June 2020 CSU Newsletter

JUNE 2020

Coronavirus Impact & Response

While states and cities across the United States have began to ease restriction on lockdowns,
the threat of coronavirus remains present. Since the state of Oklahoma began Phase II of the
Open Up and Recover Safely plan on May 15, there has been significant increase in the num-
ber of new COVID-19 infections amongst patients receiving care at Clinton Service Unit (CSU).

“In just a few days, the number of positive COVID-19 patients has significantly jumped,” said
CAPT Joe Bryant, CSU chief executive officer. “The largest increase of positive patients we’ve
tested has been in the age range of 18 - 35 years.”

INDIAN HEALTH SERVICE CSU learned Friday, May 29 community members and citizens of the Cheyenne and Arapaho
Tribes attended several large gatherings where individuals who tested positive for COVID-19
Clinton Service Unit were present and had contact with others. As word of potential contact spread through the
community, CSU responded by quickly mobilizing to hold a mass testing on Saturday, May 30
and continued mass testing into the following week.

“CSU’s Public Health Nurses were in contact with the Custer County Health Department and
notified the state epidemiologist,” said CAPT Bryant. “We worked with the health department to
conduct contact tracing and advocate for more testing of those exposed. CSU remains in con-
stant communication with leaders of the Cheyenne and Arapaho Tribes to provide situational
updates.” (Coronavirus continued on page 3…)

Contact Tracing

Patients of Clinton Service Unit (CSU) who of the infected person for at least 15 minutes.
test positive for COVID-19 will be notified of
their results by a CSU provider or nurse. A “PHN is working with our patients to identify
referral to Public Health Nursing (PHN) is
generated for all COVID-19 positive patients. close family and friends who they may have

PHNs will contact the COVID-19 positive pa- come in contact with,” said Bonnie Kraft, PHN
tient by phone or home visit to conduct con-
tact tracing evaluation and monitoring. Con- director. “We are educating the patients on
tact tracing is a disease control measure used
to assist in breaking the chain of transmission how to monitor themselves for illness, when
of a highly contagious disease.
to seek medical
PHNs will work with each patient to identify
close contacts the COVID-19 positive patient care, and how to Inside this issue:
has had starting two days prior to the onset of limit the possibility
the illness (or, for patients showing no symp-
toms, two days prior to a positive test) until of spreading COVID Update 6
the patient is isolated. A close contact is de-
fined as any individual who was within six feet COVID-19 to oth- CSU Services 9

ers, even if they Back-to-School 12

are not experienc- Immunizations 13
ing symptoms.” Podiatry 14
POP Awards 15
(Contact Tracing Retirement 16
continued on page Directory 20
5…)

INDIAN HEALTH SERVICE
MISSION

To raise the physical, mental, social, and spiritual health of American Indians
and Alaska Natives to the highest level.

CLINTON SERVICE UNIT
VISION

To provide quality health care services focusing on prevention,
restoration and collaborative relationships that are valued

and exceeds the needs of our patients, community, and tribal partners.

“As a Native American women using IHS facilities throughout my life, there has been positive experiences and negative experi-
ences,” said JaNetta McGahagin, medical records technician. “IHS has the ability to make every experience a positive one.
Although I do not work directly in patient care, I strive to the best of my ability to be a positive employee so other Native Ameri-
can patients can have a positive experience and take a step towards raising their physical, mental, social, and spiritual health to
the highest level.”

“The IHS mission means the care and future wellbeing for our patients never stops,” said Phoenix Keesie, medical records tech-
nician. “Whether it’s after hours at community events, Head Start screenings, or the countless other occasions throughout the
year. I am very proud and thankful for the amazing people we have working here!”

“Providing quality customer service to our valued patients and community is my highest priority as a medical records techni-
cian,” said Caroline Ynguanzo. “Every patient that comes into the office has a different reason or situation when requesting
medical records. They may be upset or hurting, and just helping them with their needs is a big relief for them. It brings peace of
mind for patients to know this hurdle has been met and they are very appreciative of that. Working in Medical Records and
providing customer service with Release of Information is very rewarding when it comes to exceeding the patients’ needs.”

