1st Quarter

Newsletter

January 2017

How to Make New Year’s Resolutions That Stick

Submitted by Dr. Lynette Bassman

When a new year begins, and the holidays are behind us, life

gets back to normal, and we can take stock of where we stand. It’s

helpful to do an inventory of the major areas of your life: health,

relationships, money, spirituality, service to others, etc. If you find

that there is something you’d like to be doing better, now is a great

time to change it. But many New Year’s resolutions don’t stick, and

people feel frustrated, guilty, and maybe a little embarrassed. This

year, you can do it better! Try these strategies:

1. Start small. Pick a change that you know you can do. So

rather than “lose 50 pounds”, maybe you can say “add more vegetables to one dinner per week” or

“take a short walk in the evening”. The best resolutions are the ones you know you can stick with.

You can always add another goal after you accomplish the first one.

2. Be specific. It’s easier to accomplish a goal that is very clear. Instead of “improve my relationship”,

you can say, “Take a deep breath and gather my thoughts before I speak when I’m angry.” Or in-

stead of “drink less”, you might say, “I’ll stop after two drinks and only drink on weekends.”

3. Be realistic. Check in with yourself about how motivated you are. Consider rating it on a 10

point scale with 0 meaning “It’s purely wishful thinking and I’m not going to do it anytime soon”

and 10 meaning “I’m totally ready to start today”. Pick a resolution for which you can honestly rate

yourself at least an 8 on that scale.

4. Get support. Ask loved ones, exper ts, or peers for help. Find somebody with a similar goal,

and be buddies, making the change together. There might be a good local or online support group

for people going through the same change. The counselors at CVIH Behavioral Health Services

(559-374-2240) can support you, too, and help you follow through.

5. Get ready. Think about what resources you need. For instance, do you need to clear your pan-

try of junk food and buy some vegetables? Do you need file folders to organize your papers? Do you

need to go to the library so you’ll have books to read to help you relax before bedtime? First, get

everything lined up, then start the change. If you’re prepared, you’re more likely to be successful.

(Continued on Page 3)

Page 2

INDEX

1………...HOW TO MAKE NEW YEAR’S RESOLUTIONS THAT STICK

2………...IMPORTANT DATES THIS QUARTER

3………...PUT THIS ON YOUR CALENDAR!

4………...AFFORDABLE CARE EXEMPTION FOR NATIVE AMERICANS

5………...IS YOU ELIGIBILITY FILE PENDING???/ CVIH ONLINE EMPLOYMENT APPLICATIONS

6-7………CVIH UPDATES 2017 FOR MEDICAL

8…………RESPIRATORY SYNCTIAL VIRUS (RSV)

9…………OTITIS EXTERNA

10………...GAUCOMA

11………...THE IMPORTANCE OF ANNUAL EYE EXAMS FOR PATIENTS WITH DIABETES

12………...5 TIPS TO STAY CAVITY-FREE

13………...NEW INSURANCE CARDS/ PERSONAL RECORDS REQUESTS/SPECIAL PHYSICAL EXAMS

14………..ALL ELIGIBILITY FILES AT CENTRAL VALLEY INDIAN HEALTH BEING UPDATED

15………..SAY HELLO TO OUR NEW HIRES / THANK YOU FOR CHOOSING CVIH

16………..CENTRAL VALLEY INDIAN HEALTH INC. CLINIC SYSTEM, BOARD OF DIRECTORS

Newsletter

IMPORTANT DATES THIS QUARTER

JAN. 16 - MARTIN LUTHER KING JR. BIRTHDAY - ALL CLINICS CLOSED

FEB. 14 - VALENTINE’S DAY

FEB. 20 - PRESIDENT’S DAY - ALL CLINICS WILL BE CLOSED

MAR 12 - TIME CHANGES - SPRING FORWARD

MAR. 20 - FIRST DAY OF SPRING

(Continued from page 1 - How to Make New Year’s Resolutions that Stick)

6. Track your progress. Keep a log or journal of the change you are

trying to make. It’s good to include some numbers you can compare

from day to day. Write down how many drinks you have, what you eat

and how much, the times you were kind to somebody, how many

minutes you walked, etc. Pick the measure that is most useful for the

resolution you are pursuing. It’s amazing how writing things down ac-

tually changes what you do, for the better.

