Washoe Tribal Health

Our mission is to provide the highest quality health and wellness services promoting resiliency of mind, body, and spirit for the Washoe people, American Indians, and Alaska Natives, in partnership with all communities throughout the Washoe Nation.

Our purpose is to prevent, improve, restore, and maintain the oral health of the community that Washoe Tribal Health Center serves and to provide dental services that are accessible to everybody’s needs.

Our Services

Comprehensive eye exams (children and adults)
Diagnosis and treatment of ocular disease (infections, glaucoma, cataract, macular degeneration, etc.)
Cataract surgery referrals and co-management
Eyeglasses, including progressives, transitions, anti-reflective coatings, prescription sunglasses, name-brand styles
Contact lenses

Our Specialty Services

Same day appointments available for urgent eye conditions (injuries, foreign bodies, infections, sudden vision loss); please call to make arrangements.
Glaucoma and Diabetic Exams: advanced diagnostic testing for diagnosis.
Grant funding available to help cover the cost of eyeglasses.
Special programs to cover the cost of eyeglasses for qualified seniors, children and Washoe Tribal members living in the service delivery area.

Our Principles

Prevent, improve, restore, and maintain the oral health of the community that Washoe Tribal Health Center serves.
Treat patients professionally, confidentially, and without discrimination based on income, race, insurance status, religion, or gender.
Evaluate and treat dental emergencies via dental treatments, prescriptions, consultations, or referrals.
Decrease the incidence of caries by applying fluoride treatment when indicated.
·Educate patients and children on appropriate oral care and the importance of a healthy nutritional program.
Integrate oral health with overall health.

Our Services

Oral diagnostic, preventive, and restorative services, as well as emergency services.
Patients needing services not offered at Washoe Dental are referred to other sources of care.
Laboratory work for the fabrication of removable and fixed prosthetics will be referred to outside laboratories based on the quality of their services and their ability to meet infection control standards.

Walk-In Clinic (Acute Care)

Upper respiratory infection tests, diagnose and treatment
Urinary Tract Infection test, diagnose and treatment
Sexual Transmitted Disease test, diagnose and treatment
Musculoskeletal pain
Palpitation or heart disease symptoms
Acute pain, discomfort and illness test, treatment, and care
Animal/Human Bite
Lice treatment
Referral and transfer to ER/UC

Primary Care

Disease screening and prevention
Diagnosis and treatment of many types of illness
Education related to disease diagnosis, treatment, and prevention
Injury Care
Counseling
Referral to specialties
Coordination of care (communication between specialty and primary provider)
Follow up on chronic conditions (i.e. Diabetes, hypertension)

Chiropractic

Hot and Cold Therapy
Electrotherapy
Ultrasound Therapy
Cold Laser Therapy
Traction
Spinal Decompression
Adjustment
Acupuncture
Kinesio Taping

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Women's Health

Well Women Check
Women’s health education
Pelvic Exams
Testing and treatment for vaginal infection and STIs
Diagnose and treatment
Family planning and contraception
Education and guidance on sexual health, pregnancy, fertility
Urinary Tract infection Test, diagnose and treatment
After care and follow up on conditions like endometriosis, pelvic pain, and urinary tract issues
Pregnancy Confirmation
Pregnancy referral and follow ups

Gloved hands holding a patient's foot on a treatment table

Podiatry

Diagnose health conditions that affect feet and ankles.
Order and analyze lab tests and imaging.
Prescribe medication and treatments.
Perform in office treatments and procedures.
Prescribe orthotics (i.e. shoe inserts, braces, casts)
Suggest mobility aid (i.e. canes, walkers)
Provide care services:
- Bunions
- Hammertoes
- Foot and ankle injury
- Deformity care
- Wart Removal
- Laceration repair
- Diabetic foot care
- Fractures on the feet and ankles
- Feet and toe ulcers/ wounds
- Musculoskeletal pain treatment
- Plantar Fasciitis Tendonitis
- Skin and Nail Care (i.e. ingrown toenails)
- Lower Extremity vascular testing and management

