-family:"Arial",sans-serif;color:black;font-weight:normal">How service decisions were made</span><span style="font-family:"Times New Roman",serif;color:#444444"><o:p></o:p></span></h2>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l0 level1 lfo8;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black">As a safety net public health clinic, our priority is services and interventions that promote community health and reduce community transmission of STIs based on the potential
severity of their various associated health outcomes. <o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l0 level1 lfo8;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black">We also needed to consider our statutory obligations to provide essential services related to reportable communicable disease detection and prevention. <o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l0 level1 lfo8;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black">Public health’s role in direct service delivery focuses on needs that are of population level benefit to all that are not being fully met through other health systems. In
other words, we attempt to fill the gaps in available services. <o:p></o:p></span></p>
<h2 style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:6.0pt;margin-left:0in">
<span style="font-size:16.0pt;font-family:"Arial",sans-serif;color:black;font-weight:normal">How we are taking care of client needs</span><span style="font-family:"Times New Roman",serif;color:#444444"><o:p></o:p></span></h2>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l5 level1 lfo10;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black">Program staff have been contacting other community providers of sexual health services to verify information such as eligibility criteria, insurance requirements, and types
of services provided so we are up to date and accurate when making referrals. <o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l5 level1 lfo10;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black">We have compiled a robust list of test sites for individuals who are seeking a “Just Checking” appointment for routine testing. Many are low-barrier and free or low cost.
There are also online/at home options. <o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l5 level1 lfo10;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black">Sexual health services are an integral component of overall preventive health services, so we will encourage and support individuals in seeking testing through their primary
care home. Their primary care providers can provide more expansive care for their overall physical and mental health needs.<o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-list:l5 level1 lfo10;vertical-align:baseline">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:black">We are working with CAP’s PrEP Navigation Program to support people who have the resources to access PrEP through other prescribers and establish a new permanent care home.
This includes enrollment in financial assistance and insurance programs where applicable and help identifying a competent and affirming provider. We will continue to provide PrEP maintenance services to current patients through their transitions.<o:p></o:p></span></p>
<div>
<h2 style="mso-margin-top-alt:16.95pt;margin-right:0in;margin-bottom:6.0pt;margin-left:0in;box-sizing:inherit">
<span style="font-family:"Helvetica",sans-serif;color:black;font-weight:normal">Other HIV Test Sites<o:p></o:p></span></h2>
<p style="box-sizing:inherit"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black">When asked for, HIV testing is available at most primary care providers as part of regular medical care, family planning or STD exams.<o:p></o:p></span></p>
<p style="box-sizing:inherit"><a href="https://www.multco.us/health/primary-care-clinics" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif">Multnomah County Health Department Primary Care Clinics</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black">
Call to establish care and schedule an appointment. 503-988-5558<o:p></o:p></span></p>
<h3 style="mso-margin-top-alt:16.95pt;margin-right:0in;margin-bottom:6.0pt;margin-left:0in;box-sizing:inherit">
<span style="font-size:23.5pt;font-family:"Helvetica",sans-serif;color:black;font-weight:normal">Drop-in and Free<o:p></o:p></span></h3>
<p style="box-sizing:inherit"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black">Available on a walk-in basis, unless otherwise noted.<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:47.25pt;text-indent:-.25in;mso-list:l2 level1 lfo12">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><a href="https://www.capnw.org/get-tested" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif">Cascade AIDS Project</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black"> |
971-279-7033<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:47.25pt;text-indent:-.25in;mso-list:l2 level1 lfo12">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><a href="https://outsidein.org/health-services/medical-services/" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:#346094;border:solid windowtext 1.0pt;padding:1.0pt">Outside In - Clinic
Services</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black"> | 503-535-3860 *(by appointment)<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:47.25pt;text-indent:-.25in;mso-list:l2 level1 lfo12">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><a href="https://outsidein.org/health-services/needle-exchange/" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:#346094;border:solid windowtext 1.0pt;padding:1.0pt">Outside In - Syringe
Exchange</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black"> | 503-535-3826<o:p></o:p></span></p>
<h3 style="mso-margin-top-alt:16.95pt;margin-right:0in;margin-bottom:6.0pt;margin-left:0in;box-sizing:inherit">
<span style="font-size:23.5pt;font-family:"Helvetica",sans-serif;color:black;font-weight:normal">Health Centers<o:p></o:p></span></h3>
<p style="box-sizing:inherit"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black">Testing available as part of a medical appointment. Call for eligibility and fees.<o:p></o:p></span></p>
