April 2021 CSU Newsletter

April 2021

The Monthly Newsletter for Clinton, El Reno, and
Watonga Indian Health Centers

The Nursing and Pharmacy team of Clinton Indian Health Center provide drive-thru COVID-19 vaccines through the Vaccine Shed. Pictured above (left to
right): Brandi Lynn, Kelley Yoder, Molly Challis, Rebecca Geiger, Cassandra Clark, Cody Crouch, and Amber Trent.

Transition of Care Back to In-Person Visits

Balancing telemedicine and in-person health care

As a result of the COVID-19 pandemic, Clinton Service Unit (CSU) adjusted and brought forth change to WHAT’S INSIDE:
the way health care is delivered throughout the service unit. In April 2020, CSU transitioned from in-person
health care visits to telemedicine visits. This transition on the delivery of health services was done to mini- COVID Update
mize potential exposure to the coronavirus and ensure the safety of both our patients and staff. Vaccine Schedule
HIM Week
“CSU utilized three platforms in the delivery of telemedicine visits,” said Natasha Flurry, chief nurse execu- Lab Prof. Week
tive. “Our staff diligently worked towards delivering the same standard of care to our patients through tele- Behavioral Health
medicine visits, as they have always received by us through in-person visits. Throughout this past year we Alcohol Awareness
have learned new processes and quirks in facilitating telehealth services to maintain the continuity of care New Employees
to every extent possible. Some would say our nurses became pseudo information technology profession-
als!”

As we look to the future and understand COVID-19 prevention and treatment will move into daily opera-
tions, CSU is transitioning back towards in-person care with more face-to-face visits for patients with their
primary care providers. The service unit will continue to monitor active coronavirus spread throughout the
community and will adjust as necessary. (In-Person Visits continued on page 3…)

What the IHS Mission Means to Me...

INDIAN HEALTH
SERVICE
MISSION

To raise the physical,
mental, social, and

spiritual health of
American Indians
and Alaska Natives to
the highest level.

Bonnie Kraft, director of Public Health Nursing for Clinton Service Unit CLINTON
SERVICE UNIT
“Everyday, as public health nurse, I’m looking
outside the box for solutions or resources to VISION
help our patients, families, staff, and
communities become healthier. Not only To provide quality
individual patients, but communities are health care services
considered patients for a public health nurse.
Healthier patients = healthier communities! focusing on
As a public health nurse of 35 years, I’m still prevention,
excited to see new and improved health restoration and
promotion and disease prevention concepts collaborative
which benefit all!” relationships that are
valued and exceeds
the needs of our
patients, community,
and tribal partners.

In-Person Visits To schedule an appointment
Continued... for COVID-19 vaccination

Telemedicine visits will continue to have a presence in ~or~
clinical operations, as this technology preserves the pa-
tient-provider relationship at times when an in-person visit If you have questions
is not practical or feasible. We will work with each patient regarding COVID-19
and provide appropriate care based upon their comfort vaccination and/or testing,
level.
call (580)331-3433
“We believe continuing to offer telemedicine to our com-
munity has value and allows CSU to continue to Exceed
the Need!”





CLINTON SERVICE UNIT COVID-19 Weekly Positive
COVID-19 UPDATE Rate Amongst CSU Patients

COVID-19 is a virus identified as the cause Feb. 14, 2021 to Feb. 20, 2021 = 3%
of an outbreak of respiratory illness first Feb. 21, 2021 to Feb. 28, 2021 = 2.5%

detected in Asia in late 2019 that has since Mar. 1, 2021 to Mar. 6, 2021 = 2%
spread globally into a pandemic. The virus Mar. 14, 2021 to Mar. 20, 2021 = 0%
Mar. 21, 2021 to Mar. 27, 2021 = 1%
has spread across all 50 states. Mar. 28, 2021 to Apr. 3, 2021 = 2.3%
Clinton Service Unit is tracking how the Apr. 4, 2021 to Apr. 10, 2021 = 4.6%
virus spreads amongst our community and Apr. 11, 2021 to Apr. 18, 2021 = 2.7%
Apr. 19, 2021 to Apr. 24, 2021 = 0%
service unit.

