Clinic provides primary health care, diabetes and chronic illness management, family planning, childhood and adult immunizations, STD and HIV tests, nutrition education, and referrals to specialty care. Also provides personal training and group fitness classes.

NACA Wellness Center | NACA Wellness Center

Programs that help people of all ages who have juvenile or adult diabetes understand and manage their illness. Services may include screening programs for early identification of the condition and associated complications; establishment of a treatment regimen; patient education; and self-management skills development assistance which may focus on use of insulin and drugs to control blood sugar levels, blood glucose monitoring, dietary management in different environments (at home, at work, in school, while dining out), menu planning, the role of exercise in relation to food intake, hygienic measures such as foot care and ways to reduce the likelihood of diabetes-related complications which may include heart disease, kidney failure, amputation, nerve damage and blindness. Included are programs that provide comprehensive preventive, diagnostic and treatment services on an inpatient or outpatient basis as well as less formal programs that emphasize education and may provide any combination of supportive services such as case management, assistance in obtaining needed products and services, and assistance in following the prescribed treatment regimen. Diabetes is a chronic, incurable disease in which the pancreas fails to produce enough insulin to allow the body to adequately metabolize sugar.

Diabetes Management Clinics

Routine examinations conducted on an annual basis to assess the general physical condition of an individual and detect abnormalities. General physicals vary, but most involve a discussion of any concerns the patient may be having; checking vital signs (temperature, blood pressure, heart rate and respiration rate), weight and general appearance; heart and lung exams using a stethoscope; a head and neck exam that looks at the throat, teeth and gums, ears, sinuses, eyes, lymph nodes, thyroid and carotid arteries; an abdominal exam that uses palpation to detect liver size, the presence of abdominal fluid or tenderness; a visual examination of the extremities; and breast and pelvic exams for women, testicular and prostate exams for men. The annual physical exam also provides an opportunity to refocus attention on prevention and screening and routine laboratory tests may be suggested.

General Physical Examinations

Programs that offer a general program of exercise for people who are concerned about maintaining their physical fitness which may include walking, stretching and other similar activities.

Exercise Classes/Groups

Programs that identify individuals who have contracted gonorrhea, syphilis, genital herpes or other infections that are spread by sexual contact and diagnose their conditions. The procedure includes visual examinations, blood tests and analyses of discharge or samples taken from lesions.

Sexually Transmitted Infection Screening

Programs that offer HIV antibody testing or other screening procedures and require specific identifying information from the person wishing to be tested. The information may include but not be limited to name, address and Social Security number. This information along with test results remains with the test center unless otherwise released by the person seeking testing. Should the person test positive, the personal identifying information may be reported to state epidemiology offices where required by law. Confidential HIV testing may be a component of testing for sexually transmitted infections (STI).

Confidential HIV Testing

Health centers, health stations and other outpatient facilities operated by the Indian Health Service that provide ambulatory medical care, preventive and outpatient rehabilitation services for members of federally recognized American Indian and Alaska Native Tribes.

Indian Health Service Clinics

Consumer-based, community-controlled, nonprofit outpatient facilities that provide basic health care including physical examinations, immunizations, family planning, nutrition assistance and diagnosis and treatment of common ailments for low income people, people who are homeless or uninsured/underinsured or other medically underserved populations that are geographically, economically and culturally challenged. Services are generally provided on an ability-to-pay basis. In the U.S., most community clinics are part of the network of Federally Qualified Health Centers, and many are known as "free clinics".

Community Clinics

Programs that inoculate infants and young children to prevent them from contracting diseases to which they are particularly susceptible including diphtheria, tetanus (lockjaw), measles, mumps, chicken pox (varicella), rubella (German measles), whooping cough (pertussis), Hib (haemophilus influenzae type B), hepatitis B, pneumococcal infections and polio. Hepatitis A vaccine is recommended for use in selected locales and for certain high-risk groups. Influenza vaccine is recommended annually for children older than six months with specific risk factors. Rotavirus vaccination (to prevent acute gastroenteritis with vomiting and severe diarrhea) is recommended during the first year of infancy. A baby should receive two or three doses depending on the brand used. Some childhood immunizations involve a series of doses at specific intervals.

Childhood Immunization

Programs that provide access to private instructors who develop and guide participants through an individualized exercise regimen that is tailored to meet their fitness goals. Some personal trainers are certified.

Personal Trainer Services

Programs that inoculate the general population to prevent individuals from contracting diseases to which they are particularly susceptible, or to prevent infecting others at greater risk of severe illness, including newborns and young children, people who could become pregnant, older adults, and/or travelers, rather than specializing in a particular type of immunization.