Wellness and prevention programs for Ramsey county families. Referrals and coordination with other community-based services. Family Home Visiting: Dedicated to the well-being of pregnant women and families with young children, home visiting services help families raise healthy children who are ready to succeed in school and in life. Nurses offer information and support on a variety of topics and help individuals develop new parenting skills. There are a variety of home visiting programs available depending on the age of the child or parents. Individuals are encouraged to call to be assessed for the program that best fits their needs. Education and support topics may include: - Creating a safe home for the child - Finding healthcare, childcare, school/job options, and other resources in the community - Goal setting - Knowledge of growth and development - Preparation for birth - Promotion of the baby's health and well-being - Self-care during pregnancy Child and Teen Checkups Program: Checkups help children grow to their full potential. The C&TC program works with families and health professionals to make sure youth are getting their checkups. This program helps families: - Arrange transportation or an interpreter - Find a dental clinic - Find a medical clinic - Navigate health insurance and access benefits like gift cards and car seats - Schedule appointments - Understand what happens at a checkup like: lab tests, immunizations, lead screening, vision and hearing tests, dental referrals, development/behavior assessments, education on development stages, and more

Well child health visits performed by specially trained public health nurses Screening components include: - Vision and hearing check - Laboratory test, including lead, blood, and urine as needed - Immunizations if needed - A complete head to toe physical assessment - Health education and counseling about health lifestyles - Nutrition assessment - Developmental assessment

Provides health services and education to improve the well-being of White Earth Nation band members. Services include: - Ambulance, EMT, and paramedic services - Child passenger safety seat program - Diabetes project providing education and nutrition information. Fitness centers are available for personal training, group training, and other health-related incentive programs. - Niin Gikenjige coalition to break social stigmas surrounding HIV and Hepatitis C by providing education, prevention programming, testing, and referrals to medical services where appropriate - S.O.S. program offers workshops and events about promoting a healthy and addiction-free lifestyle - SNAP nutrition education to make informed decisions on health and nutrition - Tobacco-free communities program educates on tobacco use and offers cessation support and resources

Provides primary care family medicine and specialty care services that include: - Bone mineral density (DEXA) - Cardiology - CT scans - Cardiology - Diabetes education - Digital mammograms - General x-ray - Hospice - Laboratory - Mammography - Mental and chemical health care - Nutrition - Oncology and hematology - Physical and speech therapy - Podiatry - Radiology/imaging - Speech and language pathology - Surgery - Ultrasound

Provides primary and specialty medical services, including: - Audiology - Cardiology - Ear, nose and throat (Otolaryngology) - Internal Medicine - Family medicine - General surgery - Medical oncology - Nephrology - Neurology - Nutrition and Dietetics - Pediatrics - Vascular medicine

- Cognitive assessment - Home health aide services for personal care - Home IV therapy - Laboratory services - Maternal/child health care - Medication management - Nutrition consultation - Occupational therapy - Patient and family education - Pharmacy services - Physical therapy - Pre-driver's screening - Skilled nursing care - Social services - Speech therapy - Wound care

Provides family medicine and specialty medicine services to patients. Services include: - Anesthesiology - Audiology and hearing - Breast health - Cancer rehabilitation - Cardiac rehabilitation - Cardiology - Diabetes education and endocrinology - Dietitian services - Gender affirming care - Obstetrics and gynecology - Kidney care - Medication management - Mental health counseling - Mobile medicine (long-term care) - Oncology - Orthopedics and sports medicine - Pediatric orthopedics - Physical therapy - Podiatry - Tobacco cessation - Urology