Positive COVID-19 Cases
in the State of Oklahoma

447,393

Positive COVID-19 Cases
amongst CSU patients

1,097

CSU Total Positive Patients CSU Total Positive Patients
by County by Age

0-4 Years 18

Alameda 1 Grady 3 5-17 Years 229
Alfalfa 2 Greer 2
Beckham 51 Jackson 1 18-35 Years 358
Bernalillo 5 Kingfisher 18
Blaine 132 Kiowa 5 36-49 Years 226
Caddo 28 Major 4
Canadian 326 Oklahoma 56 50-64 Years 197
Cleveland 5 Payne 1
Comanche 2 Roger Mills 18 65+ Years 61
Custer 367 Texas Unk 4
Dewey 22 Washita 32 CSU Total Positive Patients
Ellis 1 Woodward 7 by Gender
Garfield 2
Male 455
Female 641

National Prescription Take Back

In honor of National Prescription Take-Back Day, Clinton Service Unit teamed with the Cheyenne and Arapaho
Tribes’ Opioid Response Program, Red Rock Behavioral Health Services, and local law enforcement to provide drive
-thru Prescription Take Back Events on April 24, 2021 in the towns of Cordell, Elk City, Watonga, and Weatherford.
According to the 2019 National Survey on Drug Use and Health, 9.7 million Americans misused prescription pain
relievers, 4.9 million misused prescription stimulants, and 5.9 million misused prescription tranquilizers or sedatives.
The majority of misused prescription drugs were obtained from family and friends, which was often found in their
home medicine cabinets.
Together, the four sites collected over 49 pounds of unused prescription medication, distributed 81 Narcan kits, and 10 medication lock box-
es. This simple act of removing unused medication from a home may have saved a life!

Pictured above (left to right): Pharmacists CDR Rebecca Geiger and CDR Narcisso Soliz assisted in collection of unused prescription medication in Weatherford.
LCDR Julie Boese assisted the collection of unused prescription medication in Cordell.

LCDR Todd Lawrence Retires from
El Reno Indian Health Center

LCDR Todd Lawrence, member of the Choctaw Nation, retires after 20 years of active duty ser-
vice. In 1991, LCDR Lawrence enlisted in the United States Navy, where he served until 1999.
During this time, he served aboard the USS Kittiwake, USS Nashville, and at the Mid-Atlantic
Regional Calibration Center in Norfolk, Virginia. He went on to enlisted in the United States Navy
Reserve from 2000 to 2004. During this time, he earned a Bachelor of Science in Nursing from
Oklahoma City University. In 2009, LCDR Lawrence was commissioned as an officer in the Unit-
ed States Public Health Service and served his initial duty station at the Federal Bureau of Pris-
ons for two years. In 2011, LCDR Lawrence transferred to El Reno Indian Health Center, where
he served as a nurse case manager for the remainder of his career. In retirement, LCDR Law-
rence plans to travel and teach Brazilian Jiu Jitsu at the school he owns in Mustang, Oklahoma.

CT Cardiac Calcium Scoring

Cardiovascular disease is America's leading killer for both men and women among all racial and ethnic groups, including American Indians
and Alaska Natives. Calcification in the coronary arteries is the earliest indicator of heart disease and CT Cardiac Calcium Scoring is one of
the most advanced methods available to detect this calcification. CT Cardiac Calcium Scoring is available through the Radiology depart-
ment at Clinton Service Unit (CSU).

“While CT Cardiac Calcium Scoring is strictly a screening exams, it needs to be ordered through your CSU provider,” said Stevie Brown,
radiology supervisor. “Patients will need to make an appointment so their provider may do an exam and review screening questions to see
if they qualify for a CT Cardiac Calcium Scoring exam. Once the provider has entered the order, you may call Radiology to schedule an
appointment. Patients in Clinton may walk-in for a same-day exam if the schedule permits. Patient’s coming from El Reno or Watonga are
encouraged to call and schedule an appointment.”

The CT Cardiac Calcium Scoring provides two very important pieces of information: 1) The presence or absence of coronary calcium in the
coronary arteries. 2) The degree of the coronary calcium in the coronary arteries. While other forms of plaque may exist, only calcified
plaque is detected.

