Thu, Feb. 20

2014: Yavapai County Community Health Services

Where can you get a flu shot, see a Pediatrician when your child is sick and get an affordable reproductive health exam? At the same place that inspects restaurants for safe food practices, traps mosquitoes to test for West Nile virus and makes home visits to see newborn babies with medi-cal problems.

Yavapai County Community Health Services works with other emergency response agencies to respond to disease outbreaks, wildland fires or floods that could affect people living in the Verde Valley and across the county.

YCCHS delivers monthly food boxes to supplement the nutritional needs of people age 60 or older, as well as young families. They work in the community and visit school classrooms to teach children how to make healthy eating choices and be physically active.

As Yavapai County's public health agency, YCCHS actively promotes health and prevents disease by delivering a wide range of quality healthcare services and programs, such as those outlined below.

• Clinical Services: 639-8130 (Appointments/Information) Monday - Friday, 8 a.m. to 5 p.m. 51 Brian Mickelsen Pkwy, Cottonwood

• Family Practice: Prescott, Paul Nault, MD; Elaine Martin-Stomel, FNP: Frank Colella, FNP

• Prescott Valley: Ravinder Dawke, MD (Medical Director) Amy Ryn, DO; Sheryl Peteuil, FNP; Anto Vukancic, FNP; Rebecca Bushman, DO

• Cottonwood: Laurel Mueller, DO; Mary Sutter, MD

• Pediatrician Prescott/Prescott Valley: David Green, MD

• Reproductive Health Prescott/Prescott Valley/Cottonwood: Jane Chapman, PA

• Prenatal/Gynecology Prescott/Prescott Valley: Josephine Kim, MD

• Dental: Richard Zapfe, DDS (Prescott Valley) ; Mark Emshwiller, DMD (Cottonwood); Theresa Bradshaw, RDH (Cottonwood/P.V.); Maritza Sanchez-Salazar, DDS (Cottonwood)

• Care Coordination: Kevin Goss, Program Coordinator; Raymundo Torres - Care Coordinator; Tammy Mitchel - Care Coordinator; Jennifer Gregory, LAC Behavioral Health Coordinator

AT YCCHS, preventative care as well as treatment of acute and chronic ill-nesses, dental services, reproductive care and Coordinated Care services provided through the Community Health Center of Yavapai. Located in Cottonwood, Prescott Valley and Prescott. The Community Health Center of Yavapai takes most insurance plans and offers a sliding fee scale for those without insurance.

To be eligible for the sliding fee scale, patients provide proof that they live in Arizona (driver's license, utility bill or rent receipt) and proof of income. If you don't have insurance one of the YCCHS Certified Application Counselors can aid you through the online application process for free insurance through Medicaid or affordable cov-erage purchased through the Healthcare marketplace.

The fee for the medical visit also includes limited laboratory tests and X-rays. A limited number of prescription medications are available at local pharmacies for a $10 co-pay. Once a patient has made the Community Health Center their "medical home" they are eligible to be referred to be-havioral health and dental care (dental clinic is in Prescott Valley and Cottonwood).

Certain services, such as childhood immunizations, adult immunizations, immunizations for foreign travel, HIV or tuberculosis (TB) testing, are available to everyone.

• Immunizations: Childhood, Adult and Foreign Travel : Immunizations are the best way to reduce vaccine-preventable diseases in children and adults. Immunizations for children and adults are available Monday through Thursday by appointment at the Cottonwood location.

In Arizona, the Vaccines for Children (VFC) Program works with YCCHS to immunize children based on guidelines from the Centers for Disease Con-trol and Prevention. Vaccines are available to children up to age 18 to prevent: mumps, measles, rubella, diphtheria, pertussis (whooping cough), rotavirus, polio, varicella (chickenpox) tetanus, meningitis and human papillomavirus (HPV). All school and child-care required vaccinations can be obtained at the Cottonwood Immunization Clinic of YCCHS. Vaccines provided within the VFC Program are available for $20 per child (no matter how many shots are received) and no one is turned away due to inability to pay.

The HPV vaccine is not required for school entry but YCCHS strongly rec-ommends it for children and young adults, aged 11-26. The HPV vaccine is the first vaccine developed to prevent conditions that can lead to cervical cancer!