“The IHS mission means to help and care for our patients the best way we can,” said Jackie Reynolds, medical records techni-
cian. “To treat everyone, both patients and coworkers with respect. Communicate with our patients in a way they understand
and respect their culture and traditions. The mission means to always to and exceed the needs for our patients, coworkers, and
community.”

Page 2

Coronavirus continued from cover...

In response to recent events, Clinton Indian Health Center has modified hours of the Drive-Thru COVID-19 Testing Clinic to be
available to all patients eligible to receive services from Indian Health Service and would like to be tested. The Drive-Thru
COVID-19 Testing Clinic is open Monday—Friday from 9 am to 11 am. The change in hours were made to maximize the num-
ber of same day tests CSU is able to run onsite and provide safety to patients and staff from the increasing temperatures in the
afternoon hours.

For those unable to make the hours of the Drive-Thru COVID-19 Testing Clinic, call Clinton, El Reno, or Watonga Indian
Health Center to schedule an appointment for testing.

Clinton Indian Health Center — 580.331.3300

El Reno Indian Health Center — 405.234.8400

Watonga Indian Health Center — 580.623.4991

Per guidelines set forth by the Centers for Disease Control and Prevention (CDC), COVID-19 is thought to spread
mainly from person-to-person, through the following mechanisms:

 Between people who are in close contact with one another (within about 6 feet)

 Through respiratory droplets produced when an infected person coughs, sneezes, or talks. These droplets can
land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs

 COVID-19 may be spread by people who are not showing symptoms (asymptomatic)

Information from ongoing COVID-19 pandemic suggest this virus is spreading more efficiently than influenza, but not as effi-
ciently as measles, which is highly contagious. It may be possible for a person to get COVID-19 by touching a surface or object
with the virus on it and then touching their own mouth, nose, or possibly their eyes. This is not thought to be the main way the
virus spreads, but we are still learning more about the virus and how it spreads each day.

You can take steps to slow the spread. The best way to prevent illness is to avoid being exposed to this virus.

 Maintain good social distance (about 6 feet)

 Wash your hands often with soap and water. If soap and water are not available, use a hand sanitizer containing
at least 60% alcohol

 Routinely clean and disinfect frequently touched surfaces

 Wear a mask or cloth face covering in public settings where other social distancing measures are difficult to main-
tain, such as grocery stores and gas stations

 Self-quarantine when appropriate

While people who are sick or know they have COVID-19 should isolate at home, COVID-19 may be spread by people who do
not have symptoms and do not know they are infected. This is why it is important for everyone to practice social distancing
(staying at least 6 feet away from other people) and wear a mask or cloth face covering in public settings. Cloth face coverings
provide an extra layer to help prevent the respiratory droplets from traveling in the air onto other people.

For more information on the coronavirus, visit:

https://www.cdc.gov/coronavirus/
https://www.ihs.gov/coronavirus/

Page 3

Page 4

Contact Tracing continued from cover...

PHNs are working with the local county health department in the community of each COVID-19 positive patient to assist with
continued follow-up and care. The Oklahoma State Department of Health has recently expanded contact tracing efforts to slow
the spread of COVID-19. This disease poses tremendous challenges to containment since there is not yet a vaccine and it can
be spread by people without symptoms or who do not look or feel sick.
“Once CSU notifies the state health department of a positive case, the patient can expect a phone call from their local health
department usually within 48 hours,” said Kraft.
A legitimate contact tracer will never ask for personal details such as a social security number, banking information, or credit
card number. Those who receive a contact tracing call, and want to verify it is from the health department, are advised to call
the state’s coronavirus hotline at 211 with the first and last name of the contact tracer.
Contact tracers will ask for information including date of birth, address, and about any additional occupants in the home who
may also be at risk of exposure. Contact tracers work with a patient to help them identify whom they have had close contact
during the time they may have been infectious. The contact tracers then inform these individuals (a patient’s contacts) of their
potential exposure as rapidly and sensitively as possible. To protect patient privacy, contacts are only informed they may have
been in close contact with a person diagnosed with COVID-19. They are not told the identify of the patient.
Contacts are encouraged to get tested as well as quarantine at home and maintain social distance (at least 6 feet) from others
in the home until 14 days after their last exposure, in case they also become ill. They should monitor themselves by checking
their temperature twice daily and watching for cough or shortness of breath. Contacts who develop symptoms should promptly
isolate themselves and contact either CSU PHSs or the Oklahoma State Department of Health. The contacts should be tested,
evaluated for infection and the need for medical care.

