Confederated Tribes of Siletz Indians
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The Siletz Tribal Health Care Program is the delivery of comprehensive health care to the Siletz Indian People and their dependants residing within the eleven county service area of Western Oregon. Services are provided through a combination of direct care, contracts and referral to appropriate agencies.

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Contact Information

200 Gwee-Shut Rd.
PO Box 320
Siletz, OR 97380

(800) 648-0449
(541) 444-1030
(541) 444-444-9678 Health Administration Fax for "non-patient information only"

Medical Records Fax: (541) 444-9695


Marci Muschamp, Health Director  

Ralene Butler, Admin/QI Coordinator
Ruby Moon, Community Health Director 

Patient Rights & Responsibilities

Directions to the Clinic 




Clinic Hours

Monday - Friday 8:00 AM - 5:00 PM


"We'll do everything possible to not only provide you with quality health care, but also to involve you in decisions about your health, and participate with you in developing and maintaining a healthy lifestyle for the future.

For your part, we welcome any suggestions or constructive criticism you might have. Hopefully, through a cooperative effort, we can provide excellent health care for healthier, happier lives."



Prenatal Bridge Program

In early 2004, SCHC found that an overwhelming percentage of pregnant patients were delaying prenatal care up to 15-25 weeks. SCHC has a large population of high-risk patients with diabetes, gestational diabetes, and drug and alcohol issues. SCHC has increased the level of prenatal care offered to clinic patients. It was felt that early prenatal care and screening for pregnancy would increase the overall health and care of both mothers and infants.

Prenatal care at SCHC is meant to be a bridge to obstetric care. SCHC providers do not deliver babies or have hospital privileges. Transfer of care to OB/GYN or other birth provider of the patients’ choice is to be completed as close to 20 weeks as possible.

First Exam (6 weeks)
When the patient has a positive HCG and wishes to maintain pregnancy, the following is completed:

  1. Completion of Oregon Prenatal ABC Form.
  2. Screening for alcohol & drug & domestic violence issues, w/referral as needed.
  3. Completion of Prenatal labs (ABO/Rh, Antibody Screen, RPR, Rubella, HbsAg, CBC, HIV, U/A with C&S.
  4. Additional tests such as Hepatitis C Screen, thyroid, CMP, Varicella may be done if needed.
  5. WIC referral
  6. OHP referral
  7. Dispense "What to Expect When Expecting" book and "An Expectant Mother's Guide to Eating Fish in Oregon" pamphlet.
  8. Prescribe Prenatal Vitamins.

Second Exam (8 weeks)

  1. Urinalysis.
  2. Women's Health Exam (PAP, GC/Chlamydia, GBS Culture).
  3. Management of First Trimester pregnancy concerns.
  4. Discuss labs.
  5. Referral to in-house Endocrinologist or CDE/RD as needed.
  6. Check on Status of OHP/WIC referrals.

Third Exam (10 weeks)

  1. Urinalysis.
  2. Fetal Heart tones.
  3. Management of First Trimester pregnancy concerns.
  4. Review labs
  5. Early referral to OB/GYN if abnormal PAP/High Risk.
  6. Nutrition Survey.

Continued Care (Every 4 weeks)

  1. Urinalysis.
  2. Fetal Heart tones.
  3. Patient Education.

Important Labs

  1. 15-17 weeks: Quad Marker, H&H
  2. 20 weeks: U/S, 1 hour glucola challenge test

SCHC does not recommend or endorse any birth/delivery practices. Names, addresses, and phone numbers to all area practicing OB/GYN as well as midwives/birth centers are provided to each patient.

  1. Once a provider is chosen and an appointment is made, consent is signed to release information.
  2. Chart notes are sent.
  3. Introduction to lactation consult and breastfeeding booklets are given.
  4. Patients are encouraged to contact in-house lactation consultants after delivery.
  5. Infant follow-up with local pediatricians are available at SCHC as well as circumcision (if requested).
  6. Women are always encouraged to return to the clinic if they have health problems or further questions.

The American Academy of Pediatrics identifies breastfeeding as the ideal method of feeding and nurturing infants. Siletz Community Health Clinic recommends exclusively breastfeeding during the first 6 months of life. Breast milk provides the primary source of nutrition through the first 12 months of life as recognized by the World Health Organizations, the Center for Disease Control and Prevention, the Department of Human Services, the State of Oregon Health Department and the American Academy of Pediatrics. Breastfeeding is encouraged through the toddler years as mom and baby feel comfortable.

The goal of the Siletz Tribal Breastfeeding Program is to support, educate, promote and protect breastfeeding. Health care providers will suggest artificial feeding only when medically indicated.

Currently the SCHC offers breastfeeding patients support via the clinic, home visits, and over the telephone. The clinic has two in-house Certified Lactation Counselors as well as a Breastfeeding Team, which meets quarterly. As a clinic, we sponsor community events that educate and promote the joys and benefits of breastfeeding. The SCHC is also a proud participant of the Lincoln County Breastfeeding Coalition.