Group Exercise Classes: Members can attend a variety of free fitness classes including cardio and strength, dance, strength, yoga and pilates, ForeverWell, Kids and Family, and water exercise. Note: Not all classes are offered at all locations. Personal Training and Assessments: Rates for members and non-members. Members can receive a free one-on-one 60 minute assessment session with a certified personal trainer. Personal training sessions are available virtually via Zoom (included in membership or a monthly fee). Small Group Training Programs: - Provides opportunities for small group training and flex training. Available classes vary by location. Rates for members and non-members. - Wellness 180 provides a series of lessons that will help educate participants in and out of a classroom setting on how gradual lifestyle changes can positively impact their health. Rates for members and non-members. - Wellbeats is for kids ages 3 to 14 who are participants of Kids Stuff or child care (must be a member). Kids Stuff provides free drop-off child care while parents/caregivers workout (must be a member). Elder Care: Provides specific programs and services to support older adults age 55 and older, including in-person activities and free classes. - ForeverWell: Provides members with wellness activities for older adults age 55 and older including virtually online or in-person options. Must be a member for the virtual online activities. Also provides wellness checks for senior ForeverWell members. The George Wellbeing programs offer guidance, virtually or one-on-one in a group setting, with a board-certified coach, to help participants navigate healthy choices. Adult Sports Leagues: Provides team, doubles, and individuals sport activities. Opportunities for members and non-members. Kids Sports: Provides year-round activities and program for kids of all ages and skill levels, including youth sports leagues and classes, summer sports, Homeschool Physical Education, and adult sports leagues. Members and non-members are welcome to participate. Offers youth with disabilities age 8 and up opportunities to participate in the Blazing Stars Special Olympics Team. The Young Athletes program introduces children ages 2 to 7 with and without intellectual disabilities to the world of sports. Orthology: Provides physical therapy and chiropractic services Kids and Families: Provides exercises classes, adventure racing, free child care while members work out, Parents Night Out provides child care for an evening out, family friendly fitness centers, and youth and family fitness cards that outlines an entire workout from warm-ups to cool down stretches. Journey to Freedom: Provides an 8 week session where participants meet in small-group discussions, read, reflect, find support, and heal. The goal of the program is to build community and support successful life change in a safe place. Specialty series include Freedom from Body Image and Food Issues, Freedom from Low Self-Esteem, Freedom from the Pain of Grief and Disappointment, and Freedom from Fear. Condition Specific Programs: Include tailored health and fitness programs for people with health conditions including Parkinson's disease and pre-diabetes. Water Safety Program: Provides reduced cost water safety instruction for kids ages 5 - 14 and swimming lessons for ages 6 months to adult. Offers parent and child, school-age children, preschool children, and teen and adult swimming lessons and water safety instruction. Member and non-member rates available. Provides trainings and certifications for lifeguard training, CPR and first aid, babysitting safety, safety training for coaches and instructor level training. Classes are offered in a traditional classroom and blended where lessons are online and skills are practiced in class.

Group Exercise Classes: Members can attend a variety of free fitness classes including cardio and strength, dance, strength, yoga and pilates, ForeverWell, Kids and Family, and water exercise. Note: Not all classes are offered at all locations. Personal Training and Assessments: Rates for members and non-members. Members can receive a free one-on-one 60 minute assessment session with a certified personal trainer. Personal training sessions are available virtually via Zoom (included in membership or a monthly fee). Small Group Training Programs: - Provides opportunities for small group training and flex training. Available classes vary by location. Rates for members and non-members. - Wellness 180 provides a series of lessons that will help educate participants in and out of a classroom setting on how gradual lifestyle changes can positively impact their health. Rates for members and non-members. - Wellbeats is for kids ages 3 to 14 who are participants of Kids Stuff or child care (must be a member). Kids Stuff provides free drop-off child care while parents/caregivers workout (must be a member). Elder Care: Provides specific programs and services to support older adults age 55 and older, including in-person activities and free classes. - ForeverWell: Provides members with wellness activities for older adults age 55 and older including virtually online or in-person options. Must be a member for the virtual online activities. Also provides wellness checks for senior ForeverWell members. The George Wellbeing programs offer guidance, virtually or one-on-one in a group setting, with a board-certified coach, to help participants navigate healthy choices. Adult Sports Leagues: Provides team, doubles, and individuals sport activities. Opportunities for members and non-members. Kids Sports: Provides year-round activities and program for kids of all ages and skill levels, including youth sports leagues and classes, summer sports, Homeschool Physical Education, and adult sports leagues. Members and non-members are welcome to participate. Offers youth with disabilities age 8 and up opportunities to participate in the Blazing Stars Special Olympics Team. The Young Athletes program introduces children ages 2 to 7 with and without intellectual disabilities to the world of sports. Orthology: Provides physical therapy and chiropractic services Kids and Families: Provides exercises classes, adventure racing, free child care while members work out, Parents Night Out provides child care for an evening out, family friendly fitness centers, and youth and family fitness cards that outlines an entire workout from warm-ups to cool down stretches. Journey to Freedom: Provides an 8 week session where participants meet in small-group discussions, read, reflect, find support, and heal. The goal of the program is to build community and support successful life change in a safe place. Specialty series include Freedom from Body Image and Food Issues, Freedom from Low Self-Esteem, Freedom from the Pain of Grief and Disappointment, and Freedom from Fear. Condition Specific Programs: Include tailored health and fitness programs for people with health conditions including Parkinson's disease and pre-diabetes. Water Safety Program: Provides reduced cost water safety instruction for kids ages 5 - 14 and swimming lessons for ages 6 months to adult. Offers parent and child, school-age children, preschool children, and teen and adult swimming lessons and water safety instruction. Member and non-member rates available. Provides trainings and certifications for lifeguard training, CPR and first aid, babysitting safety, safety training for coaches and instructor level training. Classes are offered in a traditional classroom and blended where lessons are online and skills are practiced in class.

