Clinical Services

The Fremont County Department of Public Health & Environment offers a wide range of health service to the community. We accept most major insurances, except for Kaiser Permanente, and we will submit a claim on your behalf. Services may vary on offered times, fees, and locations. For the most up to date information, or further information on any service, please call.

Some of the services we offer are listed below. For more information on these services, please call us.

Clinical Service Forms

Due to COVID-19, we ask that you prepare for your upcoming appointment by completing the appropriate patient registration form prior to your visit. Please print out a patient registration form for each patient, fill in the information requested, and bring the completed form with you to your appointment along with an insurance card and valid ID.

If you are a parent or legal guardian sending your child with a non-custodial adult, please fill out the Minor Medical Treatment Authorization Form and have them bring it along with the completed patient form.

All records requests should be accompanied with the Release of Information form and a valid ID.

Please note that tuberculosis (TB) testing is currently by appointment only. If you need a (TB) test, please fill out only the TB test prior to your appointment.

	HIPAA Provider Notice of Privacy Practice
	Minor Medical Treatment Authorization Form
	New Patient Registration Form
	Release of Information
	Returning Patient Form
	Tuberculosis (TB) Risk Assessment and Consent Form

Tuberculin (TB) Skin Tests

Tuberculin skin tests are offered to the community on a walk in basis on Monday mornings from 9am – 12pm. These tests are a two-step procedure, including the administration of the TB and the reading of the results. Results must be read after 48 hours from administration.

We no longer take insurance for TB tests - there is now a flat rate of $15 per test.

Immunizations

Immunizations are offered to all individuals from 2 months and older. These immunizations are administered by appointment. Clinics are held Tuesdays from 7:30am-5:00pm (last appointment time is 4:30pm) and Wednesdays from 7:30am-12:00pm (last appointment time is 11:30am). Colorado Immunization Information Systems are used to track and provide up to date recommendations direct from the Center for Disease Control. Immunization records may be obtained at any time at no charge, and will be provided following appointments. To schedule an appointment please call.

Immunizations Administered Here are as follow:

• Hepatitis A (Hep A)
• Hepatitis B (Hep B)
• Haemophilus Influenzae B (Hib)
• Polio (IPV)
• Pneumoncoccal (Pneumonia)
• Measels, Mumps, & Rubella (MMR)
• Meningococcal (Meningitis)
• Rotovirus
• Diptheria, Tetnus, Acellular Pertussis (DTAP)
• Diptheria, Tentnus (DT)
• Tetnus, Diptheria, Acellular Pertussis (TDAP)
• Tetnus, Diptheria (TD)
• Human Papillomavirus (HPV)
• Varicella (Chicken Pox)
• Influenza (Flu)
• Shingles

Administration of recommended vaccinations vary on a number of factors. Our nursing staff assesses all situations to provide the most effective way to immunize patients, and some vaccinations may not be available to all individuals due to health risks. For further information please contact our nurses for a consultation. Vaccine stock may vary. To make sure vaccinations are available, please call.

Blood Lead Screenings

Blood Lead Tests are available on a walk-in basis. Tests are subject to a fee for administration of the tests. Testing kits are completed by our nursing staff then sent to a third party lab for screening. Turnaround on Blood Screenings may vary.

CPR/First Aid Certification

Classes are offered for First Aid and CPR Certification (both in adult, child and infant). These classes are offered once a month. Class scheduling may vary, and limited numbers are allowed in each class. Call us for class reservations and pricing. Separate appointments may be made at the instructor’s discretion for companies and groups that require their own time.

HIV & Hep C Testing

Free HIV and Hepititis C testing are available 2nd and 4th Thursdays. Testing is confidential. To make an appointment or for further information, please call the designated testing line at (719) 276-7468.

Healthy Communities

The family health coordinator assists families with Medicaid and CHP+ enrollment (Insurance) and provides referrals to programs offering additional help.

