Medical Care

Our Medical Care Services

Medical Care
Three medical locations to meet your family’s healthcare needs. As a Patient Centered Medical Home, we care about you! We provide medical care that is relationship-based and oriented toward the whole person. Our goal is to understand your unique needs, culture, values, and preferences. We actively support our patients as you learn to manage and organize your care at the level you choose. Our integrated care model allows our medical team to effortlessly help you with your dental and mental health needs.

Our services include:

• Family Medicine
• Acute & Chronic Illnesses
• Women’s Health
• Family Planning
• Class A and Class D Pharmacy
• Immunizations & Physicals
• In-house Labs & X-ray
• Care Coordination and Specialty Care Referrals
• Preventive care screenings
• Screening for Depression and other behavioral health issues
• Health and Nutrition Education
• Remote Patient Monitoring
• In person and virtual visits available

Laboratory and X-ray Services
CHDI operates in-house Laboratories at each of our medical sites and also partners with LabCorp to provide clinical grade laboratory testing. Laboratory tests are often part of a routine checkup to look for changes in your health. They also help doctors diagnose medical conditions, plan, or evaluate treatments, and monitor diseases. Laboratory tests provide objective and quantitative information regarding the status of body conditions and functions.

Common Lab Tests include:

• Complete Blood Count. This test, also known as a CBC, is the most common blood test performed.
• Prothrombin Time. Also known as PT and Pro Time, this test measures how long it takes blood to clot.
• Basic Metabolic Panel
• Comprehensive Metabolic Panel
• Lipid Panel
• Liver Panel
• Thyroid Stimulating Hormone
• Hemoglobin A1C

CHDI provides on-site X-ray services at its medical site in Uvalde and partners with Uvalde Memorial Hospital for additional diagnostic imaging. X-rays are used to diagnose or treat patients by recording images of the internal structure of the body to assess the presence or absence of disease, foreign objects, and structural damage or anomaly. During a radiographic procedure, an x-ray beam is passed through the body. X-rays available on-site include but are not limited to:

• Upper extremities: Hand, wrist, elbow
• Lower extremities: foot, ankles, knee, leg
• Chest (lungs)
• Spine/lumbar
• Abdominal

Pharmacy
CHDI provides Pharmacy services at its three medical sites. The Uvalde site operates a Class A Pharmacy while the Leakey and Camp Wood sites operate Class D Pharmacies. All of our pharmacies offer highly affordable high-quality medications to our patients. Providing access to affordable medications is one of the ways we help our patients improve their health. CHDI’s Pharmacies support the work of medical, dental, and mental health clinicians as well as our programs, such as the Family Planning Program and Healthy Texas Women.

Our Uvalde Pharmacy has an easy to use refill line (830-900-7900).

Family Planning
CHDI is committed to providing high-quality, personalized care for men and women of reproductive age. We believe that every person should have access to a wide range of family planning options, and deserves an individualized consultation to help him or her make this decision. In addition to family planning, we recognize the importance of reproductive and sexual health. Our providers have expertise in treating such conditions as vaginitis, vulvar pain, and abnormal uterine bleeding. Our patients’ ages range from adolescence to menopause, and we are happy to treat women with other medical conditions that affect their gynecological health.

The CHDI Family Planning program offers a variety of medical, educational and counseling services to men and women in a sensitive, comfortable and confidential setting, including:

• Comprehensive reproductive health assessments for males and females encompassing past medical history and physical examination
• Routine and problem-related medical follow-up visits and contraceptive supply visits
• Pap smears, urine testing for sexually transmitted diseases, HIV testing, plus screenings for anemia and diabetes
• Treatment of STDs and common genital infections

Immunizations

CHDI’s mission is to improve the health and wellbeing of the community we serve. We fulfill our mission by providing high quality medical, dental, and behavioral health care services to all. We provide medical care that is relationship based and oriented toward the whole person. Your child’s health is of upmost importance to us. Maintaining an up-to-date immunization status and staying current on well child exams is a critical way to ensure your children stay healthy and promotes a safe environment for all.

CHDI highly recommends compliance with the immunization schedules and dosages established by the advisory committee on immunization practices (ACIP). Below are links to the schedule of these recommended vaccines.

If you have any questions or concerns regarding vaccination of your child, please contact us at 830-278-7105 and we will be happy to provide further information.

Thank you for allowing CHDI to participate in the care for your child.

Birth-18 Years Immunization Schedule – Healthcare Providers | CDC

Immunization Schedules for 18 & Younger

View and print CDC recommended immunization schedules.

www.cdc.gov

Adult Immunization Schedule – Healthcare Providers | CDC

Adult Immunization Schedule – Healthcare Providers | CDC

View and print CDC immunization schedules for adults 19 years and older.

www.cdc.gov

 

Vaccine Schedule for Children 6 Years or Younger | CDC

Vaccine Schedule for Children 6 Years or Younger | CDC

Keep up-to-date on childhood vaccines by using this easy-to-read immunization schedule for infants and children through 6 years.

www.cdc.gov

 

Vaccine Schedule for Children, 7 to 18 Years Old | CDC

Vaccine Schedule for Children, 7 to 18 Years Old | CDC

Keep your adolescents and teens up-to-date on vaccines by using this easy-to-read immunization schedule for ages 7 through 18.

www.cdc.gov

 

Thinking of Becoming Pregnant?
Are you thinking of becoming pregnant? Please feel free to download our Pregnancy Planner.
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Don’t have insurance?
CHDI has certified application counselors that can help you find out if you qualify for health insurance through the health insurance Market place. Please call 830-278-5604, ext. 3213 to make an appointment with one of our Certified Application Counselors.
Sliding Fee Discount
Our dedicated staff is ready to provide quality health care services, regardless of one’s ability to pay. CHDI accepts most private insurance plans, Medicare, Medicaid and CHIP.

CHDI offers patients whose family income is at or below 200% of the Federal Poverty Guidelines a Sliding Fee Discount based on family income and family size. In accordance with Federal regulations, proof of income must be provided. In order to determine eligibility, patients must provide CHDI the following:

• The last four payroll check stubs or, if self-employed, the most current tax return.
• Proof of residence address such as a utility bill (no P. O. Box).
• Insurance card, if available, for private insurance, Medicare, Medicaid, MQMB or QMB.
• Driver’s license or official ID card.
• Nominal fee of $18 for Medical, $20 for Mental/ Behavioral Health and $30 for Dental.

In addition, other programs are available for prescription drugs, eye exams and glasses. Please contact our health center for more information. Payment is expected at time of service but you will not be denied services due to inability to pay.

Medical Providers

Dr. David A. Valdez, M.D.

Dr. David A. Valdez, M.D.

Chief Medical Officer - Our Health

Dr. Stacey Saunders, M.D.

Dr. Stacey Saunders, M.D.

Family Medicine - Our Health

Marie Cristine Bandala

Marie Cristine Bandala

FNP-BC - Our Health

Ms. Sandra Castanon

Ms. Sandra Castanon

PA-C - Rolling Hills Health

Mariann “Mickey” Craddock

Mariann “Mickey” Craddock

FNP-BC - Our Health

Ms. Sherryl Dunlap

Ms. Sherryl Dunlap

FNP-BC - Canyon Health Center

Mr. John Perez

Mr. John Perez

PA-C - Our Health

Mr. Roland Perez

Mr. Roland Perez

PA-C - Our Health

Ms. Katherine Smith

Ms. Katherine Smith

PA-C - Our Health

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