Adults are encouraged to keep up with their immunizations as well. Similar to the VFC program YCCHS offers the Vaccinations for Adults (VFA) for those without insurance or whose insurance does not cover specific im-munizations. YCCHS can provide immunizations for foreign travel as well as protect against seasonal flu or pneumonia. Immunizations for hepatitis A, hepatitis B, pneumonia, seasonal flu, typhoid and yellow fever are available for a fee. YCCHS will bill insurance for immunization services

• Reproductive Health (Family Planning): Women in their childbearing years can receive services to improve female reproductive health and reduce the incidence of unintended pregnancy. These services are available to any woman. Access is not limited to those who receive other medical services at the Community Health Center.

The services include annual exams such as manual breast exams and pap smears. A variety of contraceptive methods are available. For low-income patients, there is little or no cost. However, donations are appreciated.

Reproductive health services are available in Cottonwood, Prescott Valley and Prescott health center locations.

• Well Woman Healthcheck Program: The Well Woman Healthcheck Program (WWHC) provides free breast and cervical cancer screening including a mammogram, to low income, unin-sured or underinsured women between the ages of 40-64 or who are symptomatic. The WWHC program is part of the National Breast and Cer-vical Early Detection program, administered by the Arizona Department of Health Services.

These services are provided at all three Yavapai County Community Health Services locations in Prescott, Prescott Valley and Cottonwood. For more information and to enroll in the screening program contact 634-6835 for the Verde Valley and for the Prescott/Prescott Valley area 442-5491.

Treatment costs for women diagnosed with breast or cervical cancer through the Well Woman Healthcheck Program are generally covered through a special provision of Arizona's Medicaid Program.

• Public Health Services: The Public Health division of YCCHS protects and enhances community health in a number of ways:

• Communicable disease prevention activities that monitor disease out-breaks and reduce the spread of sexually transmitted diseases

• Community health education

• Environmental health

• Nutrition services

• Public health and emergency preparedness planning

• Public health nursing (maternal child health)

Disease Prevention Section

The Disease Prevention Section coordinates disease prevention and con-trol programs in Yavapai County. Activities include:

• Monitoring and tracking the cases of reportable diseases and conditions

• Investigating and containing disease outbreaks

• Investigating animal bites and exposures to prevent transmission of dis eases to humans, such as rabies, Lyme disease and the West Nile virus

• Vaccinating children and adults, including flu and international travel

• Screening, evaluating, and treating patients with tuberculosis

Yavapai County Medical Reserve Corps - 634-6822

YCCHS coordinates and trains local members of a national disaster re-sponse volunteer organization. Yavapai County Medical Reserve Corps (MRC) volunteers prepare for emergencies and participate in County exer-cises that test community readiness. Some volunteers have medical train-ing, but about half of the volunteers provide the non-medical skills and support services needed during local emergencies.

Community Health Education: 634-6858

YCCHS works in the community and the schools to provide educational programs that promote healthy lifestyles and increase levels of physical activity.

Residents who have decided to quit smoking or chewing tobacco can call the Arizona Smoker's Helpline at 1-800-556-6222 or

When you call the Arizona Smokers Helpline an expert coach will walk you through the quitting process. Go at your own pace using telephone or Web-bases quit services. All helpline services are FREE and medication as-sistance is available. Coaching is available in English and Spanish.

In addition YCCHS health educators offer:

• School-based education targeting 4th-12th grade student encour-aging them to abstain from tobacco and drugs, healthy choices with nutrition and physical activity.

• Provide physical activity and safe walking and bicycling classes in the classroom.

• Provide safe dating and pregnancy prevention classes in the com-munity and schools.

• Provide free HIV Counseling and Testing at local events upon re-quest.

• Arizona Living Well Program: a Chronic Disease Self-Management series of classes for anyone dealing with a chronic condition such as diabetes, arthritis, high blood pressure, chronic pain, anxiety, the Healthy Living Workshop can help you take charge of your life.

You'll get the support you need! Please contact Virginia Rodriguez at 928-442-5480 for future workshops.

