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Stronger Together - Your Guide to Local Healthcare & Community Support Barnes County Health & Wellness Resources Certified Home Care Home Health & Hospice Resource Information Certified home care providing care to clients in their homes. For more information about eligible insurance or self-pay options, contact directly. Is a Referral Required? Yes Eligibility: Referral from physician or hospital discharge planning team. Contact Office Phone: 701.845.8518 Fax: 701.845.8542 www.citycountyhealth.org Contact Office Phone: 701.845.8518 Fax: 701.845.8542 www.citycountyhealth.org Previous Item Next Item

Family Planning Women's Health, Men's Health, Family Planning 701.252.8130 Family Planning is offered at City-County Health District 2nd Tuesday of every month from 9:00 AM to 12:00 PM Available Services Central Valley Health District offers a range of family health services, including Birth control & family planning. Find the method that's right for you, from oral contraceptives to IUDs. STI testing & treatment. Get screened and treated for sexually transmitted infections to protect your health and that of your partners. Pregnancy testing and counseling. Accurate, confidential pregnancy testing and counseling services are available. HPV vaccinations. Protect yourself with the HPV vaccine, reducing the risk of certain cancers and genital warts. Annual wellness exams. Comprehensive check-ups to assess reproductive health, including pap test, pelvic exams, and more. As a collaborating partner, City-County Health District provides limited services on a daily basis. Call (701) 845-8518 to schedule an appointment for: Pregnancy Testing Emergency Contraceptive Pills (ECP, also known as the morning after pill) About CVHD Services Central Valley Health District offers family planning in collaboration with City-County Health District. We guarantee our services are always Confidential & judgement free. Your privacy is our priority. All services are strictly confidential. Inclusive support. We welcome people of all backgrounds and identities, ensuring a safe space for everyone. Affordable care. All services are provided on a sliding fee scale and based on income and household size. Your appointment may be filed through your medical insurance, if you choose. Schedule An Appointment Call Central Valley Health at 701.252.8130 *Evening hours are available in Jamestown on the first and third Wednesday of each month for those who can't visit during the day. At-Home STI & HIV Testing Need sexually transmitted infection (STI) or HIV testing? Order a FREE home test collection kit to your door today. Benefits of at-home testing Anytime, Anywhere testing Private Free! Order a at-home test kit today. For more information, Central Valley Health Di strict Reproductive Health Services . Previous Item Next Item

Home Care Adult Health, Aging Services 701.845.8518 Certified Home Care Care for All. Infancy through Aging. Your Choice. Your Home. Since 1982, City-County Health has been providing high quality care to clients in the comfort of their own home. Services are available to residents of Barnes County under the care and direction of their medical provider. Our home care team includes Registered Nurses, Home Health Aides and a Physical Therapist. We coordinate services and care with Doctors, Pharmacists, equipment providers and other resources. City-County Health District is a Medicare certified, licensed member of the North Dakota Association of Home Care. Who needs home care? Individuals who: have a difficult time leaving the house, typically with a taxing effort are in need of skilled nursing care on an intermittent basis are returning home after a nursing home or swing bed stay are recovering from surgery or other ailments Who pays for home care? Medicare Medical Assistance Veterans Administration Private Insurance Services: Skilled Nursing Home Care Aides Physical Therapy Other Service Coordination Assessment and Education How do I get home care? Request from your physician or hospital discharge planning team that you be visited by City-County Health District’s Home Care Team. When you choose our Home Care team, you’re helping to ensure that Public Health can continue to provide essential services for the community and those who need us most. Resource: VA Community Care – Eligibility Public Health Home Care Previous Item Next Item

