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Fergus County Nurses Office would like to ask anyone who is ill to stay home. If you are needing health care services please contact your health care provider's office or our office and we will be happy to help direct you to services. This is an effort to limit exposure and keep our community healthy. Please call your providers office first so appropriate precautions can be taken. Fergus County Nurses Office 535-7433.  FCNO is continuing to offer routine immunizations. 

COVID-19 updates:

CDC Coronovirus COVID-19

Central MT Health Distict 


Fergus County Nurse's Office provides our 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 immunizations. 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. FCNO offers traveling and school based immunization clinics for children and adults. Check out our Facebook page as well - Fergus County Nurses Office


Immunization Clinics are available at the Fergus County Nurse's Office 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.

  • 2019-2020 Influenza Vaccinations:

Adult Flu Form

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

Influenza Vaccine Information Sheet



FCNO participates in the Vaccine for Children program offering federally funded vaccines for children age 0 - 18 for routine childhood vaccines.


Travel Vaccines - our office can assist you with determining vaccination needs for out of country travel.

CDC Traveler's Health


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 for DTaP and Polio) and two (2) doses of MMR, two (2) doses of Varicella (one dose must be on or after their 1st birthday for both MMR and Varicella). A Tetanus(TdaP) booster is required for 7th grade entry.

MT Immunization requirements for school

  • 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, Hep B, PCV 13, Hib, MMR & varicella. By 19 months of age, a child must have received a minimum of 4 doses PCV 13, 3 doses of DTaP, 3 doses of Hepatitis B, 3 doses of Polio, 3-4 doses of Hib & 1 dose of MMR and Varicella (chicken pox) vaccine is required. 

MT Immunization requirements for daycare

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.

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 birth - 18

Download the CDC Immunization Schedule for Adults Age 19 and older

Vaccine Information Sheets (VIS)

Common Questions Parents Ask about Infant Immunizations


Information about Vaccines 



Montana Tobacco Use Prevention Program (MTUPP) 

  • Resource for QuitLine information 
  • Provide education, information, signage to schools and businesses
  • Follows up on Clean Indoor Air Act complaints
  • Resource for multi-unit housing smoke free policies and signage
  • Supports tobacco free policies within Fergus County

To file a Clean Indoor Air Complaint please follow the link to submit: Online Clean Indoor Air Act Complaint Form


Quit Line Logo American Indian quit lineMy Life My Quit Youth Quit Line Logo


Services For Children

  • Immunizations
  • School based Immunization Clinics
  • Safe Sleep education and FREE play'n'packs for any infant in need of safe sleep area
  • Infant weight checks
  • Resource for Children’s Special Health Services
  • Child Protective Team Member
  • Ensure compliance with Immunization laws in all schools, check immunization records
  • Health/safety education and is 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.

Services For Adults

  • Immunizations
  • Hep B, MMR, Varicella Titer Blood Draws
  • Adult Protective Team Member

Other Services

  • Rapid Strep tests
  • Blood Pressures on walk-in basis
  • Head Lice checks & education resource
  • Urine alcohol and drug screening for DFS/Individuals/Court Systems
  • Fergus County Loan Closet
  • Coordinates the Fetal Infant Child Mortality Review Team for Fergus Co.
  • Jail Nursing
  • Central MT Coalition for Family Health
  • Central MT Youth Challenge member - on Facebook too Central Montana Youth Challenge
  • Human Services Coalition
  • School Health Resource
  • Local Registrar
  • Communicable Disease Prevention Education & Resource
  • EPI Team Member
  • Assist CMHD as needed with Communicable Disease


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

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

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Heather Thom, RN, BSN

Nursing Director



Amanda Rouse, RN

Public Health Nurse



Marlo Thomas

Medical Support Assistant