- - Chemotherapy - - General surgery - - Hematology care - - Lung cancer screening - - Nutrition Therapy: Registered dietitians assess food needs and help individuals set goals to improve eating and manage weight - - Oncology nurse navigation - - Social Services: Social workers help individuals and their families find support for emotional or financial issues, and community resources - - Surgical oncology

Provides care medical care services such as: - Anticoagulation - Bladder and urinary-tract infections (UTI) - Check-ups and annual physicals - Chronic disease management (for diabetes, hypertension/high blood pressure and other diseases) - Cold and flu symptoms - Diabetes care - Ear infections - Headaches - Health, weight and vision screenings - Immunizations and flu shots - Insect bites - Joint and back pain - Lab services - Nausea and vomiting - Nutrition - Obstetrics and gynecology - Pediatric care and back-to-school physicals - Preventive care - Radiology - Rashes - Sinus infections - Stomach problems

Family Medicine General and Preventive Care - Diagnosis and treatment of illnesses and injuries, including: - Ear infections - Minor burns - Sinus infections - Skin conditions, like rashes or warts - Sprains and strains - Strep throat - Family medicine with OB (Obstetrics) including prenatal care - Family planning/birth control - Growth and development monitoring - Health education on nutrition and exercise - Male- and female-specific health concerns - Management of chronic conditions including: - Asthma - Bone and joint conditions, like arthritis - Diabetes - High blood pressure - Heart disease - Mental health concerns, like anxiety and depression - Preventive care such as well-child checkups and routine screenings - Vaccinations Services and Specialty Care - Dietitian - Imaging and radiology - Lab services - Medication management - Mental health counseling for conditions including: - ADD - ADHD - Adjustment disorders - Anxiety - Bipolar disorder - Body dysmorphic disorder - Borderline personality disorder - Conduct disorder - Depression - Dysthymia - Grief - Impulse control disorders - Obsessive-compulsive disorder - Panic disorder - Personality disorders - Phobias - Post-traumatic stress disorder - Psychiatric disorders - Psychosis - Stress - Physical therapy - Sleep medicine - Substance use disorder office-based opioid treatment services including: - Connection to community resources - Education regarding medication for opioid use disorder - Medication for opioid use disorder with Suboxone - Screening and diagnosis - Treatment plan to help with withdrawal symptoms - Transgender care including: - Adult and pediatric endocrinology - Hormone treatments - Primary care, which includes basic health screenings - Referrals to community resources; mental health counseling; specialists, including in gynecologic surgery and urological surgery; transgender support groups - Surgery including breast augmentation surgery and masculinizing chest surgery - Voice training from speech-language therapist