Contact CSU PHNs with questions regarding contact tracing:
Clinton Indian Health Center PHN Department — 580.331.3471
El Reno Indian Health Center PHN Department — 405.234.8430
Watonga Indian Health Center PHN Department — 580.623.4991

Oklahoma State Department of Health

Page 5

Clinton Service Unit

CORONAVIRUS UPDATE

*Information listed is for the situation as of June 30, 2020

As the virus causing COVID-19 spreads, Clinton Service Unit is tracking how it affects our
patients throughout our service unit.*

CSU Positive Patients CSU Positive Patients CSU Positive Patients
by County by Age by Gender

Beckham 1 0 - 4 years 1 Male 26

Blaine 8 5 - 17 years 5 Female 25

Caddo 1 18 - 35 years 20

Canadian 8 36 - 49 years 12

Cleveland 1 50 - 64 years 7

Custer 17 65+ years 6

Dewey 1

Grady 1

Greer 1

Kingfisher 1

Oklahoma 7

Out of state 4

Page 6

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Clinton Service Unit

Patient Services

During this unprecedented time, health care at Clinton Service Unit (CSU) transitioned to serving patients the safest way pos-
sible, often times through untraditional means. As we navigate the COVID-19 pandemic, we want to provide you with up-to-
date information on how you may access care within each department and services provided.

At this time, we are limiting the number of patients in our facilities. All patients who enter Clinton, El Reno, or Watonga Indian
Health Center should have a scheduled appointment. Upon arriving at the clinic, please call the department you have an ap-
pointment scheduled with to let them know you are in the parking lot. The department will let you know if they are
ready for you to enter the facility for your appointment. If the department is not ready at the time you call, you will be asked to
wait in your car until they are ready to bring you into the clinic. When you enter a CSU facility, you will be screened for corona-
virus and a member of our team will lead you to the department where your appointment is scheduled.

Audiology

(580)331-3482

 Services include: Hearing Aid Orientations, Diagnostic Evaluations, Hearing Screenings, Hearing Aid Adjustments
and Repairs

 Currently contacting patients who have hearing aids who are waiting to be fitted, adjusted, or have a pending con-
sult/referral

Behavioral Health

Clinton (580)331-3482 / El Reno (405)234-8426

 Services include: Psychiatric, Behavioral Health Therapy, Assessment, Testing, Tele-Therapy, and Integrated
Behavioral Health

 Those who are at high-risk for exposure to COVID-19 are scheduled for morning appointments. Those who are at
low-risk for exposure to COVID-19 are scheduled for afternoon appointments.

Clinton Outpatient Clinic

Cedar Team (580)331-3424 / Sweetgrass Team (580)331-3412

 Patients are encouraged to schedule telemedicine (video) visit when appropriate to do so
 Morning appointments are reserved for well patients without respiratory symptoms, including elderly and patients

who are at high-risk
 Afternoon appointments are reserved for sick visits, same-day appointments, and telemedicine visits
 Clinic has designated “sick” rooms for patients with COVID-19 related symptoms. All rooms are thoroughly

cleaned after each patient

Dental

(580)331-3423 –or— (580)331-3422

 Continues to address emergency/urgent dental needs, limited to the management of pain, swelling, etc. Elective
procedures are delayed at this time

 Providing denture services. Patients must be in active treatment to receive this prosthetic service. At this time,
new prosthetic cases are delayed until further notice

 Beginning outreach to patients with diabetes to provide comprehensive examination

Page 9

El Reno Outpatient Clinic

Eagle Team (405)234-8411 / Otter Team (405)234-8411

 Patients are encouraged to schedule telemedicine (video) visits when appropriate to do so
 Morning appointments are reserved for well patient without respiratory symptoms, including elderly and patients

who are at high-risk
 Afternoon appointments are reserved for sick visits, same-day appointments, and telemedicine visits (video)
 Wound care appointments are scheduled for Wednesdays

