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Your Fergus County Nurse's Office (FCNO) provides the following services for you.

Immunization Clinics

Immunization Clinics are available at the Fergus County Nurse's Office 712 W. Main Street--Courthouse Ste. 102-- Monday thru Friday 9 am to 4:30 pm.   Appointments are suggested (406- 535-7433) but not required. Please note that the Nurse's schedule is subject to change.


**Shingrix Vaccine Update** as 11/20/18

Shingles : Due to high demand for the new shingles vaccine (Shingrix) has been on backorder from the manufacture due to inadequate supply.  The manufacture is filling orders, though is limiting order amounts.  At this time FCNO is no longer adding clients to the waiting list.  We will notify those on the list as soon as we have vaccine available.  For others interested in the vaccine please check back with us and we will keep the community updated when Shingrix is available.  Thank you for your patience.

2018-2019 Seasonal Flu Clinics:

Flu Clinic Schedule

Adult Flu Form

Child Flu Form (6 mos to 18 years of age)

Influenza Vaccine Information Sheet

Fergus County Nurse's Office (FCNO) provide their communities with protection from diseases through immunization services. Vaccines help prevent diseases that used to be the top killer of children in this country. Maintaining high rates of childhood immunizations protects not only vaccinated children, but also those too young or too ill to have completed their full series of shots. A reduction in immunization rates inevitably results in an increase in disease. Therefore, immunizations are crucial to the health and safety of the community at large.

FCNO conducts school and daycare immunization record reviews to ensure compliance with the State of Montana immunization laws and offers traveling and school based clinics for children and adults.  FCNO participates in the Vaccine for Children program offering federally funded vaccines for children aged 18 and under for routine childhood vaccines.

NO CHILD IS DENIED VACCINES DUE TO INABILITY TO PAY!  Our Public Health office is also available as a resource for suggested/required immunizations for out of country travel.

FCNO offers health/safety education and are a health resource for community members, senior centers, employers, daycare providers and public schools.  Capillary blood lead and hematocrit testing is offered to the HeadStart programs.

Immunization Laws

Montana has enacted laws that require children to have certain immunizations before entering school or day care.

School Requirements

In order to be enrolled in kindergarten, children must have at least four (4) doses of DTaP and three (3) doses of Polio (one dose of each must have been after their 4th birthday) and two (2) doses of MMR (one dose must be on or after their 1st birthday). A Tetanus(TdaP) booster is required for 7th grade entry.

Day Care Requirements

Immunization requirements for day care attendance are based on the child's age and generally follow the recommended childhood schedule for DTaP, Polio, Hib & MMR. By 18 months of age, a child must have received a minimum of 3 doses of DTaP, 2 doses of Polio, 1 dose of Hib & 1 dose of MMR. Also, a Varicella (chicken pox) vaccine is required by age 19 months. In addition, Head Start requires enrolled children to have completed their 3 dose series of Hepatitis B.

Thanks to state laws, the availability of low-cost vaccines and the cooperation of parents, Montana ranks among the best in the nation for childhood immunization rates. In most years, 90% of Montana's three year-olds had completed their primary series of vaccinations (4-DTaP's, 3 Polio, 3 Hib's, 1 MMR & 3 Hep B's!)

Please note, the following files are in PDF format.
Click Here to Download the FREE Adobe PDF Reader

Download the CDC Immunization Schedule for Children Age 0-6

Download the CDC Immunization Schedule for Children Age 7-18

Download the CDC Immunization Schedule for Adults Information Sheet

Vaccine Information Sheets (VIS)

Common Questions Parents Ask about Infant Immunizations


Immunizations for Pre-Teens

Information on pre-teen vaccines
Information for parents about pre-teen vaccines

Information about Vaccines & Autism


Services For Children

*School based Immunization Clinics
*Immunization Record check for all schools
*Resource for Children’s Special Health Services
*Child Protective Team Member
*Ensure compliance with Immunization laws in all schools

Services For Adults

*Hep B Titer Blood Draws
*Premarital Blood Draws
*Adult Protective Team Member

Services For Daycares

*Daycare provider health resource
*Daycare provider health trainer
*Daycare safety & health monitoring
*Daycare safety Education & Resource*Immunization Record check in all daycares
*Ensure compliance with Immunization laws in all daycares


*Assist CMHD if needed with Communicable Disease, Food borne
        & Water borne and Dog Bite Investigations
*Communicable Disease Prevention Education & Resource for staff and 
        County residents
*EPI Team Member

Other Services

*Head Lice education resource
*Coordinates the Fetal Infant Child Mortality Review Team for Fergus Co.
*Jail Nursing
*Healthy Mothers Healthy Babies Local/State Level
*Human Services Coalition
*Board of Health Involvement
*Throat Cultures-Strep
*Urine alcohol and drug screening for DFS/Individuals/Court Systems
*Fergus County Loan Closet
*Blood Pressures on walk-in basis*School Health Education Resource
*School Personnel health information
*Travel: Immunization Resource & Education
*Community Health Fairs
*Local Registrar


712 W. Main Street, Suite #102
Lewistown, MT 59457-2510

Phone: 406-535-7433
Fax: 406-535-7434

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Community Links

Heather Thom, RN, BSN,  Nursing Director


Amanda Rouse, RN, Public Health Nurse

Marlo Thomas, Medical Support Assistant