Health Education and Promotion Programs attempt to maintain and improve the health of our county's residents through many types of programs such as: Group Programs about health concerns such as: - Nutrition - Healthy lifestyles - Hypertension - Smoking - AIDS, etc - Health Related Programs for schools and youth organizations - Assistance and direction with the formation of needed support groups - Diabetes Education is provided by one of our staff nurses who is a certified diabetes educator - Blood Pressure and Cholesterol Screening, education and referral for on-site groups and work places - AIDS information and support, call the AIDS Hotline at (800)248- AIDS - For local education and/or promotion, call County Health at (218)283-7070 - Up to date health information and audiovisual materials are available free of charge to individuals, community groups, schools - Public Awareness of Health Resources throughout the county through publicity, programs and health information - What's Up? Family, Health and Community radio broadcast provides important information concerning our community Health. Listen to KGHS Radio Wednesday afternoons & Saturday mornings - Labor and Delivery class training is provided through the Rainy Lake Medical Center Hospital Campus - The Maternal and Child Health Special Project seeks to reduce infant mortality and disability and to improve the health of the mothers and babies. Home visits are made to pregnant women and mothers and infants by a skilled maternal and child health nurse. Education and support services to reduce maternal risk-taking behaviors and improve parenting skills are provided through individual counseling, group education, prepared childbirth classes, special classes for students on healthy lifestyles, and the distribution of printed materials and newsletters - Family Planning Services are available at Koochiching Family Planning Clinic

- Baby Cafe Support Group: Support for helping parents achieve their breastfeeding goals - Caregiver Support Group: Offers emotional support for those that are caring for a loved one. Provides an opportunity to learn about resources and activities available to caregivers. Each meeting provides an opportunity for informal group discussion. - Health Education Presentations: Health professionals (physician, registered nurse, fitness specialist or nutritionist) deliver 1-hour, customized presentations on health topics including cardiovascular health, exercise/fitness, nutrition and weight management - Stroke Support Group: Support for people who have experienced a stroke, and their caregivers

A family practice clinic providing primary care services to all ages. Services offered: - Family medicine - Family planning/birth control - Health education on nutrition and exercise - Internal medicine treating illnesses, infections, and injuries - Male and female specific health concerns - Managing chronic conditions - Obstetrics and gynecology - Prenatal care - Rehabilitation care - Screening tests, preventative care, and well-child checkups - Vaccinations

Services to individuals and families are provided to promote healthy pregnancies, infants, children and families Home visits to pregnant women offer support and information regarding pregnancy, labor and delivery Information includes but is not limited to: - Physical activity and exercise - Nutrition - Problems associated with smoking, drinking and drugs - Use of medications during pregnancy - Preparation for labor and delivery - Free Prenatal education classes to expectant parents Classes include: - Five two hour classes held on 5 consecutive Wednesdays, from 7 pm to 9 pm at Riverwood Health Care Center - Teaching of breathing and relaxation techniques - Call for dates of next classes Free home visits to all families with newborns Visits include: - Free welcome basket including safety and hygiene supplies - Physical assessment of infant and mother - Information on infant feedings, behavior and development, safety, sleep habits, immunizations, parenting skills, child care, etc - Answers to questions regarding infant and self care - Information on the emotional and social adjustments related to parenting - Family planning information Call to make an appointment for a FREE home visit

Programs geared toward helping Cambodian elders and other southeast Asians in the following areas: - Applying for public benefits - English instruction - Citizenship classes, INS interviews and immigration assistance - Healthy eating promotion which reconnects participants with the eating habits of their home countries through nutrition education, development of community gardens, and meals served three days a week from a local restaurant. Serves elders from the Cambodian, Chinese, and Karen communities. - Physical activities and active living - Cultural and traditional ceremonies - Health education - Medicare application - Housing assistance - Funeral assistance - Recreational activities - Group shopping and medical appointment transportation - Translation

Provides emergency, surgical, ongoing and convalescent care for all persons needing medical attention. Medical Services: - 64 - Inpatient Beds - 24 hour Physician Staffed Emergency Care - Intensive and Coronary Care - Acute Rehabilitation - Day Surgery - Nutrition Services - Women's Health & Birth - Pharmacy Local or Visiting specialists in most areas of care are also available

Offers clinical services and programs to promote the physical and emotional well-being of their residents. Also provides respite care for caregivers. These include: - Diabetic care - Intermediate care - IV therapy - Memory Care - Nursing rehabilitation and therapy services (including physical, occupational and speech therapy) - Nutrition education - Ostomy care - Pain management - Skilled care - Short-term/respite care - Tracheotomy care - Wound care

