Provides medical care for individuals from birth and up. Specialties may include family medicine, internal medicine, women's health, pediatrics, and obstetrics.

Family Medicine offered at Island Primary Care – Orcas

Provides family medicine and preventive medicine, family planning, geriatric care, newborn care, sports and employment physicals, travel medicine, women's health, laboratory, x-ray, physical therapy and bone densitometry.

Programs that prescribe and/or supply temporary devices for preventing pregnancy which may include oral contraceptives (birth control pills), hormonal injections (Depo-Provera), intrauterine devices (IUDs), the patch, the sponge, cervical caps, condoms, foam, the vaginal ring and diaphragms.

Contraception

Consumer-based, community-controlled, nonprofit outpatient facilities that provide basic health care including physical examinations, immunizations, family planning, nutrition assistance and diagnosis and treatment of common ailments for low income people, people who are homeless or uninsured/underinsured or other medically underserved populations that are geographically, economically and culturally challenged. Services are generally provided on an ability-to-pay basis. In the U.S., most community clinics are part of the network of Federally Qualified Health Centers, and many are known as "free clinics".

Community Clinics

Programs that help pregnant individuals become aware of their alternatives including abortion, evaluate their options, and reach decisions that are appropriate for their individual situations. Counseling is generally also available for significant others, upon request.

Pro-Choice Pregnancy Counseling

Programs that offer health screening services for neonates which are designed to prevent physical problems, intellectual disabilities and premature death through the early detection and treatment of genetic disorders which may not otherwise be detected until irreversible damage has occurred. Newborn screening is routinely offered for phenylketonuria (PKU) and congenital hypothyroidism, and in some areas, for galactosemia, maple syrup urine disease, sickle cell anemia, cystic fibrosis, congenital adrenal hyperplasia, biotinadase deficiency and a growing number of other metabolic, endocrine and hemoglobin disorders. A drop of blood is taken from each infant's heel prior to discharge and sent to a laboratory for analysis. A repeat specimen is recommended one to two weeks after birth if the original sample was taken within the first 24 hours of life. Newborn hearing screening is also available in some areas.

Newborn Screening

Programs that offer the screening procedure for the early detection of breast cancer which involves an X-ray picture of the breast area which can be studied for abnormalities.

Mammograms

Programs that administer tests which determine whether an individual has or is in the process of developing osteoporosis, a condition involving the loss of bone mass which puts the individual at risk of bone fractures, particularly vertebral and hip fractures.

Osteoporosis Detection

Programs that evaluate joint motion, muscle strength and endurance, heart and lung function and the ability of people to perform activities of daily living; and utilize the therapeutic properties of exercise, heat, cold, electricity, ultraviolet, water, manipulation and massage to improve circulation, strengthen muscles, reduce pain and restore mobility to people who have been disabled by a stroke, arthritis, back or spinal cord injuries or other debilitating conditions. Physical therapists practice in a variety of settings including hospitals, private offices, outpatient clinics, rehabilitation centers, developmental centers, home health agencies, schools and pediatric centers.

Physical Therapy

Routine examinations conducted on an annual basis to assess the general physical condition of an individual and detect abnormalities. General physicals vary, but most involve a discussion of any concerns the patient may be having; checking vital signs (temperature, blood pressure, heart rate and respiration rate), weight and general appearance; heart and lung exams using a stethoscope; a head and neck exam that looks at the throat, teeth and gums, ears, sinuses, eyes, lymph nodes, thyroid and carotid arteries; an abdominal exam that uses palpation to detect liver size, the presence of abdominal fluid or tenderness; a visual examination of the extremities; and breast and pelvic exams for women, testicular and prostate exams for men. The annual physical exam also provides an opportunity to refocus attention on prevention and screening and routine laboratory tests may be suggested.

General Physical Examinations

Programs that provide health screening and immunization services for infants and toddlers to ensure their physical well-being and healthy development. Preschool aged children are also eligible in some areas.