7. Take stock of what has gone wrong in the past. Maybe you never had anybody to show you how

to get things done. Maybe you’re afraid to lose connection with others in your life who do the same

thing you’re trying to stop doing. Maybe you don’t think you deserve it. These deep, quiet thoughts

can get in your way but if you know about them, you can get past them. We at BHS can help with

that, too.

8. Smudge. If it’s part of your tradition, smudging can mark the end of the old and the start of the new,

and can help you clear obstacles to your success.

Even though Americans have a tradition of making resolutions in early January, we can make changes

whenever we decide to, so if you find that you’ve gone back to old habits, or didn’t get around to starting,

please know that you can decide to change any day of the year, and if you use these strategies, you just

might find that you end this year happier and healthier.

Newsletter Page 3

TIME CHANGES

PLEASE REMEMBER TO SET

YOUR CLOCKS

AHEAD ONE HOUR

BEFORE YOU GO TO BED

ON

SATURDAY,MARCH 11,

Affordable Care Exemption

For

Native Americans

If you did not have any medical insurance in 2016, and you or your family are from a federal recognized

tribe, you may be exempt from penalty from Internal Revenue Service (IRS).

The Internal Revenue Service Form 8965 must be used to claim the exemption and can be downloaded

Here: http://www/irs.gov/uac/about-form-8965. Instructions for form 8965 can be found at:

https://www.ihs.gov/aca/includes/themes/newihstheme/display_objects/documents/

InstructionsforForm8965.pdf. Please note that the Marketplace will no longer be accepting paper

exemption applications and issuing Exemption Certificate Numbers (ECN). However, those who have

received an ECN may continue to use this number when claiming an exemption through the tax filing

process.

Lastly, please remember that uninsured patients who choose not to obtain, and/or do not maintain, health

care coverage throughout the year may claim an Exemption in order to avoid penalties from not

maintaining health care coverage. There are several categories of Exemptions including for a member of a

Federally-recognized Indian Tribe, including an Alaska Native Claims Settlement Act. (ANCSA) Corpora-

tion Shareholder (regional or village), or those otherwise eligible for services through an Indian health care

Provider or the Indian Health Services. The exemption is not automatic; patients must claim the exemption

When filing their Federal tax return.

Due to new IRS changes in 2017, you can obtain this exemption form on line or thru your tax preparer.

.

Please contact Kim Bianco, Patient Service Representative, at 559/299-3262 ext. 1811, if you have any ques-

tions or concerns.

Information provide by the:

Page 4 Newsletter

Newsletter Page 5

CVIH ONLINE EMPLOYMENT APPLICATIONS

Central Valley Indian Health Human Resources has gone ELECTRONIC! Although you can still re-

quest a paper application at the Administration Secretary desk, we encourage applicants to go to the fol-

lowing link to apply for open positions within CVIH:

http://www.cvih.org/employment.html

IS YOUR ELIGIBILITY FILE

PENDING?????

We are running out of room for the eli-

gibility files that are pending due to

missing documentation!!!!

If your file has remained incomplete for

3 months or more you may have to start

over again.

The documents we have on file are only

copies, so when there is no room left,

the files are shredded. If this should oc-

cur the patient will be required to supply

all the documentation again as well as

filling out a new patient registration

form.

Don’t leave your file pend-

ing…..Completing your eligibility file in

a timely manner helps ensure your con-

tinued services at Central Valley Indian

Health.

Please check with one of the following

office: PRC/ Eligibility/Patient Services

Offices or call 299-3262 XT 1812 or

1811 or 1810.

CVIH Updates 2017 For Medical

Submitted by Dr. Aaron Kissel

As we enter into the New Year at Central Valley Indian Health, Inc., I thought I would let you all know about some upcoming changes that patients can expect during their medical visits. There are two new changes that we will be incorporating into our routine preventive visits to help our physicians provide better preventive care to our patients. These changes will not only help us provide better care, they are strongly recommended and in some cases mandated by some of our auditing agencies and insurances. We ask that all patients please be patient and under-stand this might add some delays as we incorporate these changes.

Ages and Stages Ages and Stages is a pediatric developmental screening tool that is filled out by parents or guardians at well child visits that helps screen for any developmental delays in our children. It is a proven screening tool that has been around since 1980 but was first published in 1995. Developmental screening is recommended by the American Academy of Pediatrics and CHDP which is the Child Health and Disability Prevention Program provided by the state of California Department of Health for Medi-Cal patients. During routine well child visits parents and guardians will now be given a packet of forms to fill out while they are waiting for their doctor to examine their child. The packet will contain a ques-tionnaire appropriate for child's age that asks questions about the child's developmental skills. It will take about 10-15 minutes to complete and the parents will be able to ask questions from the staff about how to fill out the answers.