Environmental Health - 639-8138

The Environmental Health Unit protects public health by inspecting places such as schools, food stores, restaurants, swimming pools and motels. Throughout the year, they perform inspections on over 600 public places in the Verde Valley. By educating food workers about proper food handling and safe work environments, the Regis-tered Sanitarians provide health code guidance for new, existing and remodeled food establishments.

During warm weather months, Environmental Health staff set traps to monitor mosquitoes that can carry West Nile virus. They also work with private property owners to resolve standing water and mosquito breeding problems.

Nutrition Services - 639-8134

WIC (Women, Infants and Children) is a program for pregnant women, breastfeeding women, women who are not breastfeeding and who have a baby less than six months of age and for children up to five years of age.

Women receive nutrition education and breastfeeding support when they visit Cottonwood and other WIC locations. WIC also assists with referrals for community services that can improve family health. WIC clients have the opportunity to meet with a registered dietitian for more extensive nutrition counseling if they desire. Families are eligible for WIC if they meet the income guidelines.

The Breastfeeding Peer Counseling Program provides breastfeeding support and guidance to pregnant women and new mothers.

Another program, Food Plus, provides nutritious food monthly to seniors age 60 and older. Eligibility is based on household income. WIC and Food Plus clients also receive checks to use at the Farmer's Markets in Yavapai County. This program promotes fresh fruits and vegetables grown in Arizona.

Maternal Child HealthServices - 634-6822

Home visitors help families better understand how to care for themselves and their children. Information and support about health, child development, nutrition, and more are provided to families with young children. During home visits, children are moni-tored for health problems and developmental delays. Public health nurses, together with Health Start workers, help pregnant and par-enting women lead healthier lives by guiding them to find health care and social services. Through Health Start, low-income preg-nant and parenting women receive education in their homes about health and parenting issues such as breastfeeding and caring for their new babies and toddlers. Through the Nurse Family Partner-ship program, first time moms have their own Registered Nurse who will come to their home to teach them about having a healthy pregnancy, prepare them for labor and delivery, then provide on-going education and support until their child turns two.

Public Health Preparedness and Response - 634-6822

Working with state and local partners in emergency response, YCCHS is involved in planning, training and exercises to improve disease outbreak surveillance, communications and public health response to local emergencies or disasters.

Yavapai County Medical Reserve Corps - 634-6822

YCCHS coordinates and trains local members of a national disaster response volunteer organization. Yavapai County Medical Reserve Corps (MRC) volunteers personally prepare for emergencies and participate in County exercises that test community readiness. Some volunteers have medical training, but about half of the vol-unteers plan to provide the non-medical skills and support services needed during local emergencies. To become a Verde Valley MRC volunteer, call 928-442-5487.

Prescription Drug Discount Card

Yavapai County residents can save an average of 25 percent off the full retail cost of prescription medications that are not covered un-der a traditional insurance plan, as well as some diabetic supplies. How? Present the Yavapai County Discount Card to participating pharmacies at time of purchase. There is no cost for a resident as well as no forms to fill out, no age or income requirements and no medical condition restrictions.

The Yavapai County Discount Cards are available through several public libraries and at about 42 participating pharmacies located in Chino Valley, Cottonwood, Prescott, Prescott Valley and Sedona. You can obtain the card at the Cottonwood Community Health Cen-ter or visit to print out a card, search by zip code for a list of participating pharmacies near you, and read FAQs about the program.

The Yavapai County Discount Card Program is available in partner-ship with the National Association of Counties. A nationwide net-work of more than 60,000 participating retail pharmacies will also honor the card. The card is not insurance, but helps residents get the best price available on prescriptions not covered by insurance.

Caremark Rx, a pharmaceutical services company, administers the program and can answer cardholder questions on their toll-free line, 1-877-321-2652. For supplies of the prescription discount cards, contact Yavapai County Health Services at (928) 442-5596.


Cottonwood Community Health Center Appointment Line for pri-mary medical and dental services: 928-639-8132

Communicable Disease Prevention 928-634-6822

Community Health Education 928-634-6858

Environmental Health (Health Inspections) 639-8138

Nutrition Services (Food Plus, WIC) 639-8134

Public Health Preparedness and Response 634-6822

Medical Reserve Corps Volunteers 634-6822

Well Woman Healthcheck 639-8132

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