Hospital Services: - Inpatient beds - Medical/Surgical beds - Obstetrics - Cardiac Care Unit - Public Education - Ambulance Service Outpatient Services: - Gastroscopy - Flexible Sigmoidoscopy - Colonoscopy - Ultra Sound - Mammography - CT Scan - Echocardiogram - Child Birth Classes - MRI - Outpatient Laboratory Services Emergency Department: - Level IV Trauma Designation Rehab Services: - Physical Therapy - Occupational Therapy - Speech Therapy - Cardiac Rehab - Chemo Therapy - Infusion Therapy - Nutrition Therapy - Respiratory Therapy - Sleep Studies - Cardiac Stress Testing - Pain Management - Barium Swallow Studies - Pulmonary Function Testing - Diagnostic Biopsy Services Surgery: - Bowel Resection - Appendectomy - Caesarean Birth - Laparoscopic Cholycystectomy (removal of gall bladder) - Bariatric Program (weight loss) - Varicose Vein - Breast Surgeries Day Surgery: - Patients are admitted in the morning and discharged late the same day - Tonsillectomy - Hernia Repair - Ear tube placement - Tubal ligation (laparoscopic) - Carpal Tunnel - Cataract surgery (monthly) Orthopedics: - Fractures - Total Joints - Sports Medicine Gynecology: - Uterine Ablations - Hysteroscopy Administration (218)246-3001

Social Services: - Community resource referrals for housing, shelter, food shelf, chemical dependency treatment, and emergency and crisis support - Medical insurance application and eligibility assistance - Medical transportation - Medicare questions - Tribal benefit information Community Health Programs: - Breastfeeding Support and Education - Cancer screening education and navigation - Diabetes education, including class and support groups - Enrollment and navigation of Minnesota Department of Health Sage Cancer Screening Program - HIV/Hep C testing and Harm Reduction education and resource navigation - Nutrition counseling - Smoking cessation and navigation

Primary Care: - Family medicine - Flu shots - Integrative Health Chiropractic Acupuncture Integrative primary care - Pediatric care including well-baby care - Women's care/OB-GYN Specialty Care: - Bariatric services (weight loss surgery) - Behavioral health - Cardiology - Diabetes prevention program - Diabetes management and education - Medication therapy management - Nutrition - Orthopedics (care for bones, muscles, ligaments) - Physical therapy Orthopedic conditions Vestibular (dizziness/balance) disorders Women's health physical therapy - Podiatric surgery (foot/ankle) - Psychiatry - Sports medicine - Surgery care (pre- and post-care)

Identifies health or developmental problems in young children early to help them stay healthy. Residents on Medical Assistance who may need transportation to a checkup can call through Medical Assistance insurance providers. Services include: - Child and teen checkup exams that meet the requirements for starting school, camp, and other prerequisites - Health screening for a physical exam, oral health, vision and hearing, developmental and social-emotional screening, substance risk, mental health, sexually transmitted infections, HIV, lead, sickle cell, labs, nutrition review, and immunizations

- Acupuncture - ADD/ADHD initial evaluation - Allergy and immunology including shots and testing - Behavioral sleep medicine - Camp and sports physical exams - Cardiology - Chiropractic - Dermatology - Ear, nose, and throat (ENT, Otolaryngology) - eVisits: Online medical clinic that provides care for common conditions - Family medicine and primary care - Health screenings including blood pressure, cholesterol, colonoscopy, colposcopy, depression, diabetes, mammogram, osteoporosis, prostate cancer, and sexually transmitted diseases (STD) - Hearing aids - International travel vaccinations - Kidney care - Medical imaging, bone density scanning, and x-rays - Medication management - Medicare wellness exam - Nutrition health and weight management - Obstetrics and gynecology including breast health, mammograms, pap smears, and pelvic exams - Ophthalmology and Optometry - Orthopedics - Pediatrics - Plastic surgery (cosmetic and reconstructive) - Podiatry - Pregnancy and prenatal care - Psychiatric testing, medication monitoring, and talk therapy for all ages - Sports medicine - Workers' compensation exams - Vaccines

Free events to promote healthy living. Outreach activities may include: - Diabetes Education Enhancement Program (DEEP) - Flu shot clinics - Health screening, promotion, and education events (Includes blood pressure, blood glucose, weight, and height screenings. Also provides information on low-cost clinics and community agencies.) - Healthy behaviors program - Health workshops and classes; topics related to general health and nutrition. - Parish health fairs - Referrals to the St. Mary's primary care clinic services