The questionnaire will screen five important areas of the child's development including:

Communication Skills Gross Motor Skills Fine Motor Skills Problems Solving Skills Personal-Social Skills

Once the forms are completed, the questionnaire will be scored and the physician will be given a scoring sheet that tells the physician and the parents whether their child is at risk for develop-mental delays in any of the areas listed above. It is important to remember that a positive test does not mean the child is developmental de-layed. It just means that maybe the child needs to be examined more closely to make sure there is not a concern or problem. The physician will then be able to offer the parent some information on how to improve the child's skills and perhaps do a referral if needed. (Continued on page 7)

Page 6 Newsletter

(Continued from page 6)

Autism Screening To improve our ability to screen children for possible Autism, CVIH will also now provide screening for Autism during our well child vis-its at 18 months of age and 24 months of age. The screening tool is called M-CHAT and stands for Modified Checklist for Autism in Toddlers. It is designed to complement the Ages and Stages questionnaires listed above. Again it is just a screening tool and if a child tests positive it does not mean the child has Autism. However if the child tests positive, the physician will probably recommend a referral to evaluate the child more closely. The purpose of both Ages and Stages and the M-CHAT is help providers identify children for possi-ble developmental problems at an early stage so that they can get the treatment they need as soon as possible. Studies have clearly shown that starting treatment at an early stage improves out-comes. We hope this will improve outcomes for all of our children here at CVIH.

Medicare Annual Wellness Visits Medicare now provides preventive services for all patients who have Medicare. Medicare is a federal insurance benefit that is provided to all Americans over the Age of 65 or who have a per-manent disability at an earlier age. To help provide some of these preventive services, Medicare now provides all Medicare beneficiar-ies a yearly Annual Wellness Visit that is like a routine physical but with some specific items that need to be addressed. To meet Medicare's requirements for these preventive services, we will now have to do a special Medicare Annual Visit. This is required by all insurances that provide this service. The Annual Medicare Wellness Visit will include a functional assessment, a health risk assess-ment, a depression screen, a cognitive screen, a list of medical risk factors and treatments appro-priate for the patient, and finally a list of preventive services that are covered and recommended for that patient.

Page 7

Page 8 Newsletter

Respiratory Syncytial Virus (RSV)

Respiratory Syncytial Virus (RSV) is a severe respiratory virus that affects people during the fall and win-ter months. During the fall and winter months a rise in RSV is usually seen in infants and children. So what should you know about this disease to help keep your family protected. RSV can be a very serious illness and prompt treatment can make all the difference between a hospital stay and treatment at home. General Info

It is a contagious viral disease that may infect a person's lungs and breathing pas-sages.

Almost everyone gets RSV by age 2. People can get the disease more than once. Most people recover from the disease in a week or two, but RSV can be severe,

especially in children 6 months of age and younger and in older adults. Prem-ature infants or those with lung or heart problems are at high risk for serious disease.

The number of people who get RSV typically goes up in the fall then peaks in the winter and goes down in early spring. But, the exact timing of RSV season varies by location.

Symptoms The symptoms are different in Infant and children than they are in Adults and older children. Infants and young children may have a fever, less of an appetite, a runny nose, cough, and wheezing. Older children and adults may have a runny nose, sore throat, headache, cough, and a feeling of general sickness. RSV also can lead to more serious illnesses, such as pneumonia and bronchiolitis, in children and adults. Transmission RSV is spread when a person infected with the virus coughs or sneezes. This causes small droplets that contain the virus to be sent into the air sending respiratory droplets into the air. Once airborne another per-son can breathe in these droplets and could cause illness. The droplets can also land on objects that people touch like doorknobs or cell phones. You can be exposed to the illness by touching these objects. Chil-dren often pass the virus very quickly to other children at their school or daycare center. Prevention To help prevent the spread of RSV, people who have cold-like symptoms should.

Cover their mouth and nose when coughing or sneezing, Wash their hands often with soap and water for 15–20 seconds, Avoid sharing cups and eating utensils with others, and Refrain from kissing others.