Health Information Management

Clinton (580)331-3377 / El Reno (405)234-8403 / Watonga (580)623-4991

 Patients may call to request a release of information, which the department will fax, email, or mail to the requested
location

 For patients who present to the facility in-person, they will fill out a form at the front door and a member of the
CSU staff will deliver the request to the patient

 For COVID-19 test results, a release of information will be filled out when testing occurs. Patients may call
580.331.3377 for results and the department will have the information available for the patient at the front door for
pick-up. For employees of the Cheyenne and Arapaho Tribes who are non-IHS beneficiaries, they may contact the
Cheyenne and Arapaho Tribes’ Department of Health to request results at 405.422.7463 or 405.422.7656

Nutrition

(580)331-3458

 Patients are encouraged to schedule telemedicine (video) visits, but may schedule in-person if needed at Clinton
Indian Health Center

 Virtual Diabetes Support Group is offered every Thursday at 10 am
 Virtual Diabetes Education Class is offered the second Thursday of the month at 10 am

Optometry

(580)331-3423 –or— (580)331-3413

 All operations have been resumed to a limited capacity (contact lens fitting is delayed until further notice)
 Acute and high risk needs will obtain priority scheduling

Pharmacy

Clinton (580)331-3471 / El Reno (405)234-8430 / Watonga (580)623-4991

 Patients are encouraged to order medications by mail
 Continue to deliver medications curbside for those who come to the clinic

Physical Therapy / Chiropractor / Massage Therapy /
Wound Care

(580)331-3439

 Face-to-face consults have resumed
 Patients with prior care plan are being contacted, screened and consulted to reassess plan of care
 Telemedicine visits available if deemed appropriate for Physical Therapy, Chiropractic, and Wound Care

Page 10

Public Health Nursing

Clinton (580)331-3471 / El Reno (405)234-8430 / Watonga (580)623-4991

 As tribal programs return to work, PHN will continue to collaborate and meet needs of each program
 Provide client services for prenatal, postpartum, newborns, and immunizations through contacting patients and

scheduling a front porch visit at the patients home (not entering the home)
 Curbside immunizations are available at the patient’s request through a scheduled appointment

Purchased/Referred Care (PRC)

Phone (580)331-3300 / Fax (580)331-3565

 Referrals for routine care are experiencing a delay in scheduling due to providers’ offices outside IHS slowly open-
ing to provide care

 Patients may continue to correspond via telephone, email, fax, or mail
 Patients who need to speak with PRC staff in person may do so. Patients are encouraged to call the department

upon arriving at facility

Podiatry

Clinton (580)331-3471

 Face-to-face consults have resumed
 Telemedicine appointments are available when deemed appropriate

Radiology

(580)331-3415

 Conducing all needed Radiology exams at this time
 All exams are by appointment only, walk-in exams are currently not available

Thank you for choosing
Clinton Service Unit

to serve your health care needs!

Page 11

Back to School, Back to the Doctor

No matter what grade your child is about to enter, there’s always a back-to-school checklist of to-dos. It’s a good idea to add a
visit to your pediatrician for an annual wellness exam and sports physical to this list.
The American Academy of Pediatrics recommends an annual checkup for children form age two to 18, even if they are not
enrolled in school sports or activities. Appointments for annual wellness exams and sports physicals are now being scheduled
at Clinton, El Reno, and Watonga Indian Health Centers in the morning hours to avoid potential contact with sick patients.

How Should I Prepare for My Child’s Exam?

Knowing your family’s medical history (especially heart disease, high blood pressure, high cholesterol or cancer) is one of the
most important ways to prepare for your child’s exam. If applicable, bring your child’s current prescription and over-the-counter
medications, as well as a list of any questions and concerns about your child’s health or wellness to discuss with the doctor.
Have your kid(s) wear gym shorts and flip flops to make it easier for a thorough exam.

What Should I Expect During My Child’s Exam?

