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Chehalis Tribal Wellness Center Mammogram Clinic Guidelines for Medical Transports POLICY STATEMENT Tuesday, September 24 from 9:00 AM to 3:00 PM A Medical Transport is defned as a transport provided to patients of the at the CTWC Chehalis Tribal Wellness Center for a medical appointment when no other transportation resource is available. Patients must reside in a 10 mile radius of the clinic to access transportation services. Tuesday, October 8 TRANSPORTATION TO MEDICAL APPOINTMENTS WILL BE from 9:00 AM to 3:00 PM PROVIDED ACCORDING TO THE FOLLOWING GUIDELINES: at the CTWC The outreach specialist will only be available for transports to medical appointments off the Reservation to Olympia, Lacey, Centralia or Assured Imaging will be here for the Mammogram Clinic. If you are due for Chehalis. your mammogram please call the clinic at 360-273-5504 to schedule your appointment. The request for transportation to a medical appointment MUST be made at least 72 hours before the appointment. (The Request must be made on a You will need to have your yearly Clinical Breast Exam before your “Transportation Request Slip”). Transportation scheduling is based on the mammogram, so you can call the clinic at 360-273-5504 to make an emergency of the appointment and availability of scheduling times. appointment with one of the providers. The CTWC outreach specialist will call the patient to confrm the Chris Knutson, the Women’s Wellness Provider, is here every Tuesday from transportation request. 8:00 AM to 4:30 PM. When less than 72 hours notice is given, the request must be accompanied by appropriate clinic staff. (Such as Nurse, CHS, Doctor). Even though a direct referral is provided, it does not always mean the Outreach Specialist Community Walk will be available to provide transportation. EACH request will be screened Every third Thursday of the month, the Diabetes Prevention Program has a by appropriate supervisor. community walk in competition with the other tribes Diabetes Prevention programs. Any physical activity can count as long as you sign up and do at Transportation will be provided only when no other transportation resource lease 30 minutes of physical activity on the day of the walk. is available. A person or family with their own vehicle is expected to provide their own transportation. Sign up sheets in the work out area for those who chose to be active A PARENT OR LEGAL GUARDIAN MUST ACCOMPANY independently or in the work out center. Raffe for all participants (drawing ALL CHILDREN UNDER THE AGE OF 18 YEARS OLD. NO will be next day at noon). EXCEPTIONS. For additional information, or to sign up in advance please contact the Transportation will only be provided for Medical appointments only. Chehalis Tribal Wellness Center 360-273-5504. NO SIDE TRIPS will be allowed. (personal shopping, visiting, or other personal business). Transportation is provided from individuals’ home to Attention: Chehalis Tribal Members medical appointment and back to their home. The outreach specialist will not provide transportation if the individual is Intoxicated or High. Indian Wills and Estate Planning Services are now being offered to Transportation may include more than one person being transported all Chehalis Tribal Members who are 18 years and older. simultaneously, if there are more request to the same area, and the same time. The outreach specialist does not provide meals for the patient. This service is without cost to Chehalis Tribal members who currently do not have a Will. Transportation will only be provided for the person and parent/guardian (if person is under age 18). Please call Christina Hicks at 360-709-1741 to set up an appointment and get the paperwork needed to get started. Persons needing transportation need to report appointment verbally to outreach specialist and fll out a Transportation Request Slip to the outreach specialist supervisor, to ensure it does not confict with other transportation WIC Program DSHS Program appointments. September 5 Every Tuesday „ Outreach specialist will not provide transportation for Medically Invasive October 3 Procedures. November 7 8:00 AM to 4:00 PM „ Medical transports apply to routine visits, no major medical issues. 9:00 AM - 4:00 PM A representative from DSHS will be available. Contact the Chehalis Tribal „ Medical appointments must include a referral from CTWC. For more information contact Wellness Center at 360-273-5504 to „ Patient must read and sign the transportation guidelines. Deb Shortman at 306-709-1689 schedule an appointment.    Page 5
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