(641) 484-4678 Toll Free: 1-800-944-9503 Fax: (641) 484-5424


Community Health Representative (CHR)


The mission of the CHR (Community Health Representative) Program is to provide outreach health care services and health promotion/disease prevention services to Tribal members in our community.

Goals & Objectives:

The CHR Program was implemented in 1968 to improve the health knowledge, attitudes and practices of Indian people by promoting supporting, and assisting the Indian Health Service in delivering a total health care program. The efforts of CHR program staff have produced an American Indian service delivery system, which provides for follow-up and continued contact with the health care delivery system at the community level, thereby meeting the most basic needs of the American Indian. The goal of the CHR Program is to address health care needs through the provision of community-oriented primary care services, including traditional Native concepts in multiple settings, utilizing community-based, well-trained, medically-guided heath care workers. Sac & Fox Tribe Community Health Representatives are members of the Aberdeen Area CHR Association. In addition, health related workshops and in-services are provided for CHR’s to continue their education.

Transportation Services remain the department’s top service:

CHR’s transport dialysis patients Monday through Saturday to the Marshalltown Dialysis Center.  We also transport patients, referred by the Meskwaki Clinic to specialty clinics.  We also set up and deliver medications to those patients who require assistance. Transportation for patients of Meskwaki Health Clinic. Home visits. Medication delivery and medication set-up.

Transportation is available for:

      • Patients seeking medical assistance to health facilities.
      • Patients living within a 25 mile radius of the Settlement.
      • Minor patients accompanied by their parent or guardian.

To better serve our patients and organize services, please adhere to the following policies:

      • Call to schedule transport at least 2 business days in advance:
        *WEEKDAYS – 8 am to 4:30 pm
      • Schedule your health appointments:
        *locally – 8 am to 4 pm
        *out of town – 9 am to 3 pm
      • Transportation is not always guaranteed:
        *Emergency appointments depend on the CHR schedule
        *Please consider CHR as your LAST resort
        *Specialty clinic appointments must be referred by a provider of the MHC
        *Patients are responsible for their own 1 / 2 sheets
      • CHR will not transport the following:
        *Patients who require ambulance services
        *Patients Intoxicated or under the influence
        *Patients leaving a medical facility against medial advice
        *Patients with known public health issues (bed bugs, etc.)
        *Patients who own or have an operable vehicle within the household
        *Out of state appointments

Community Health Representatives and/or other patients will not be subjected to verbal or physical abuse at any time. Abuse of any form will result in permanent suspension of transportation services.

Other Services Provided:

      • Health Education/Counseling – We coordinate and sponsor a mini health fair during the Summer Youth Employment Program for their participants ranging in age 14-18. We also participate in the Health Fair sponsored by the Diabetes Program. We sponsor and assist other programs with community fun run/walks.
      • Monitor Client/Community – We monitor patient blood sugar levels, blood pressure, weight and medications. We make home visits with diabetes patients and hospital discharge patients.
      • Emergency Care Case Management/Coordination – We follow up with patients after hospital discharge by providing medical equipment, medications, and wound care, as needed.
      • Health Promotion – Discuss with clients the importance of healthy lifestyles and encourage them to exercise, eat nutritious foods, and taking prescribed medications.
      • Disease Prevention -Sponsors mini health fair for Summer Youth Program Participants with discussions about STD’s, nutrition, exercise, family planning, substance abuse, diabetes prevention, and checks blood pressure.
      • Translation/Interpretation – Another important service we offer is making sure our clients understand their doctor’s directive for their health care and well-being. With some of our elderly Meskwaki patients we are required to translate English to Meskwaki to help the patient understand the doctor’s instructions.
CHR Staff
CHR Coordinator Danelle Wabaunasee
CHR Tatum Davenport
CHR Driver Ross Wabaunasee
CHR Driver Nia Lasley


Physical Address: Mailing Address: Phone:
1646 305th Street
Tama, IA 52339
1646 305th Street
Tama, IA 52339
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