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</span></span></span><![endif]><a href="https://www.plannedparenthood.org/health-center/oregon/portland/97212/ne-portland-center-3943-91400" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:#346094;border:solid windowtext 1.0pt;padding:1.0pt">Planned
Parenthood - Northeast Portland</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black"> | 888-576-7526<o:p></o:p></span></p>
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</span></span></span><![endif]><a href="https://www.plannedparenthood.org/health-center/oregon/portland/97206/se-portland-health-center-3353-91400" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:#346094;border:solid windowtext 1.0pt;padding:1.0pt">Planned
Parenthood - Southeast Portland</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black"> | 888-576-7526<o:p></o:p></span></p>
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</span></span></span><![endif]><a href="https://centralcityconcern.org/services/health-care/" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:#346094;border:solid windowtext 1.0pt;padding:1.0pt">Old Town Clinic</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black"> |
503-228-4533<o:p></o:p></span></p>
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<span style="font-size:23.5pt;font-family:"Helvetica",sans-serif;color:black;font-weight:normal">Local Health Departments<o:p></o:p></span></h3>
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</span></span></span><![endif]><a href="https://clark.wa.gov/public-health/sexually-transmitted-diseases-std" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:#346094;border:solid windowtext 1.0pt;padding:1.0pt">Clark County
Health Department</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black"><o:p></o:p></span></p>
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</span></span></span><![endif]><a href="https://www.clackamas.us/healthcenters" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif">Clackamas County Health Department</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black"><o:p></o:p></span></p>
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</span></span></span><![endif]><a href="http://www.co.washington.or.us/HHS/CommunicableDiseases/std.cfm" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:#346094;border:solid windowtext 1.0pt;padding:1.0pt">Washington County
Health Department</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black"><o:p></o:p></span></p>
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<span style="font-size:23.5pt;font-family:"Helvetica",sans-serif;color:black;font-weight:normal">At Home<o:p></o:p></span></h3>
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</span></span></span><![endif]><a href="https://takemehome.org/" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:#346094;border:solid windowtext 1.0pt;padding:1.0pt">Takemehome.org</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black">-
If you haven’t had an HIV test in the past year, you may be eligible to have a home test kit mailed to you<o:p></o:p></span></p>
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</span></span></span><![endif]><a href="http://www.oraquick.com/Home" target="_blank"><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:#346094;border:solid windowtext 1.0pt;padding:1.0pt">OraQuick In-Home HIV Test Kit</span></a><span style="font-size:13.5pt;font-family:"Helvetica",sans-serif;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:Pacifico;color:#999999">-josh</span>
<o:p></o:p></p>
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<p style="margin:0in"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black;border:none windowtext 1.0pt;padding:0in"><img border="0" width="259" height="195" style="width:2.6979in;height:2.0312in" id="_x0000_i1027" src="https://lh4.googleusercontent.com/0iqBoqNt5n96U3R-Bei5BBj1Ujk3AamXCPG0L6TToEgbVf-TJ9jQ8WC7dKW9KvvYYtBcLIPOPaaxF8YPf0RgLn7SnnFCIkZweA_ZFZN74r26M-vw0z4wx5sOm3qL2hVh7Zqjjylp"></span><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
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<p style="margin:0in"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">Josue Arevalo
</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#666666">(El/He/Him)</span><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p style="margin:0in"><i><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#666666">Josh Arevalo</span></i><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p style="margin:0in"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">Clinic Supervisor </span><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p style="margin:0in"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">Communicable Diseases | STI Program
</span><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p style="margin:0in"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">Public Health Division, Multnomah County Health Department</span><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p style="margin:0in"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">619 NW 6th AVE | Portland, OR 97209</span><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p style="margin:0in"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">Ph: 503-988-2577</span><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p style="margin:0in"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:black">Cell: 503-319-6757</span><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p style="margin:0in"><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><a href="mailto:josue.arevalo@multco.us" target="_blank"><span style="font-family:"Arial",sans-serif">josue.arevalo@multco.us</span></a><o:p></o:p></span></p>
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it appears from the context that you have received this e-mail in error, please advise me immediately by reply-mail, keep the contents confidential, and immediately delete the message and any attachments from your system.</span><span style="font-size:9.5pt;color:#888888"><o:p></o:p></span></p>
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