There is not yet a vaccine to protect against RSV. However, for children at high risk for serious disease, monthly shots of a drug called palivizumab can help prevent serious illness during RSV season. Using these tips you and your family can have an illness free winter. Moriah Bonilla RN, BSN, PHN CVIH Outreach Director

Otitis externa

Submitted by Dr. Matt Easton

Otitis externa is a condition that occurs when the ear canal becomes irritated. It can de-

velop from infection, allergy, or skin problems.

Most common symptoms of otitis externa are pain in the outer ear especially when pulled

or moved. Patients may also have itchiness in the ear. Some patients may also have drainage

leaking from the ear. The ear may also feel plugged and it and be difficult to hear. If the symp-

toms are present please see a medical professional.

The ear wax in the canal serves to protect the ears from water, bacteria, and injury.

There are several risk factors that increase the chance of developing otitis externa. Excessive

cleaning or scratching of the ear canal can injure the skin in the canal and lead to infection.

Regular swimming removes the ear wax which makes it easier for bacteria to enter the skin in

the canal and cause infection. Also wearing hearing aids, earplugs, or headphones inserted into

the ear canal, increase risk of developing otitis externa.

Most people diagnosed with otitis externa can be treated at home unless there is a se-

vere infection. Sometimes your provider may irrigate the ear canal with water and hydrogen per-

oxide to remove debris which can slow healing. Treatment usually consist of eardrops for 7

days. The best way to apply the eardrops is to lie on the side opposite the infection and put the

drops in the ear canal. Stay on your side for approximately 20 minutes. You should feel better

in 36-48 hours. If you do not feel better, contact your healthcare provider. Make sure you finish

the entire course of the antibiotic. For pain your provider may prescribe a medication such as

ibuprofen. If the pain is more severe a narcotic may be prescribed. Also during treatments

avoid getting water in the ear for at least 10 days. Also avoid wearing hearing aids or in-ear

headphones until pain resolves.

The ear is self-cleaning; fingers, Q-tips, and other devices should not be used to clean

the inside of your ears. Follow the old saying, “don’t put anything smaller than your elbow in

your ears”. If you feel you have excessive earwax in

your ears please discuss with your provider before

treatment at home.

For frequent swimmers it is recommended

that you shake your ears out after swimming. You

may blow dry your ears on a low setting, with a hair

dryer, from approximately 12 inches away. Ear-

drops are also effective after swimming to prevent

ear infections. These are available and most local

pharmacies. Earplugs for swimming may also be

considered.

Newsletter Page 9

Glaucoma

By Christopher W. Garcia DO

Glaucoma is a set of irreversible, progressive neuropathies that can lead to sever visual

field loss and blindness. There are two most common forms of glaucoma- primary open-angle

glaucoma and primary angle-closure glaucoma. These two common affect more than 2 million

Americans and appear to be increasing. When a person has glaucoma they are usually asympto-

matic (no symptoms) and don’t know they have the disease.

There are several risk factors for glaucoma. For primary open-angle glaucoma (POAG) the

risk factors are older age, black race, Hispanic origin, family history of glaucoma and diabetes

mellitus. For primary angle-closure glaucoma (PACG) it is older age, Asian descent, and female

sex.

Being at risk for disease progression to blindness will occur when a patient shows up with

advanced disease at initial presentation and treatment nonadherence. It is not beneficial to do

glaucoma screening but regular eye examinations for adults are recommended by the AAO

(American Academy of Ophthalmology.) If glaucoma is suspected then the eye doctor will do a

careful optic nerve evaluation and functional studies assessing the patient’s visual field. The goal

of treatment with eye drops, laser therapy, or surgery is to slow visual field loss by lowering intra-

ocular pressure (got to get pressure in the eye ball low.)

If you are diabetic make sure you go to your yearly eye exam. If you are a member of the

geriatric crowd ask for an eye appointment to check your vision. If you have any questions ask

your primary doctor today.

Gupta, Divakar, MD and Chen, Philip, MD. Glaucoma. American Family Physician, 2016,

93(8):668-674.

Page 10 Newsletter

Diabetic retinopathy is the leading cause of blind-

ness among working-age people who have uncon-trolled diabetes, according to the National Eye Insti-tute.

Uncontrolled diabetes mellitus can cause an eye dis-ease called diabetic retinopathy. In the early stages of the disease, the symptoms often go unnoticed. Typically, by the time changes in the eyes start to become noticeable, serious damage may have al-ready occurred. It is possible to have 20/20 vison and have retinopathy at the same time. So, early de-tection and treatment are important for prevention. Retinopathy may lead to blindness if left undetected and untreated.

