Health Services – Squaxin Island Tribe

Each Year patients need to update yearly paperwork to ensure our records are up-to-date:
- Insurance card (collected at each visit starting 1/22/24)
- WA State IDs (Age 18 and up)
- Proof of address for those who are CHS Eligible (Squaxin Island tribal members or registered Squaxin Island descendants who live within the TMS area: Mason, Thurston, Pierce or Grays Harbor counties and for adult descendants who reside in Mason County)
  - Documents we accept for proof of address include: Utility bill (PUD/WSG, electric, cable, or phone bill), notarized residency statement or letter from state/county/government municipality
- If you are not sure if you are covered by CHS, please call Jaclyn to check your eligibility status.

Please remember, we are not a walk-in clinic. You must have a scheduled appointment. If you have a medical emergency, you should call 911 or go to the ER. We do not provide emergency services.

When to go to an emergency room or urgent care facility:
Shortness of breath, abdominal pain, vision loss, trouble speaking or slurred speech, weakness in face, clammy skin, persistent pain, or pressure in the chest.

The clinic does have same-day availability for urgent care. The appointments are triaged, so it is not a guarantee. Please call at 8:00 a.m. to check availability.

Please be patient with our clinic as we are updating policies, procedures, and processes to meet compliance standards with federal Laws and I.H.S audit requirements. We work for you, and our goal is to provide ONLY high quality and safe care. This means we will be changing some of our processes.

We will be communicating with the community through the Klah-Che-Min newlstter and quarterly Q&As. The clinic website is our formal communication. We will limit the use of Facebook and other social media postings to ensure accurate communication.

Holiday Closure Dates
January 1 – New Year’s Day
March 8 – Billy Frank, Jr. Day
March 29 – Spring Holiday
May 13 – American Indian Day
May 27 – Memorial Day
July 4 – Independence Day
September 2 – Labor Day
November 28 & 29 – Thanksgiving
December 25 & 26 – Christmas

The clinic, dental and behavioral health will be closed from 12:00 noon to 5:00 p.m. for quarterly staff training days on:
Please pick up your prescriptions prior to 11:30 a.m.
March 19
June 18
September 17
December 17

In case of inclement weather, the health clinic follows the closure policy of the Shelton School District. On the days Shelton School District is closed for bad weather or are on delays, the health clinic will be closed following those announcements. If you have an appointment with us during a time when the schools are closed, please consider your appointment cancelled and we will call to reschedule your appointments once we are back in the office. Community members are encouraged to listen for local closures in cases of inclement weather.

CURRENT COVID-19 TESTING AND ISOLATION PROCEDURES

Exposure with no symptoms:
If boosted- Wear mask for 5 days and test at home on day 1, 3 and 5.
If not boosted, wear mask for 10 days and test at home day 1, 3 and 5.
NO need to isolate without symptoms. NO need to come to clinic.

Exposure with symptoms:
Test immediately:
if +: isolate for 5 days, but wear mask for 10 days. May return to work after a minimum of five days or longer until fever free for 24 hours.
if –: wear mask for 10 days and test at home on days 1, 3 and 5. If + on day 5, isolate and follow same guidelines as above.

If experience shortness of breath or chest pain or other life threatening symptoms, go to the ER. Patients may come to clinic for non-emergent or non-life-threatening symptoms or if a confirmation test is required for work. Appointments need to be scheduled. We do not do this on a walk in basis.

MASK WEARING
As the weather changes, it brings certain non-welcome viruses, such as influenza, RSV and covid-19. If you are experiencing symptoms suggestive of these illnesses, please wear a mask while in the clinic. If you do not have one on, you will be asked to put one on. Please be respectful to staff when they request you to put on a mask. We have a highly vulnerable population and we need to protect each other

MEDICATIONS
We request kindly that you allow 3-5 business days for medication refills. We do not have the staff to accommodate same day refills. If you require appointments for refills, we suggest you make appointments as early as possible to reduce delays in medication processing. Provider schedules fill up quickly.

REFERRALS
For patients who are waiting on referrals, please allow at least 10 days for processing. If you have not heard from the clinic by day 10, please call us to follow up.

Over 9,000 patient/client contacts take place each year with services provided for medical, dental and behavioral health.

Mammogram clinics are a successful part of our womens’ cancer prevention program.

Outdoor Activities