January 1995
Page 7
Health and Human Services
Thanks from administration
Smoke Signals
The Human Services Division
Administration would like to thank
the staff members of each HSD
component for the contributions they
made this year to improve the health
and well-being of the Grand Ronde
tribal membership. The efforts put
forth have been both from the heart,
and from yourabilities. As members
of the Human Services Division, we
all know there are many challenges
in the future. The components'
annual plans illustrate yourcontinued
dedication and commitment to meet
those challenges in a positive way.
The HSD Administration looks
forward to another year of assisting
and improvingthe lives of the people
we serve.
HSD MISSION STATEMENT
"Through wise stewardship we
have traditional allegiance to
respectfully provide holistic healing
of the mind, body, and spirit and
maintain quality wellness for our
generations."
We would like to wish all tribal
members, staff, and Tribal Council
and happy New Year.
HSD offers application information
A -copy of the tribal health
application has been provided for
your convenience. It is very
importantyou update yourfile(s)
every year, and complete the
following information:
1 . Current address and zip code
2. Social Security number
3. Mother's maiden name
4. Tribe of membership
5. Complete all insurance
information
If you are a member of another
tribe, then we will require a copy
of your tribal identification card
in order to process your
application.
You must fill out a health
application in order to be eligible
for health care. Beingenrolledin
the Tribe does not automatically
make you eligible for health care
services.
If you need to complete the
following, please mail it to:
Contract Health Services, 9615
Grand Ronde Road, Grand
Ronde, Oregon, 97347.
PICTURED REARTO FRONT:
Lydia Mathena, Vernon
Kennedy, Kathy Coley, Rebecca
Crocker, Darrel Kipp, Jerry
Brandon, Bryan Langley, Karen
Williams, Sheila Elliott, Dr. Glen
Gerritz, Peggy Biery, Mary
Bricked, Teri Holsclaw, Denise
Haskins, Darlene Aaron, Randy
Butler, Carmen Mercier, Jill
Jeffers, Theron Ruiz, and Pam
Warren. KNEELING: Barbara
Steere, Vivian DeMary, Bonnie
Malek, and Tomoko Gersch.
NOT PICTURED: Cheryle
Kennedy, Sarah Henny, Jackie
Provost, Yvonne Hoopingarner,
Bonnie Martin-Tom, Duane
Manyhides, Shelly Kent, Elaine
Smith, Sheri Jewell, Crystal
Thomas, Tammy Garrison,
Mychal Childers, Mary Alice
Duran, Doug Colton, Cindy
Canty, Donna Brenneman,
Linda Mann, and Myra Bielby.
INDIVIDUAL
REGISTRATION
FORM
DATE:
(PHASE MINT AU. ENTRIES)
PATIENT LEGAL NAME: .
MAIDEN OR OTHER
NAME USED:
HOME ADDRESS:.
tracer on an mmka
CfTVdTUI
NUMBER OF YEARS AT THIS ADDRESS:
PREY AODRESS:
ARE
BIRTHDATE:
. SOCIAL SECURITY .
FATHER'S NAME:.
. MOTHERS
MEMBER OF AN AMERICAN INDIAN TRIBE? O YES O
ARE YOU EMPLOYE0?O YESO NO
TRIBAL
EMPLOYER:
EMERGENCY CONTACT
PmuNY POURANCE MFORMATION OR MEDCAREtTATf
tfiouranoi Co. noma arc) adovoaa:..
Emptor' or Grow Nama:
BjWr Oo)o:
Doot Mi plan CDvor aa lamr marnDori?
Vpttn raouno pnnrorf corn p
SECONDARY MSUUNCf MFORMATION OR MEDICARESTATE
iGo.ni
DlAyororGR)upnaffla:
Dom rn plan csvtr mtm
Jim
DENTAL IMSURANC1 MFORMATION
oauftncoCo nmoandaoami:.
Emptoyof or Oouc npmo:
Eiguay Oaio:
Doaa ma pun eovat aa lamtr RiomDoriT
s Ajm fM k- i
I I;
si i 1 A
7 :
Have a healthy and happy New Year from the Human
Services Division staffi
romct usi omit oa hquty iwa1
EUOIUUTV I
iTATUl: Bglg HOBBa
oncer O
cotmucr O mmnm
demed O
MALE O
FEMALE O
COUNTY
YOU A FULL-TIME STUDENT? O YES 0 NO
HOME O
.MESSAGE O
.PHONE:
UAIOEN NAME:
NO TRIBE7
.ROLL.
BLOOO QUANTUM:
WORK PHONE:
PHONE:.
MEDICAL POtMANCC
ssj
No. no apocoy mow NOT oovorod.
MEDCAL ASSSTANCC
No. i no apacay rnow NOT covorool
ssa
QAne
No. I no apacay ircao NOT mm.
jit l-
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Let's Talk Teeth...
By Linda Mann, RDH
For a change this month, I would
like to share some light-hearted
dental trivia with you. You can
impress you friends and family with
your dental knowledge. Have fun.
DID YOU KNOW?
1. Special toothpaste was invented
for astronauts to use during space
travel. It is almost impossible to
rinse your mouth out in zero gravity,
so scientists developed a toothpaste
that the astronauts could swallow.
2. George Washington's wooden
teeth were not made of wood at all.
The first president's dentures were
made from hippopotamus, walrus,
and cow's teeth, and also elephant
tusk.
3 . The first toothbrush was invented
in China in the 1 5th century. Before
that, people cleaned their teeth (but
not very well) by chewing on small
twigs.
4. Animals get toothaches, too.
Mike, a polar bear in Chicago, had
a bad toothache from eating too
many marshmallows tossed to him
by visitors to the zoo. He had to
have his tooth pulled.
Wit
5. In 460-377 B.C., ancient Greeks
used pumice, talc, emery, ground
alabaster, coral powder, and iron
rust as toothpaste. Fingers were
used as a toothbrush to cleanse the
teeth. (Aren't you glad we have
Crest and Colgate now?)
6. In 1845, pacifiers or tecthers
were made from coral and used to
help the eruption of teeth in children.
There is evidence they were used
earlier also.
DENTAL CLINIC NEWS
As of press time, we still do not
have a full-time dentist, but
recruiting efforts are underway. If
you are in urgent need of fillings or
cleansings, please feel free to call
and we will update you on the status
of a dentist. There will be a part
time temporary dentist for a few
days in January.