Two major contributing factors of eye health for pa-tients with diabetes are blood glucose levels and blood pressure. These factors have a significant im-pact on eye health. Keeping the A1C target to less than 7% and blood pressure equal to or less than 130/85 mm Hg will help lower the risk for develop-ing diabetic retinopathy. An ophthalmologist or optometrist can perform an exam of the eyes by dilating the pupils with eye drops in order to get a clear view of the retina. This eye exam is painless and takes about 15 minutes, in most cases.

A diabetes eye exam checks for eye pressure, blood vessels which may be leaking blood or other fluid and optic nerve tissue.

Symptoms to look for include: blurred vision, blind spots, impaired color perception, presence of float-ers (spots which move when the eyes are focused on an object) or other abnormal changes in vision.

Anyone who is diagnosed with diabetes should have their eyes checked as soon as possible and follow up every year thereafter as part of a comprehensive dia-betes care plan.

In addition to annual eye exams, diet plays an im-portant role in eye health. Eating a well-balanced diet is a necessary part of eye care. Consuming whole grains, lean protein, fruit, vegetables, plant-based fats (i.e., nuts, seeds, olives and avocados) in combination with diabetes and blood pressure medi-cation will help control blood glucose as well as blood pressure. Getting 30 minutes of exercise, most days of the week and 7-8 hours of sleep per night will also contribute to eye health.

Almost everything we do involves eyesight. Poor vision can affect a person’s quality of life. If you have diabetes and have not seen your eye doctor in the past year, don’t wait, make your eye health a priority. Schedule an appointment to see your eye-care specialist today.

Newsletter Page 11

The Importance of Annual Eye Exams for Patients with Diabetes

Submitted by Esther McConville, RD

5 Tips to Stay Cavity-Free

Submitted by Dr. Li Lin

Keep cavity-causing bacteria in check by adding these strategies to your holiday routine.

Balance out your sweets with other foods. Eating sugary and carb-rich foods as part of a bal-anced meal can lessen their impact on your teeth.

Choose sweets that don’t stick around. Instead of sticky foods that get on and in between your teeth, go for items that dissolve quickly, limiting their contact with your enamel. For exam-ple, swap out caramels and candy canes with plain dark chocolate.

Brush afterwards. Always keep a toothbrush to brush away foods and plaque after you eat. If you’re consuming foods or beverages that are high in acid, like oranges and wine, make sure to wait 30 minutes. Acid can soften the enamel, so brushing too soon can actually damage your teeth.

Stay prepared. You’ll have no excuse to skip brushing and flossing if you always keep a tooth-brush, travel tube of toothpaste and container of floss in your bag or car.

Rinse to refresh. When you can’t brush, rinse your mouth with tap water to wash away food par-ticles and bacteria.

Brush up on your technique

Use your holiday vacations to spend more time brushing your

teeth. If you're relaxed or have more free time during the day

or with your morning or nightly routine, you can use the time

to brush more thoroughly and develop better oral care habits.

It isn't necessary to brush vigorously to get your teeth clean. What's important when brushing your

teeth is not how hard you scrub, but that you use the proper technique and that you do a thorough

job. And that takes time. Dentists recommend that you brush your teeth for two to three minutes to

get the most thorough cleaning.

If you get into the habit of brushing for two to three minutes every morning, every night and after

every meal during the holidays, you may keep those good habits when your regular routine re-

sumes

Page 12 Newsletter

PARKING LOT SAFETY

Please reduce speed when Entering and Exiting the

Parking Lot!

Faster speeds may

Result in a

Injury to a pedestrian.

Newsletter Page 13

NEW YEAR!!

NEW INSURANCES CARDS!

If your Medical and/or Dental Insurance coverage change on this New Year,

Please make sure to provide your New Insurance card to the Receptionist the

date of your appointment. FAILURE TO DO SO MAY CAUSE A LONGER WAIT

TIME THE DATE OF YOUR APPOINTMENT.

PERSONAL RECORDS REQUESITIONS

Medical Records and any other forms filled out by your Provider, takes 7 WORKING days to obtain back. If the Provider needs additional information to fill out any paper work, one of the CVIH Staff will be calling your to schedule an appointment to be seen with your provider.

SPECIAL PHYSICAL EXAMINATIONS

PLEASE DON’T WAIT TILL THE LAST MINUTE!!!