Podiatry

Diagnose health conditions that affect feet and ankles.
Order and analyze lab tests and imaging.
Prescribe medication and treatments.
Perform in office treatments and procedures.
Prescribe orthotics (i.e. shoe inserts, braces, casts)
Suggest mobility aid (i.e. canes, walkers)
Provide care services:
- Bunions
- Hammertoes
- Foot and ankle injury
- Deformity care
- Wart Removal
- Laceration repair
- Diabetic foot care
- Fractures on the feet and ankles
- Feet and toe ulcers/ wounds
- Musculoskeletal pain treatment
- Plantar Fasciitis Tendonitis
- Skin and Nail Care (i.e. ingrown toenails)
- Lower Extremity vascular testing and management

Women's Health

Well Women Check
Women’s health education
Pelvic Exams
Testing and treatment for vaginal infection and STIs
Diagnose and treatment
Family planning and contraception
Education and guidance on sexual health, pregnancy, fertility
Urinary Tract infection Test, diagnose and treatment
After care and follow up on conditions like endometriosis, pelvic pain, and urinary tract issues
Pregnancy Confirmation
Pregnancy referral and follow ups

Mental Health Services

Individual, Family, Group, and Couples Therapy (does not include court ordered couples or custody mediation)
Child & Adolescent Therapy
Crisis Intervention
Community Crisis Intervention
Urgent Grief Counseling
Individual Grief Counseling
Individual End of Life Counseling for the Individual & Family
Mental Health Assessments
Psychological Testing & Evaluation: IQ and achievement, Bio-Psycho-Social, and additional Drug and Alcohol
Psychiatric Medication Management
Case Management
Referrals & Social Support Resources
Seeking Safety Trauma Group Counseling
Acceptance & Commitment Therapy Group
Weight Loss Support Group
Neuro/Biofeedback Therapeutic Program

Community Outreach & Training

Lunch and Learns- monthly behavioral health topics
Adult and Youth Mental Health First Aid
Non-violent Crisis Intervention (CPI)
SafeTALK
ASIST
Specific Training - on request
Suicide Prevention & Education
Substance Abuse Education
Naloxone Emergency Medication Training
Opioid Epidemic Committee
Door to Door Community Engagement
Monthly Community Outreach
Weekly Friday Outreach Booth
Parenting Classes & Support Groups -using Positive Indian Parenting and Parent Intervention Curriculums
White Bison Wellbriety Trainings: Fathers of Tradition, Daughters of Tradition

Substance Use Services

Substance Abuse Assessment, Evaluation & Treatment
Intensive Outpatient Program (IOP)
Smoking Cessation Program
Referrals to Inpatient Substance Abuse Treatment
Medication Assisted Treatment (MAT)
Wellbriety-Based Groups & Treatment Wellbriety 12-Step Medicine Wheel Youth Program
Harm Reduction Program
Walk-in Hours

Youth Programs

Behavior Intervention Services
Youth Summer Program
Coyote Club
Equine Therapy
Field Day Fridays
ARISE Skill building
Positive Action Curriculum
Mendez Youth Substance Education Advocacy
Coordination with schools, social services, court, truancy, probation

Elder Wellness

Mental Wellness Individual Engagement & Activities
Elder Group Social Engagement
Care Giver Support
Addressing Needs & Barriers
Transportation
Advocacy
Case Management
Coordination with Washoe Elder Program

Our Services

Primary Care: Screenings & Vaccinations
Chronic Disease Management: Diabetes, Hypertension, Asthma
Mental Health Support: Counseling & Stress Management (Referrals)
Maternal & Child Health: Referrals for Prenatal & Postnatal Care, Immunizations
Health Education: Nutrition, Smoking Cessation, Wellness Classes (Nutritionist Referral)

Why Choose Us

Culturally Sensitive Staff who
understands your traditions.
Convenient location and flexible hours
After hours and weekends Nurse
Telephone Triage
24/7 Access Care
Free Resources
Convenient Care
Medication Management
Diabetes Management
Advanced Care Planning