During a back-to-school exam, your child’s primary care provider will provide a head-to-toe checkup to ensure he or she is
healthy, as well as address and treat any health problems that may be present. The comprehensive checkup will include the
following:

 Review medical records (child and child’s family) to made sure nothing has changed
 Review immunization records to make sure your child is up-to-date
 Measure height and weight to check that your child is developmentally on track for his/her age

and gender
 Screen vision and hearing to make sure your child has the appropriate aids
 Perform a physical exam
 Discuss safety issues to make sure your child is practicing physical safety, Internet safety, and stranger

safety
 Provide guidance on proper nutrition, sleep, and exercise for your child

Page 12

Childhood Vaccinations

Throughout the COVID-19 pandemic, both Indian Health Service (IHS) and the Centers
for Disease Control and Prevention (CDC) have recommended children — especially
those ages 2 years and younger — continue receiving routine immunizations and other
preventive health care services on schedule.

According to the CDC, fewer children were vaccinated during the first several months of
2020, compared with the same period last year. Declining immunizations rates make
outbreaks of measles and other vaccine-preventable diseases more likely as social
distancing requirements are relaxed. Such outbreaks would seriously threaten the health
of families and communities throughout Indian Country.

If your children are in need of vaccinations, contact CSU’s Public Health Nursing team.

Clinton Indian Health Center PHN Department — 580.331.3471
El Reno Indian Health Center PHN Department — 405.234.8430
Watonga Indian Health Center PHN Department — 580.623.4991

Use the checklist below to make sure your child is getting the vaccinations he or she
needs. Your doctor can give you information about how many doses your child needs of
each vaccine and when they should receive them. Children who miss a dose or doses
can catch up at a later date. Some children in high-risk groups may need vaccinations on
a slightly different schedule.

For a complete recommended immunization schedule, visit the CDC at
https://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-
schedule.pdf

Vaccines for Children (0-18) Vaccines for Adolescents (11-18)

Chickenpox Varicella (VAR) Human papillomavirus (HPV)
Diphtheria, tetanus, and acellular pertussis (DTap) Meningococcal
Haemophilus influenza type B (Hib) Tetanus, diphtheria, and acellular pertussis
Hepatitis A (HepA) (Tdap)
Hepatitis B (HepB) Meningococcal B (for high-risk groups)
Inactivated poliovirus (IPV) Pneumococcal polysaccharide (for high-risk
Influenza groups)
Measles, mups, rubella (MMR)
Pneumococcal conjugate (PCV13)
Rotavirus

Page 13

Plantar Fasciitis

By Dr. John Warrick, D.P.M.

Plantar fasciitis is a very common condition seen in adults. It happens to be the most common bone or joint illness seen in a
podiatry practice. Most patients experience pain in the bottom of the heel, which is most noticeable when first getting out of
bed in the morning or after sitting for a while and then standing up. The pain, which can be quite severe, is primarily located on
the bottom of the heel. It may also be located in the arch area of the feet. The pain improves a few minutes after arising, but
tends to reoccur during the day with walking or standing. The pain can be so severe the patient cannot place their heel on the
floor and usually walks on the outside ball of the foot.

Anatomy

The plantar fascia is a tough, flat, band of tendon — like tissue located below the skin and extends from its attachment to the
bottom of the heel bone away from the toes. Plantar fasciitis is usually caused by excessive strain or tension in the plantar fas-
cia caused by abnormal mechanics or motion of the feet (most commonly a tendency toward a very degree of flattening).

A secondary under recognized cause is the calf muscles and Achilles tendon is too short, which prevents the normal amount of
upward motion required for walking of the foot at the ankle joint. While lack of cushioning may be a factor, it is not the root
cause of plantar fasciitis.

Diagnosis

The diagnosis is made by obtaining a thorough history from the patient, followed by physical examination of the painful foot. In
most cases, the diagnosis can be made from the history. Confirmation of plantar fasciitis is obtained on exam by extending the
toes while the patient is sitting on the examination table and firmly palpating the bottom of the heel.