Department of Transportation (DOT) and Sports Physical Examinations are done by

appointment. . Call one of CVIH Facilities to schedule your Appointment as soon as

you know you’ll be needing it.

Page 14 Newsletter

ALL ELIGIBILITY FILES AT CENTRAL VALLEY INDIAN HEALTH

BEING UPDATED

Does CVIH have a copy of your:

_______Insurance card

_______ Social security card

_______for those over 18, a current photo ID such as a CA ID card or a driver’s license?

If you are not sure you can bring them on your next visit or check with the front desk or the eligibility of-fice.

ALL PATIENTS

Please report any household changes at the time of service or in timely manner to help expedite your care

by keeping CVIH updated with following:

New name change (Must provide copy of social secur ity card)

Address change (Please provide: Proof of Address)

Phone number change

Insurance (Please provide updated documentation for the following: including but not limited to Medi-Cal, Covered CA, Medicare or Private insurances etc.)

For a full list of covered procedures and regulations please ask for a copy our

“Purchased Referred Care Patient Brochure”

at our PRC/ Eligibility/Patient Services Offices or call 299-3262 ext. 1812 or 1811 or 1810.

IF YOU ARE GETTING BILLS; CVIH IS NOT GETTING THEM DON’T WAIT FOR THEM TO GO

TO COLLECTIONS

If you are Purchased Referred Care Eligible and getting any medical or dental bills for services re-ceived outside of Central Valley Indian Health please turn them in as soon as possible for review and possible payment.

Submitted by Carla Esterline, PRC Coordinator

THANK YOU FOR CHOOSING CENTRAL VALLEY

INDIAN HEALTH, INC. AS YOUR PRIMARY HEALTH CARE PROVIDER.

WE LOOK FORWARD TO SERVING YOU

IN THE MOST THOROUGH AND

PROFESSIONAL MANNER POSSIBLE.

Newsletter Page 15

Nicole Spooner

Dental

Hygienist

Clovis

Roberta Garcia

Billing

Clerk

Clovis

Sarah Goulart

Public Health

Nurse

Clovis

Area 1:

Shawn Hatfield & Fred Beihn

Area 2:

Irene Roan

Area 3:

Dixie Jackson & Pearl Hutchins

Area 4:

Misty Ortega & Carol Bill

Area 5:

Shelby Charley & Florence Dick

Area 6:

James Lewis & Donna Lewis

BOARD OF DIRECTORS

Central Valley Indian Health, Inc. Clinic System

►Central Valley Indian Health, Inc., Clovis

Open: Monday-Friday

8:00-12:00 & 1:00-5:00

Medical Phone: 559-299-2608 Fax: 559-299-1341

Dental Phone: 559-299-2570 Fax: 559-299-2391

►Central Valley Indian Health Clinic Prather

29369 Auberry Road, Suite 102, Prather, CA. 93651-9784

Open: Monday - Friday

8:00– 12:00 & 1:00– 5:00

Phone: 559-855-5390 Fax: 559-855-5395

►North Fork Indian & Community Health Center

32938 Road 222, Suite 2, North Fork, CA. 93643-9562

Open: Monday, Tuesday, Thursday & Friday

8:00-12:00 & 1:00-5:00 Closed: Wednesday

Phone: 559-877-4676 Fax: 559-877-7788

►Tachi Medical Center

16835 Alkali Drive, Suite M, P.O. Box 8, Lemoore, CA. 93245-9643

Medical Open: Monday-Friday Dental Open: Tuesday and Thursday

8:00-12:00 & 1:00-5:00 8:00 –12:00 & 1:00-5:00

Medical Phone: 559-924-1541 Dental Phone: 559-924-0460

Medical Fax: 559-924-2197 Dental Fax: 559-924-0790

►Central Valley Indian Health Behavioral Health

2565 Alluvial Ave., Suite 172, Clovis, CA. 93611-9515

Open: Monday-Friday

8:00-12:00 & 1:00-5:00

Phone: 559-374-2240 Fax: 559-415-1492

2740 HERNDON AVE.

CLOVIS, CA. 93611

Phone: 559-299-2578

Fax: 559-299-0245

E-mail: cvih@cvih.org

Cen t r a l Va l ley Ind ian Hea l th , I nc .

Serving the American Indian people of the Central Valley since 1971

The CVIH Mission: To Improve the quality

and quantity of health care services to the

Indian people of the Fresno, Madera &

Kings counties.

Page 16