What to expect during your exam

There ae no special preparations needed for CT Cardiac Calcium Scoring. No fasting, no injections, or stoppage of medication are re-
quired. 1) You will need to lie on your back on the CT table for about 10 minutes. 2) The exam is “cardiac gated” so electrocardiogram
patches will be placed on your chest to synchronize the scan with your heartbeats. 3) The scan is painless and emits only a small amount
of radiation. During your test, you will be asked to rest quietly while holding your breath for short periods of time.

Your test results

The results of your exam represent peace of mind, since early detection is the key to prevention. Should your score indicate a risk for heart
disease, your doctor can recommend drug therapies or lifestyle modifications to help slow the progression of the disease. Be sure to con-
sult your provider for the proper treatment for you.

Are you at risk?

The following factors may increase your risk of coronary artery disease.
 You are a male and over 45 years
 You are a female and over 55 years of age; Or you have passed menopause; Or you
have had your ovaries removed and are not taking estrogen
 Your father or brother had a heart attack before age 55; Or your mother or sister had one
before the age of 65
 You smoke; Or you live/work with someone who smokes daily
 You have a cholesterol level of 240 or higher
 You’ve been told your blood pressure is high
 You do NOT exercise at least 30 minutes each time
 You are 20 pounds or more overweight
 You have diabetes; Or you need medicine to control your blood flow

El Reno Construction UPDATE

Construction of the new facility for El Reno Indian Health Center is taking shape. Over the past month, the canopy structural steel was in-
stalled, installation of plumbing, heating, ventilation, and air conditioning began, and layout for exterior framing occurred. The new facility is
located directly to the east of the current building. Construction will continue throughout the spring and into the fall, with an anticipated com-
pletion date for early 2022.

COVID-19 Testing

Clinton Service Unit’s (CSU) COVID-19 Response Team continues to support the Indian Health Service’s focus regarding surveillance
testing for the spread of COVID-19 throughout the community. Surveillance testing is performed in accordance with the current guidelines
put forth by the Centers for Disease Control and Prevention and is conducted through the Outpatient and Dental clinics at Clinton, El Re-
no, and Watonga Indian Health Centers.
Since many people who test positive for COVID-19 show no symptoms, surveillance testing is the most effective way to track the preva-
lence and spread of COVID-19 in the community. Patients who enter a CSU facility may be asked to participate in surveillance testing,
using a less invasive rapid test requiring a nasal swab (nasal swabs are designed to collect samples from the nasal walls of your nostril,
while other tests, such as a nasopharyngeal swab, collects samples from deeper in your nasal cavity). CSU greatly appreciates all pa-
tients who are willing to participate in the surveillance testing program. Please note, if you are asked to participate, you are always free to
decline participation.
“This is one small step we an take to help put an end to this pandemic once and for all,” said Dr. Chris Renshaw, (A) clinical director.
There are a few key points to keep in mind regarding COVID-19 surveillance testing:

 A robust and responsive testing infrastructure is essential to our success in stopping the spread of SARS-CoV-2, the virus
that causes COVID-19

 If you have received the COVID-19 vaccine, this will not affect the results of the SARS-CoV-2 viral tests
 A positive result allows for identification and isolation of an infected person, as well as a case interview to identify and notify

close contacts of exposure to the positive individual and the need to quar-
antine
 Negative test results in persons with known SARS-CoV-2 exposure, sug-
gest no current evidence of infection
 Negative test results in persons without symptoms and no known expo-
sure, suggest no infection

The POP Award recognizes Clinton Service Unit employees who exhibit Personal Outstanding Performance. It is
designed to encourage and acknowledge employees for their everyday efforts and customer service.
Congratulations to all of our POP Stars!

Johnelle Lamar

“I want to thank Johnelle for her time and hard work on the Purchase/Referred Care (PRC) reconciliation,” said Tracy George, PRC
supervisor. “Most do not know the detailed and technical efforts that goes into maintaining this requirement, but I most certainly do.

Thank you Johnelle. You are a POP star!”

Amy Gomez & Kim Kidd

“Thank you to Amy and Kim for assisting the emergency management staging of a color code brown drill in Watonga,” said Jane
Nickel, safety officer for infection control emergency management. “Amy worked in Dental and called the code brown for assistance

and paged for help. Kim acted as the patient that became upset. Thanks to all who stepped up to act or assist in the response!”