Used Syringe Drop-off Location

Fremont County Public Health & Environment is a drop off location for used needles and syringes. Used needles/syringes must be in an approved and secure sharps/biohazard containers. These container lids must be securely fastened and not filled past the “fill to here” line. Syringes in non-authorized containers will not be accepted. Our office also offers sharps containers for home use. To drop off or obtain a sharps container please come to our office. For more information regarding sharps drop off and container pickups, please call. 
NOTE: Never put a container of sharps in with your recyclables.  

• SHARPS ARE NOT RECYCLABLE and not only can they pose an infection risk to workers at the recycling facility, they can render the whole batch of recyclables unusable.
• Used needles and other sharps should never be placed loosely in your trash or flushed down the toilet. 

1. Purchase a commercially available sharps container from a pharmacy or other source. Sharps containers can also be obtained at Fremont County Public Health & Environment.
2. Containers of sharps should be clearly labeled as "Sharps" or "Biohazard Waste."  
3. Once filled, the container should be firmly sealed to prevent accidental tampering.

Pandemic Flu

You can prepare for an influenza pandemic now. You should know both the magnitude of what can happen during a pandemic outbreak and what actions you can take to help lessen the impact of an influenza pandemic on you and your family. The following checklist will help you gather the information and resources you may need in case of a flu pandemic.

Seasonal Flu

Influenza Vaccine Consent Form 2019-2020

When coming in for a Flu Vaccine Clinic, please download, print, and fill out this form beforehand, and bring it with you to the clinic.

The flu (influenza) is a contagious respiratory illness caused by viruses that infect the nose, throat, and lungs. It can cause mild to severe illness in all ages, and can lead to hospitalization and death. It is important to know that you can pass the flu to someone else before you know you are sick, as well as while you are sick. Healthy adults are able to infect others before they appear sick and up to 5-7 days after becoming sick. Flu is spread mainly by droplets made when people with flu cough, sneeze, or talk. Less often, a person might also get flu by touching a surface or object that has flu virus on it and then touching their own mouth, eyes, or nose.

The symptoms of flu are fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills, and severe tiredness. People may be infected with the flu and have respiratory symptoms without fever.

The CDC recommends three actions to protect yourself and others from the flu:

1. Get a flu vaccine (shot or nasal mist): A yearly flu shot is the first and most important step in protecting against flu viruses. Everyone 6 months of age and older should get a flu vaccine as soon as this season’s vaccine are available. If people are high risk for flu complications such as young children, pregnant women, people with chronic health conditions like asthma, diabetes, or heart and lung disease and people 65 or older, vaccinations are especially important.
   There are some myths surrounding the flu vaccine:
   • “The flu shot makes me sick”- The flu shot does not contain live virus so it is impossible to get the flu from the vaccine. Side effects may occur in some people such as mild soreness, redness or swelling at the injection site, headache, or a low-grade fever. The nasal mist has live, weakened (attenuated) viruses that can cause mild signs and symptoms such runny nose, fever, sore throat, and nasal congestion. The vaccine, however, cannot cause influenza infection in the lower respiratory tract.
   • “I’m healthy and don’t need a flu vaccine.”- Anyone can get sick from the flu and, in the last few years, young, healthy adults have been the hardest hit. Even if you only had a mild case, you might be around someone who is at high risk such as a baby under 6 months or an elderly person.

   See a list of locations to receive flu vaccines in Fremont County at the end of this article.

2. Take every day preventative actions to stop the spread of germs: Try to avoid close contact with sick people. If you are sick with a flu-like illness, stay home for at least 24 hours after your fever is gone. Cover your mouth and nose with a tissue when you cough or sneeze or cough into your elbow. Wash your hands often with soap and water or an alcohol-based hand sanitizer. Avoid touching your eyes, mouth, and nose. Clean and disinfect surfaces and objects that may be contaminated with germs like the flu.
3. Take flu antiviral drugs as your doctor prescribes them: Antiviral drugs can make the illness milder and shorten the time that you are sick.

Flu Vaccine Locations

• Your Physician's office
• Local Pharmacies
• St. Thomas More Hospital - for patients, volunteers, and employees
• For additional information about flu vaccine clinics, please call (719) 276-7450

Other services may be available upon request, please contact us for additional help.