What We Do

What We Don't

Community Health Worker / Representative (CHW / CHR)

Connect You with Community Resources
- Food
- Housing
- Utilities
- Transportation
Conduct Outreach, Home Visits, and Wellness Checks
Provide Culturally Sensitive Health Education
Support Chronic Disease Management and Follow-Up
Assist With Making Appointments
Take Vital Signs and Assist with Medical Care

DO NOT Provide Medical Care

DO NOT Deliver or Give Medications or Injections

DO NOT Perform Clinical Assessments

DO NOT Give Medical Advice

Registered Nurse / Licensed Practical Nurse (RN / LPN)

Administer Injections, Vaccines, and Medications
Perform Wound Care, Screenings, and Nursing Assessments
Educate on Medications, Treatment Plans, and Disease Management
Assist with Maternal Care (weight/length) and Nutritional Support

DO NOT Manage Housing or Non-Medical Services

DO NOT Coordinate Long-Term Community Resources

DO NOT Provide Case Management

Case Manager

Coordinate Services Across Providers, Specialists, and Support Programs
Advocate for You During Transitions (Hospital to Home, etc.)
Help with Insurance, Referrals, and Navigating the Healthcare System

DO NOT Perform Hands-On Medical Care

DO NOT Provide Home Visits Unless Case-Related

DO NOT Give Medications or Perform Procedures

Get Started

Schedule an appointment with your Primary Care Provider at the Washoe Tribal Health Center.
We're here to support you every step of the way.
Walk-ins are always welcome!

775-265-8622

We’re hiring!

Meet our team

Dr. David Lena

DDS

Chief Dental Officer

Dr. Douglas Karwoski

DDS

Dentist

April Buck

RDH

Dental Hygienist

Deanna Root-Ferguson

RDH

Dental Hygienist

Melissa Acosta

Dental Clinic Manager

Lavi Pacurar

Dental Assistant

Lidia Gutierrez

Patient Coordinator

Jamie Croce

Dental Assistant

We're hiring!

Join our team of diverse, passionate people and foster a culture that empowers you to do your best work.

View open positions

Tribute to Julie Wyatt-Barr

We honor the life and legacy of Julie Wyatt-Barr, a respected elder and member of the Washoe Tribe, who served with dedication as an LPN Community Health Case Manager and Community Liaison from September 2013 until her passing in September 2023. A former Community Health Representative with the Washoe Tribal Health Center. Julie was a skilled and compassionate nurse who worked alongside many exceptional healthcare professionals, including Sheryl Osborn. Together they extended care to numerous patients who might not have otherwise had access to routine healthcare services.

With over 30 years of nursing experience, Julie returned to serve her community with deep commitment and humility. Her compassion, professionalism, and unwavering dedication to the health and wellbeing of others will be remembered by all who had the privilege to know and work with her. Her impact with the Washoe Tribal Health Center patients will continue to live on through the memories of those she helped.
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May she Rest In Peace, and may her legacy continue to inspire all of us in the healthcare field.

- In Loving Rememberance by Beez Wyatt

My memory/story of Julie-
I got to know Julie by working with Beez in the referrals department for a few years. She was a very loving mother and was always making sure to take care of Beez. Their mother/daughter relationship was very close and endearing. I remember Julie used to always bring Beez breakfast and make sure she started her day off right and with love. Beez always called her Weegis and i still dont remember the story of why but it was so great to see the love between mother and daughter."

"Mother is she who can take the place of all others but whose place no one else can take.

umwaɁáŋawi

Ombria R. Cooper -Wašišiw gumta nu leɁi

Dental

Welcome to Community Health

Explore Our Programs

Our Services

Our Specialty Services

Our Principles

Our Services

Walk-In Clinic (Acute Care)

Primary Care

Chiropractic

Women's Health

Podiatry

Podiatry

Women's Health

Mental Health Services

Community Outreach & Training

Substance Use Services

Youth Programs

Elder Wellness

Our Services

Why Choose Us

Get Started

Meet our team

We're hiring!