Andrea Gorham & Keith Rumnier

“Thank you to Andrea and Keith for the emergency management staging of a color code black drill in El Reno,” said Jane Nickel,
safety officer for infection control emergency management. “Andrea assisted in staging the drill and Keith called the page overhead

and assisted in staging of the drill. Thanks to all who stepped up to act or assist in the response!”

Health Information Professionals Week

April 17th - 24th

Health Information professionals are trusted by patients and providers alike with the most sensitive
data that exists about a person, while making sure it is available where and when it is needed. The
commitment of health information professionals to keep patient health information reliable and protect-
ed at all times is critical.

The theme for the 2021 Health Information Professionals Week, keeping health information human,
emphasizes or reminds us when health information stays human, it stays relevant.

“The dedicated service of our medical records technicians and coders is essential to ensuring the availability, accuracy, integrity, and securi-
ty of all data related to patient health care encounters,” said Kala Rodgers, ancillary services administrator. “Thus, achieving better clinical
and business decisions to enhance
health care quality.

“”We thank the Health Information
Management staff for their dedication
to maintaining the patients’ health
record and ensuring proper coding
for medical visits for accuracy and
billing purposes,” said Captain Joe
Bryant, chief executive officer. “While
they may be quiet in nature, they are
the backbone of our health system!”

Pictured above (left to right): Lisa Anquoe and Jessica Kodaseet (El Reno Indian Health Center), Janetta McGahagain
(Clinton Indian Health Center), Donna Hill, Jacqueline Reynolds, Kendra Tapaha, and Phoenix Keesie (Clinton Indian Health Center).

Not pictured, Marleen Pratt (El Reno Indian Health Center) and Caroline Ynguanzo (Clinton Indian Health Center).

EGG-Cellent Work

Clinton Service Unit’s Employee Association (EA) spread Easter cheer throughout the facility through “egging” each department with baskets
full of goodies to thank staff for the “hard boiled” work they do each day.
Prior to the Easter weekend, the EA hosted a Easter egg hunt in Clinton for students of the Cheyenne and Arapaho Tribes’ Head Start and
Child Care Center. Over 300 eggs were donated for the hunt. Festivities included a creative egg contest, where the children were encour-
aged to decorate their own eggs. The Easter Bunny hopped into the fun and took pictures with the children.

Pictured above: (top row, left ) Clinton Head Start students take pose for pictures with the Easter Bunny; (top row, right) Finalists for the decorative egg contest.;
(bottom row) The Easter Bunny prepares to surprise children of the Clinton Head Start and Child Care Center.

Laboratory Professionals Week

April 18th - 24th

Medical laboratory professionals and pathologists play a vital role in health care and patient advocacy.
These professionals are health care detectives, uncovering and providing laboratory information from
laboratory analyses to assist providers in patient diagnosis and treatment, as well as in disease monitor-
ing or prevention.
“We pay tribute to the heroes within our Lab department who worked tirelessly behind the scenes every
day as we fought and continue to fight the coronavirus,” said Captain Joe Bryant, chief executive officer.
“Not only did they serve as the cornerstone of our COVID-19 response, but they also continued their
primary duties of ongoing lab and chemistry testing. Their efforts over the past year have played a significant role in Clinton Service Unit truly
exceeding the need within our pandemic response. Lab was unwavering in their commitment to serving patients’ needs daily, and in the past
year have gone above and beyond the professional call of duty, facing challenge after challenge due to the pandemic.”
“It is a privilege to celebrate our laboratory staff for the Clinton Service Unit (CSU),” said Kala Rodgers, ancillary services administrator.
“Every day, they are committed to providing quality laboratory services for our patients. This past year, they have truly gone above and be-
yond to provide accurate and safe COVID-19 testing. Their efforts have put CSU at the forefront of testing. Their collaboration with other
departments and outside agencies has made it possible to provide uninterrupted and outstanding service. Thank you for all you do!”

Pictured above, Clinton Indian Health Center Laboratory Staff (top row) Jon Soto
(bottom row, left to right) Kristina Rhoades, Vickey Fletcher, Kimberly Chenoweth, and Celia Ramierez.

Laboratory staff pictured above (left to right) Lia Spears (Clinton Indian Health Center), Val Allen (El Reno Indian Health Center), and Lorrie Turnham (Watonga Indian Health Center).

Self-Care Tips During the Pandemic and Beyond...