Sheyenne Valley Memory Cafe 701.845.8518 Sheyenne Valley Memory Cafe was created in 2023 as a way to connect people with early-onset dementia or Alzheimer's, and their caregivers/family members. Sheyenne Valley Memory Cafe provides access to resources. Sheyenne Valley Memory Cafe meets monthly from September through May. Meetings are held at Faith Lutheran Church, 309 4th Street NE, Valley City, ND 58072. For more information, follow @sheyennevalleymemorycafe on Facebook or call City-County Health District at 845.8518. Previous Item Next Item

Harm Reduction Adult Health, Behavioral Health 701.845.8518 Public Health and harm reduction share the following overlapping principles, (usually in the presence of limited financial resources): Health protection - protection against infectious diseases and environmental threats Health improvement - target individual behavior or promote health by education and/or policy change Healthcare services - provide, analyze and improve/optimize healthcare services; "meet people where they’re at" ROPES Opportunities for better health. Stigma-free health services for people who use drugs. Ropes are tiny strands of different materials, bound together, more and more, getting thicker, intertwined, becoming stronger. There is a beginning and an end which can twist, knot, form a link, carry a heavy load, cut some slack or be stretched to the limit. The Rural Opioid Prevention Education and Support (ROPES) project is a federally and locally funded grant program using evidence-based practices to better serve people affected by Substance Use Disorder (SUD) and the disease of addiction. Project Goals: Prevent and reduce the progression of substance abuse and infectious disease Reduce the stigma surrounding addiction Strengthen harm reduction, treatment, and recovery capacity/infrastructure at the community level Project Services: Recovery/Peer Support Medication Assisted Treatment Syringe Exchange Overdose Prevention Education Rapid Testing for Infectious Disease Safer Sex Education Referral to Treatment Visit us on Facebook for program hours and additional info: The ROPES Proj ect Previous Item Next Item

Emergency Preparedness 701.845.8518 Previous Item Next Item City-County Health District works with the North Dakota Department of Health and Human Services (NDHHS), public safety agencies, and other community groups to plan and prepare for disasters or emergency situations. This is in conjunction with local all hazards emergency planning, preparedness, and response. City-County Health District is part of an eight-county region established by NDHHS for emergency preparedness and response planning. Counties included in our region are: Barnes , Dickey , Foster , LaMoure , Logan , McIntosh , Stutsman , and Wells. An emergency preparedness/response coordinator and a public information officer serve the eight counties within the Southeast Central Region. Their work is funded in part by federal grants and is focused on public health emergencies. This is done through public education and planning which involves partnerships for enhanced regional response plans and capabilities. For more information, contact Central Valley Health District – Emergency Preparedness. Emergency Notifications Barnes County offer services to inform residents of emergency situations or critical community alerts. Alerts are issued for a variety of situations, including natural disasters, terrorism threats, gas leaks, water contamination, chemical spills, missing child alerts, severe weather such as tornadoes and flash flooding, and for general community notifications. Signup for Barnes County alerts .

Environmental Health 701.845.8518 Previous Item Next Item City-County Health District contracts with Central Valley Health District (CVHD) for all environmental health services. The mission of the Environmental Health Division is to protect human health and the environment through prevention of disease, injury, and illness by the promotion of scientific evidence-based practices and education. Central Valley Health District provides environmental health services and education in Southeast Central North Dakota for: Barnes , Dickey , Foster , LaMoure , Logan , McIntosh , Stutsman , and Wells . Please visit the Central Valley Health website for more information on environmental health services . Barnes County Septic Permits: Permits are available at City-County Health District 415 2nd Avenue NE, Ste. 101 Valley City, ND. Visit the front desk to purchase or call 7 01.845.8518 for more information. Who Can Purchase Permits: Licensed Septic Installers may purchase permits. Please visit the Central Valley Health website for a list of licensed septic installers . Property-owners may purchase a permit and install a system on their property. For self-installation, owners must contact Central Valley Health at 701.252.8130 before they can be issued a permit. Property-owners may purchase a permit for a licensed contractor to install a system on their property (contractor must be listed on permit prior to issue). Permit Costs: $150 system installation/repair $125 holding tank/septic tank replacement Food Safety Recalls:

Baby Safe Haven Maternal Child Health 701.845.8518 Previous Item Next Item What is Baby Safe Haven? City-County Health District is an approved location for Baby Safe Haven. North Dakota’s Baby Safe Haven Law allows a parent or parent’s agent (another person with a parent’s consent), who feels they are unable to take care of their baby, to anonymously surrender the baby without being charged for abandonment. Baby Safe Haven Law protects parents who meet all 4 criteria: The baby is unharmed. The baby is under one year of age. The baby is left at an approved location. The baby is given to an on-duty staff member. Where are Baby Safe Haven Locations? A hospital where the baby was born Hospital/Emergency Rooms Local Public Health Units/Offices City-County Health District is an approved location. Human Service Zone Offices Law Enforcement Centers Regional Human Service Centers Long Term Care Nursing Facilities Children's Advocacy Centers 911 EMS Responders Location Closed? Please call 9-1-1. Baby Safe Haven Resources: Baby Safe Haven Brochure North Dakota Health and Human Services - Safe Haven

Car Seats Maternal Child Health 701.845.8518 Previous Item Next Item City-County Health District can help with car seats! We offer: Car seat checkup events Car seat installation by appointment Free car seats for families who qualify What to Expect: Our trained and certified child passenger safety technician will show you how to correctly use your child’s car seat or seat belt. Did you know? Five of six car seats are used incorrectly in North Dakota. During the checkup, we make sure your car seat: Has not been recalled. Meets federal safety standards. Is installed correctly Fits your child’s age, weight and height. Secures your child properly. Car seats for those who qualify. Your family may qualify for a free car seat if you are enrolled in programs like WIC, TANF, or Medicaid. We follow guidelines from the ND Department of Health and the ND Department of Transportation. For more information or to schedule an appointment, call 845-8518. Resources Child passenger safety best practices ND child passenger safety laws

WIC Maternal Child Health Available by appointment. Call to schedule. 701.845.8518 Previous Item Next Item WIC (Women, Infants and Children) Not sure if you are eligible? The WIC PreScreening Tool can help you determine if you may be eligible. About The WIC Program aims to safeguard the health of low-income women, infants, and children up to age 5 who are at nutrition risk by providing nutritious foods to supplement diets, information on healthy eating, and referrals to health care. Clients receive an individualized food package and nutrition education. Families must meet income guidelines and be screened for a nutritional risk. Appointments are necessary, please call (701) 845-8518 . Eligibility You must be a: pregnant woman ; breastfeeding woman (up to one year after giving birth) new mother (up to six months after giving birth) parent, guardian or caretaker who has an infant or child younger than 5 years of age AND You must have a nutritional health risk . The WIC Staff will be able to find a risk by checking your height, weight and iron level and having you answer some health and diet questions. AND Your annual household income must be within WIC Income Eligibility Guidelines which are based on gross income unless you are self-employed. Note: You may have a job and still meet these guidelines. OR If you receive Medical Assistance (Medicaid), TANF, SNAP, or Healthy Steps , you are income eligible for WIC even if your income is above these guidelines. [Note: If you are pregnant, you can add one more person to the size of your household.] Did you know WIC offers the following? 1. Healthy Food + Nutrition Tips WIC helps you feed your family healthy meals by providing: Monthly food benefits on an eWIC card to use at your local grocery store Recipes and ideas on how to use the WIC foods Tips for picky eating 2. A Community of Support WIC offers a network of experts for information and guidance: Nutritionists provide personalized nutrition counseling Breastfeeding specialists to help you breastfeed successfully Individual assessment of growth and health 3. Referrals WIC offers information about other helpful services including: Health care professionals such as doctors, dentists, and lactation consultants Immunization services Local social service programs including Medical Assistance, SNAP, and housing assistance. Resources WIC Food List WIC Program