Well Baby Care

Programs that offer the screening procedure for the early detection of breast cancer which involves a manual examination of the breasts for lumps, thickening or other abnormalities.

Breast Examinations

Programs that are staffed by specialists who provide comprehensive preventive, diagnostic and treatment services for elderly individuals who have diseases or conditions that are associated with the aging process. Special assistance may include recognizing altered presentations of illnesses, dealing with multisystem organ involvement, handling special drug interactions, utilizing resources such as nursing homes and community social services, and assisting with ethical issues in the care of people who are elderly.

Geriatric Medicine

Programs that are staffed by specialists who provide comprehensive preventive, diagnostic and treatment services that focus on women's reproductive health and care for women during pregnancy, childbirth and the period immediately following childbirth as well as the health of the fetus.

Obstetrics/Gynecology

The Tribe operates the Jamestown Family Health Clinic in the City of Sequim to provide primary health care services to Tribal citizens and non tribal community members seeking quality care. The medical providers at the clinic have a number of specialties including preventative care for all ages,  disease management for chronic medical conditions, women's health issues, family planning, and can refer to specialists as needed.

Family Health Clinic offered at Jamestown S'Klallam Tribe - Jamestown Healing Clinic

Offers a health clinic which specializes in primary health care, family health, preventative care, geriatric care, disease management, women's issues, family planning, and 24-hour on-call emergency services.

Routine health care provided by internists, pediatricians, family medicine specialists, gynecologists, obstetricians, nurse practitioners, midwives, physicians' assistants or other health care providers who serve as the first point of contact with the health care system. Services focus on the prevention and early detection of health problems through regular physical examinations, blood pressure checks, mammograms and other similar procedures as well as therapeutic services for people who do not require specialty care.

General Medical Care

Programs that perform vasectomies for men or tubal ligations for women who want a permanent means of preventing pregnancy.

Sterilization

Hospitals and other health care facilities that provide 24-hour diagnostic and treatment services for people who have acute, life-threatening injuries or severe illnesses.

Emergency Room Care

Health centers, health stations and other outpatient facilities operated by the Indian Health Service that provide ambulatory medical care, preventive and outpatient rehabilitation services for members of federally recognized American Indian and Alaska Native Tribes.

Indian Health Service Clinics

Programs that provide a comprehensive overview of available birth control methods including information about fertility cycles, natural family planning, contraception and sterilization, and help people evaluate their options and select the method that bests suits their needs.

Birth Control Counseling

Programs that are staffed by specialists who have expertise in the study, prevention, diagnosis and treatment of diseases and conditions that are common in individuals who are in their teens.

Adolescent Medicine

Programs that are staffed by specialists in the field of medicine that is concerned with the total health of the individual within the home environment and in the community.  Practitioners of family and community medicine provide comprehensive medical care including preventive services with particular emphasis on the family unit, in which the physician's continuing responsibility for health care is not limited by the patient's age or gender, nor by a particular organ system or disease entity.

Family and Community Medicine

Programs that provide a comprehensive, structured evaluation of a child's cognitive/intellectual functioning, language and communication skills, independent living skills, social and emotional development and perceptual/motor functioning in order to identify individuals who show developmental delays, determine the nature and extent of the problem and recommend a course of treatment and care. Developmental assessments are generally offered by a developmental assessment specialist, or a team of professionals that can include a pediatrician, language specialist, audiologist, occupational therapist, child psychologist and child psychiatrist, among others. They involve age-adjusted questions regarding a child's growth, physical movements, behavior, play, and interactions with family members and the rest of the world as well as a series of tests that may include a physical exam, hearing and eye screenings, play observation, and standardized tests that present the child with specific tasks to determine areas of strength and weakness. They can also be used to identify individuals who have developmental disabilities such as intellectual disabilities, epilepsy, cerebral palsy, autism and neurological impairments, in order to establish eligibility for state and federally funded programs.

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Family Medicine offered at Island Primary Care – Orcas

Family Health Clinic offered at Jamestown S'Klallam Tribe - Jamestown Healing Clinic