Community Health Representative


Delivering high-standard community health by providing quality health prevention, education, and information toraise the level of awareness and promote a healthier lifestyle among the community members of the Osage Nation.

The Community Health Representatives (CHR) program is often the connection to guarantee access to the comprehensive health and social services systems. CHRs are well trained, medically-guided health care paraprofessionals. They act as liaisons and moderators between health, social, and community services to obtain access to care. Being from the communities they serve is one of the defining characteristics of the CHRs and is a critical factor in their efficacy ad ability to establish trust. The trusting relationship permits the CHR to be an advocate and a facilitator to address the healthcare and social support needs to individual Native Americans/Alaskan Natives and families. They work to improve the quality and cultural competency of service delivery. CHRs build individual and community capacity by increasing health knowledge and self-sufficiency through a continuum of services to the people by providing health education, case finding, referral, follow-up and provision of support services.



Service Area: Osage County

  • Transportation provided to enrolled members of the Osage Nation only, residing within the service area with no other means of transportation; priority is given to the Wah-Zha-Zhi Health Center appointments or referrals from the Wah-Zha-Zhi Health Center.
  • Transportation days: Monday, Wednesday, and Thursday
  • All minors must be accompanied by legal guardian.
  • All infants and toddlers must have proper child seat restraints.
  • Allow a 2 to 4 week notice when scheduling appointments.

Transportation Services NOT Provided:

  • CHR does not transport to other IHS facilities unless it is a specialty clinic that the Wah-Zha-Zhi Health Center does not offer.
  • CHR does not transport to “walk-in” clinics, one must have a scheduled appointment.
  • CHR does not transport appointments scheduled after 2:00 pm.
  • All transports will be canceled if bad weather occurs; CHR’s also adheres to the Osage Nation Policy and Procedure for inclement weather.

Transportation Scheduling or rescheduling appointments

  • Contact the CHR office
  • Do not give appointment to CHRs


Child passenger safety is the means and practice of preventing injury and death of children in the event of a motor vehicle crash. Both nationally and in Oklahoma, motor vehicle crashes are the leading cause of death for children. Proper child restraint use decreases the risk of death by 71% for infants younger than 1 years old and 54% for toddlers 1-4 years old.

Since 2005, the Osage Nation CHR office has worked to implement a car/booster seat program. Families may contact the CHR office to schedule an appointment to have any car or booster seat checked to determine if it is properly installed. Eligible families may receive car/booster seats at a reduced price of $15 cash.

What Does Oklahoma’s Child Restraint Law Mean for You?

  • 0-2 years: Must be in a rear-facing seat until at least two (2) years of age, or until the child reaches the weight or height limit of the car seat.
  • 2-4 years: Must be in a car seat with a harness until at least four (4) years of age.
  • 4-8 years: Must be in a car seat or booster seat until at least eight (8) years of age unless the child is taller than 4’9”.
  • 8 years or taller than 4’9”: Must be in a properly secured seat belt.

Scheduling Car Seat Checks or Car Seat Installations:

  • Contact the CHR office

*All CHR employees are nationally certified Child Passenger Safety technicians.


Since 2008, the Osage Nation CHR program has been an American Heart Association Training Site under the Oklahoma State University Fire Service Training Center and provides Instructor Led Training for the following:

Family & Friends CPRCourse teaches the lifesaving skills of adult Hands-Only CPR, adult CPR with breaths, child CPR with breaths, adult and child AED use, infant CPR, and mild and severe airway block for adults, children, and infants. Skills are taught in a dynamic group environment using the AHA’s research-proven practice-while-watching technique, which provides students with the most hands-on CPR practice time possible.

Family & Friends CPR is for people who want to learn CPR but do not need a CPR course completion card to meet a job requirement. This course is ideal for community groups, new parents, grandparents, babysitters, and others interested in learning how to save a life.

Heartsaver Courses are designed for anyone with little or no medical training who needs a course completion card for job, regulatory (for example, OSHA), or other requirements. These courses can also be taken by anyone who wants to be prepared for an emergency in any setting. For many Heartsaver courses, students receive a course completion card that is valid for 2 years.

Heartsaver® CPR AEDis a video-based, instructor-led course that teaches adult and child CPR and AED use, infant CPR, and how to relieve choking in adults, children, and infants. This course teaches skills with the AHA’s research-proven practice-while-watching technique, which allows instructors to observe the students, provide feedback, and guide the students’ learning of skills.

Heartsaver® First Aid CPR AEDis a video-based, instructor-led course that teaches students critical skills needed to respond to and manage an emergency until emergency medical services arrives. Skills covered in this course include first aid; choking relief in adults, children, and infants; and what to do for sudden cardiac arrest in adults, children, and infants.

Basic Life Support (BLS)The BLS Course trains participants to promptly recognize several life-threatening emergencies, give high-quality chest compressions, deliver appropriate ventilations and provide early use of an AED. Students participate in simulated clinical scenarios and learning stations. Students work with an AHA BLS Instructor to complete BLS skills practice and skills testing. Students also complete a written exam.

Scheduling Classes

  • Contact the CHR office

*All CHR Employees are certified American Heart Association (AHA) Instructors.


The Freedom from Smoking program offers individuals in the Ready to Quit stage a step-by-step plan for quitting smoking. It does not focus on scare tactics or offer extensive statistical information on the health effects of smoking. The program assumes that people who come to the classes know that smoking is dangerous to their health and are planning to quit in the immediate future. While the program talks about health as a motivation to quit, it focusses on you to quit smoking and how to maintain abstinence.

Scheduling Classes

  • 8 sessions held over a seven-week period.
  • Contact the CHR office to schedule

*All CHR employees are certified American Lung Association Freedom from Smoking facilitators.


The CHR Program provides in-home assessment for a Home Fall Prevention Checklist for Older Adults or those at risk. Upon completion and findings of the Fall Prevention Checklist, participants can receive:

  • Education and Recommendations to prevent risk of falls
  • Non-skid Bath/Shower Mats
  • Non-skid Socks
  • Bedside flashlight
  • Night light(s)
  • Non-skid tape for rugs

*The checklist used is based on the original version printed by the Centers for Disease Control and Prevention.


A Diabetes Prevention Curriculum

The Eagle Adventure program strives to improve the health and nutrition of youth who are increasingly at risk of developing type 2 diabetes. Using the CDC’s popular Eagle Books as a central theme and embracing traditions of Native American storytelling we aim to provide youth and their families with a vision of hope that diabetes can be prevented through dietary and physical activity changes.

Through this series of four books, wise animal characters are brought to life. Mr. Eagle, Miss Rabbit and a clever trickster, Coyote, engage Rain That Dances and his young friends in the joy of being physically active, eating healthy foods and learning from their elders about traditional ways of being healthy.

The books were developed by theCDC Division of Diabetes Translation’s Native Diabetes Wellness Program, in collaboration with the Tribal Leaders Diabetes Committee and the Indian Health Service, in response to the burden of type 2 diabetes among Native Americans and the need for type 2 diabetes prevention materials for children.

The Eagle Adventure curriculum was developed through a collaboration between the Chickasaw Nation Nutrition Services Get Fresh! Program and the Oklahoma State University Department of Nutritional Sciences, the Eagle Adventure program’s printed material is funded by the USDA’s Supplemental Nutrition Assistance Program for the Osage Nation Eagle Adventure initiative.