Every workplace faces its share of daily challenges. Those working in health care are not immune to facing the challenges of daily stress
and anxiety. With the recent pandemic, the pressure placed on those in health care have only increased, which means health care workers
need to find more ways to de-stress.

Supervisors of Clinton Service Unit attended a quarterly training promoting daily self-care. The training, presented by the Indian Health Ser-
vice Oklahoma City Area Director of Behavioral Health Barbara Roland, offered self-care techniques and served as reminder for us all to
incorporate self-care into our work and personal life.

It is not selfish to want to take care of ourselves. The act of self-care is taking care of our physical, mental, emotional and spiritual well-
being. It’s doing things to make us feel good, make us feel special, relieves stress, rejuvenates us, energizes us, and better prepares us for
serving others. Being vulnerable to high levels of stress can increase changes of becoming overwhelmed and may lead to burnout.

Self-care is hardest when you need it most. You may not feel like it is a priority when you have so much to do, but it is and cannot be nego-
tiable. You need to make sure you look after your basic physical and mental health needs or you won’t be able to look after others.

Physical Health

 Fuel your body by eating a healthy, well-balanced diet and drinking plenty of water.

 Aim to get seven to eight hours of sleep each night.

 Exercise every day.

 Take deep breaths and stretch often.

 Avoid risky or destructive behaviors, such as abusing alcohol or drugs, excessive gambling or ignoring public health recommendations.

 Spend time outside, such as going for a walk in the park, but follow social distancing guidelines.

Mental Health

 Set and maintain a routine at home.

 Focus on things you can control.

 Use technology to maintain social connections with your loved ones. Consider a regular check-in schedule to give you something to
look forward to.

 Focus your thoughts on the present and things to be grateful for today.

 Listen to music or read books.

 Consume reliable news sources that report facts, and avoid media that sensationalizes emotions. Limit your exposure or take a break
from news and social media if you find that it makes your anxious .

 Lean on your personal beliefs and faith for support.

 Look for ways to help your community, such as blood donations, checking on older people in your neighborhood, or donating supplies or
money to local organizations.

 Acknowledge and appreciate what others are doing to help you and your community.

There are no set rules for working through stress or the daily challenges of life. No two people experience the situation in quite the same
way, nor will they share the same reactions. None of us will navigate a situation in quite the same way either. The range of normal reactions
to any situation is extremely broad — it’s the situation that’s abnormal, not you or your reactions to it.



Behavioral Health Services Clinton Service Unit’s
Behavioral Health Team
The Behavioral Health department of Clinton Service Unit includes services for mental
health, substance abuse, life stressors, crises, stress-related physical symptoms, and Behavioral Health Supervisor/Clinical
health behaviors. As a collaboration of care with the medical home teams and depart- Social Worker
ments through the service unit, integrative behavioral health is offered to connect medical
and behavioral health clinicians to address medical conditions and related behavioral Josette Church, MSW, LICSW, LADC
health factors that affect health and well-being for the whole person. Psychiatrist

Services offered through CSU’s Behavioral Health department include: Dr. Linda Cummings, MD
Psychiatrist
 Psychiatric services for adults, adolescents, and children
Dr. Mark Rathgeber, MD
 Psychological evaluation and testing Psychiatrist

 Psychotherapy Dr. Laura Webb, MD
Psychologist
 Couples psychotherapy
Dr. Micheal Shields, PhD
 Family psychotherapy Counseling Psychologist

 Crisis intervention Jerome Maxey, MBS
Licensed Clinical Social Worker
Psychotherapy, or talk therapy, explores thoughts, feelings, and behaviors. Psychotherapy
can help eliminate or control troubling symptoms and seeks to assist a person so they Jonell James, MSW, LCSW
may function better and can improve an individual’s well-being and healing. Integrative Behavioral Therapist

Afton Luttrell, MSW, LMSW
Medical Support Assistant

Lacey Laurenzana

Healthy Ways to Cope with Stress

Take care of yourself, eat healthy, exercise, and sleep well
Talk to others

Avoid alcohol and/or drugs
Deep breathe
Take a time out

STEP 1: REFRAME STRESS

Help your child shift from a “stress hurts” mindset to a “stress helps” mindset.
Some level of stress is beneficial and presents opportunities for growth.