Contrary to what many people believe, foot x-rays are not diagnostic. The presence or absence of a heel spur does not corre-
late well with the symptoms the patient is having. There can be a large heel spur on x-ray without any heel pain and there may
be severe heel pain with no spur on the x-ray. X-rays are helpful to rule out other heel bone issues, such as stress fracture,
tumor, or calcaneal cyst.

Treatment

Treatment is directed at treating the core underlying causes of the plantar fasciitis pain.
As mentioned above, the predominant cause of planar fasciitis in most patients is abnor-
mal mechanical foot function and short calf muscle/Achilles tendon. With this in mind,
treatment begins with making a firm arch support or orthotic to reduce the abnormal foot
motion and stretching exercises to help lengthen the Achilles tendon calf muscle. Addi-
tional treatments are usually not able to cure the disease on their own. Icing, cortisone
injection to the heel, plantar fasciitis night splint, anti-inflammatory medications, and
physical therapy may also help.

If you or a loved one are experiencing the agony of
plantar fasciitis, call the Podiatry Department at
580.331.3439

Page 14

CSU “POP” Stars

Personal Outstanding Performance

The POP Award recognizes CSU employees who exhibit
Personal Outstanding Performance. It is designed to encourage and acknowledge

employees for their everyday efforts and customer service.

Dr. Fell & Dr. Meacham

“Radiology was short staffed and had difficulty moving a patient out of a wheelchair to obtain
images,” said Stevi Brown, supervisor. “I quickly went down the hall for help and saw Dr. Fell and
asked if he could assist in moving the patient. Without hesitation, he grabbed Dr. Meacham and
came to the rescue to move the patient onto the ultrasound table. Radiology is so appreciative of

these great team players!”

Malcolm John & Brianna Sands

“I recruited actors from Environmental Services for the staging of an Emergency Management
Code Blue Drill,” said Jane Nickle, infection preventionist/employee health nurse. “Malcolm played
the victim and Brianna played the part of discovering her coworker needing help and called for a

nurse. They did a wonderful job acting to provide a real life scenario for this drill!”

Cheryl Lamb-Groves

“Cheryl, El Reno nurse manager, stepped up and developed a scenario for a Emergency
Management Code Gray Drill,” said Jane Nickle, infection preventionist/employee health nurse.
“She walked with the Emergency Management team to conduct the drill and worked with staff

in teaching to help them know what to do.”

Page 15

Pat Gonzales retires after 36 years of
service to Indian Health Service

After more than 36 years of service, Pat Gonzales retired from Watonga Indian Health Center on June 16. Pat was raised in
Anadarko, Oklahoma, Los Angeles, California, and western Oklahoma. After high school, Pat attended the Southwestern
Oklahoma State University School of Nursing and became a registered nurse. She began working for Indian Health Service
(IHS) in December 1983.

Pat has two children, Patty James and Chris Gonzales, both of Watonga. She has six grandchildren and three great-
grandchildren. “I will miss working for IHS,” said Pat. “I will miss everyone, but I am excited for this new journey.”

Pat Gonzales was presented with a Pendleton blanket for her service to CSU

In observance of

Clinton Service Unit will be closed on Friday, July 3rd
and Clinton Indian Health Center’s Saturday
Convenient Care Clinic will be closed on
Saturday, July 4th

Page 16

Page 17

Have you signed up for your

Personal Health Record

The Indian Health Service Personal Health Record
(PHR) is a website where patient’s may access
their personal health information with access to:

Medications
Lab Results
Track Health Issues
Shot Records
Health Information
Contact Health Care Team

All may be accessed from the privacy of your
personal computer, phone, and/or tablet.

For more information, visit the website below and/or contact a CSU registration clerk.

https://phr.ihs.gov

Don’t be a “No Show”

Please make
the call!

When you cancel the
appointment you can’t keep, even

if this is a telemedicine visit,
we can provide care to another patient.

Page 18

For the privacy of our patients,
no photography and no video is allow ed

in the facilities of Clinton Service Unit.
Thank you for your cooperation.

For when the unexpected happens...

Saturday Convenient Care Clinic

Clinton
Indian Health Center

9 a.m. — 1 p.m.