STEP 2: SHIFT FROM A FIXED TO A GROWTH MINDSET

Help them look at the situation from a growth mindset perspective: It’s not
fixed, it can be improved, and they do have the power to influence the situa-
tion.

STEP 3: STOP CATASTROPHIC THINKING

Do the worst case scenario exercise. Ask your child, “What’s the worst thing
that could happen?” CAUTION: do not dismiss their worry!

STEP 4: PRACTICE PROBLEM-SOLVING

Brainstorm solutions, doing more listening than talking. Think through the
positive and negative consequences of each proposed idea, then choose one.

STEP 5: TRY STRESS-MANAGEMENT TECHNIQUES

Use techniques like deep breathing, stretching, listening to music, meditation, and practicing mindfulness.

Recognizing the Signs of Alcoholism

Do you every worry you or someone you love may have a drinking problem? Learn how to recognize the signs of alcoholism.
Having a glass of wine or drinking a couple of beers with dinner every night does not mean you have an alcohol problem… or does it? Drink-
ing in moderation, up to one drink a day for women and two drinks a day for men, may be no cause for concern. However, drinking more
than this per day is not recommended and may put you at risk for developing an alcohol dependency over time.
Heavy drinking, more than eight alcoholic drinks per week for women and more than 15 alcoholic drinks per week for men, raises the risk for
certain types of cancer and stroke. It may also cause other diseases and conditions, including cirrhosis of the liver, pancreatitis, stomach
ulcers, and malnutrition.
Physical signs of alcoholism include:

 The inability to cut down or stop drinking

 Continuing to drink despite negative health impacts and problems at home, school or work

 Alcohol cravings or strong, uncontrollable urges to drink

 Increase tolerance, or needing to drink more alcohol to feel the same effects

 Experiencing symptoms of alcohol withdrawal when you stop drinking, including irritability, restlessness, trouble sleeping, de-
pression, nausea, sweating, and tremors

 Spending time feeling sick or recovering from the side effects of drinking alcohol
In addition to the physical signs of alcoholism, it is important to be aware of the behavioral symptoms. Behavioral symptoms of alcoholism
may include hiding drinking from others, drinking alone, neglecting responsibilities, losing relationships, needing to drink before social activi-
ties, personality changes, and alcohol related arrests.
According to the Substance Abuse and Mental Health Services Administration, the standard size of an alcoholic drink is:

 12 ounce beer

 8-9 ounce malt liquor

 5 ounce table wine

 1.5 ounce 80-proof distilled spirits
Alcoholism can be treated with therapy. Sometimes medication is pre-
scribed for withdrawal and cravings. Talk with your provider or medical
home team if you are worried about your drinking.

Aiyanna Tahbonemah

Medical Support Assistant | Clinton Indian Health Center

Aiyanna Tahbonemah, member of the Caddo Nation, grew up in Lone Wolf, Oklahoma. Aiyanna graduated
from Lone Wolf High School and attended college at Haskell Indian Nations University in Lawrence,
Kansas. In 2018, Aiyanna earned an Emergency Medical Technician (EMT) degree through Gordon Cooper
Technology Center in Shawnee, Oklahoma. She has lived in Clinton for over a year and plans to continue
EMT training in the near future.

Shaunell Brown

Accounting Technician | Clinton Indian Health Center

Shaunell Brown, member of the Cherokee Nation, was a program technician for the United States
Department of Agriculture's Farm Service Agency prior to accepting the position at Clinton. Shaunell
grew up in Hinton, Oklahoma and graduated from Hinton High School. She and her husband, Justin, have
two daughters and have lived in the Lookeba-Sickles area since 2004. Shaunell enjoys gardening, helping
her husband with the cow/calf operation and attending her daughters’ sports and school activities.









Clinton Service Unit

Department 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. Middleton, & Dr. Skelly
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
& Michelle Tippeconnic Apts: 405.234.8411 Apts: 405. 234.8411
Apts: 405.234-8439 Nurse: 405.234.8411 Nurse: 405.234.8411
Nurse: 405.234.8439 PRC: 580.331.3419 PRC: 580. 331.3307
PRC: 580.331.3336

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 & Fayth-An Hope Gray 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

DEPARTMENTS
Pharmacy: 580.623.4991 PHN: 580.623.4991 PRC: 580.331.3590
Dental: 580.623.4991 ext. 3007 Release of Info: 580.623.4991