Walk-ins Only
No appointment needed

Clinton’s Saturday Convenient Care Clinic provides treatment for minor medical needs:

Sore Throat Eye and Skin Infections Earaches

Insect Bites and Rashes Sinus Congestion Minor Cuts and Wounds

Cough Nausea, Vomiting, Diarrhea Fever
Pregnancy Tests Bladder Infections Allergies

Chronic health needs such as diabetes, follow-up appointments, routine prenatal care, pain management, and chronic
medication refill renewals will require an appointment in the primary care clinic, and will not be seen in the

Saturday Convenient Care Clinic.

Page 19

Clinton Service Unit

Phone Directory

CLINTON INDIAN HEALTH CENTER 580.331.3300
10321 N. 2274 Road ~ Clinton, OK ~ 73601

Request to establish chart: 580.331.3369

Cedar Medical Home SweetGrass Medical Home Willow Medical Home

Dr. Ineke Moak Dr. Maqbool, Dr. Garner Dr. Egan, Dr. Hartnett, & Dr. Mejias
Ginger Woodall & Michelle Beshaw & Jessica Van Den Berg Apts: 580.331.3466
Apts: 580.331.3424 Apts: 580. 331.3412 Nurse: 580.331.3466
Nurse: 580.331.3424 Nurse: 580.331.3412 PRC: 580.331.3307
PRC: 580.331.3363 PRC: 580.331.3513
Chiropractic: 580.331.3439
580.331.3420 DEPARTMENTS Optometry: 580.331.3413
Audiology: 580.331-3482 Podiatry: 580.331.3439
Dental: 580.331.3423 Behavioral Health: 580.331.3485 Radiology: 580.331.3415
Pharmacy: 580.331.3351 Nutrition: 580.331.3458
PHN: 580.331.3471 Physical Therapy: 580.331.3439
Release of Info: 580.331.3377 PRC: 580.331.3590
Wound Care: 580.331.3439

EL RENO INDIAN HEALTH CENTER 405.234.8400
1801 Parkview Drive ~ El Reno, OK ~ 73036
Request to establish chart: 405.234.8427

Eagle Medical Home Otter Medical Home Pediatrics

Dr. Garcia & Monica Holcomb Dr. Renshaw & Fayth-An Hope Gray Dr. Mejias
Apts: 405.234-8411 Apts: 405.234.8411 Apts: 405. 234.8411
Nurse: 405.234.8411 Nurse: 405.234.8411 Nurse: 405. 234.8411
PRC: 580.331.3336 PRC: 580.331.3419 PRC: 580.331.3307

Behavioral Health: 405.234.8426 DEPARTMENTS PHN: 405.234.8430
PRC: 580.331.3590
Pharmacy: 405.234.8423
Release of Info: 405.234.8403

WATONGA INDIAN HEALTH CENTER 580.623.4991
1305 S. Clarence Nash Boulevard ~ Watonga, OK ~ 73772

Request to establish chart: (580) 623-4991 ext. 3000

Turtle Medical Home Pediatrics

Dr. Ali Dr. Mejias
Apts: 580.623-4991 Apts: 580.623.4991
Nurse: 580.623.4991 Nurse: 580.623.4991
PRC: 580.331.3336 PRC: 580.331.3307

Pharmacy: 580.623.4991 DEPARTMENTS PRC: 580.331.3590

PHN: 580.623.4991
Release of Info: 580.623.4991

Page 20

Text Message Tell us how we’re doing...
Appointment
We invite you tell us how we’re
Reminders doing and take our short online
patient survey. For a paper copy,
please stop by registration.

Receive fast and convenient https://www.surveymonkey.com/r/CSUPatientSurvey
communication on your next
appointment at the tip of your Join CSU on Facebook
for up-to-date information
finger tips. To receive text on events and clinic services at
message appointment
reminders, patients may Clinton
Indian Health Service
self-enroll into the system
through calling 580.331.3533.

Simply follow the spoken
instructions and enter your

health record number.

Those who opt in for a text
message appointment

reminder will not receive a
phone call reminder in

conjunction with the text.

Parents may also enroll to
receive a text message
reminder for their child’s
appointments.