Public health department.

--Immunizations are available for persons of all ages. Red Willow County Health Department accepts private insurance and also has programs for free immunizations for individuals without insurance.
--Lab draws are every Thursday morning by appointment. Panel $50.00, PSA $35.00, TSH $30.00, HA1C $25.00, and Vit D $55.00.
--Footcare by appointment only. $30.00 per visit.
--RWCHD also provides Exercise and Blood Pressure Clinics in the community.
--Health promotion and education.
--Newborn baby visits.
--Childcare provider health screening.
--School Health Screenings.
--Paternity Testing (State Ordered Only)

Child Support Enforcement Unit enforces and/or establishes child support orders, medical support for minor children.

Monitors the collection of payments made by the absent parent, if necessary. No custody or visitation issues.

Assistance to establish paternity and child support orders, and to collect child support payments.

Elected public prosecutor for Lancaster County prosecutes those who are accused by the police of violating the state criminal code. In order to file a criminal case the prosecutor must believe there is sufficient evidence of the accused's guilt to convince a jury beyond a reasonable doubt.

Advises county elected officials on legal matters, conducts the county's civil litigation, enforces child support orders, and files petitions relating to mentally ill persons. No legal advice or representation is provided to individual citizens in private legal matters.

Bad check prosecution of individuals for writing or passing insufficient funds, no account, or forged checks. Aids businesses in reducing the number of bad checks received through education. Businesses or individuals can submit checks to Diversion Services, 4435 "O" Street, Suite 96, Lincoln, NE 68510, (402) 483-4444, for criminal prosecution of the offender.

Domestic violence prosecutions of offenders of domestic abuse, and assists victims of such violence in prosecuting their cases in court. Appropriate referrals are made to social service agencies.

Juvenile Division prosecutes law violations committed by juveniles, including truancy cases. Brings abuse and neglect cases against parents before the separate Juvenile Court, and files termination of parental rights cases in appropriate situations.

Mental health commitments are initiated through the County Attorney. Mental health proceedings to involuntary commit persons alleged to be mentally ill and dangerous to themselves or others, and who have refused voluntary treatment for their mental illness.

Collects delinquent child support payments under existing divorce decrees, including contempt proceedings, garnishments, tax intercept, wage assignments, and reciprocal enforcement actions for other jurisdictions.

Establishes paternity, including blood testing, settlements, and trials, if necessary.

Obtains child support orders and modifications in appropriate situations.

Assistance to establish paternity, establish child support orders, and collect child support payments.

Voice Response Unit provides information regarding:
Option 1: Payment Information available Mon-Sun 24 hours - Caller must have a Nebraska Court Order number to use this option (otherwise caller must press option 2); payment information; and current balance.

Option 2: Questions Regarding Child Support Case - Case status; review and modification; intergovernmental cases (out-of-state court orders); enforcement actions (income withholding, credit reporting, etc.); license suspension; payment history requests; address/name/employment changes.

Option 3: Questions Regarding Payments/Employers - Direct deposit or auto withdrawal, electronic payment card (EPC), credit card user ID; website or online payments; requests for user ID's and passwords for website; lost, stolen, or damaged checks; payments received and/or disbursed; and billing statements.

Option 4: General Information - General information regarding child support; enforcement offices, hours of operation and locations.
Offices that are listed include:
Nebraska Child Support Payment Center
Nebraska Customer Service Call Center
Child Support Enforcement Offices; and
Clerk of the District Court Offices.

Option 5: Another IV-D Agency - Information provided to other State Child Support Enforcement agencies.

Child Support Enforcement Unit enforces and/or establishes child support orders, medical support for minor children.

Monitors the collection of payments made by the absent parent, if necessary. No custody or visitation issues.

Reproductive health services for males and females including the following:

--Well health exams
--Blood pressure, weight, and hemoglobin monitoring
--Pap tests
--Breast exams
--Breast, cervical, and testicular cancer screening
--STD screening and treatment
--Birth control including Natural Family Planning method
--Pregnancy testing with options counseling
--HIV testing (free)
--DNA testing
--Education on abstinence, prevention, reproductive health, and life plans

Reproductive health services for males and females including the following:

--Well health exams
--Blood pressure, weight, and hemoglobin monitoring
--Pap tests
--Breast exams
--Breast, cervical, and testicular cancer screening
--STD screening and treatment
--Birth control including Natural Family Planning method
--Pregnancy testing with options counseling
--HIV testing (free)
--DNA testing
--Education on abstinence, prevention, reproductive health, and life plans

Genetic testing and counseling; a genetic counselor will collect personal and family history and additional background information to help patient decide what tests might be best.

Genetic testing, through blood and/or saliva tests, can help people understand their risk for cancer, help them make medical decisions, and take steps to lower their cancer risk or detect cancer early. Genetic testing will then help patient and their physicians make medical decisions to proactively take steps to prevent or lower cancer risk and complete appropriate screening to detect cancer early.

Genetic counseling may be advised if your personal or family history includes any of the following:
-- 2 or more close/primary family members with the same or related forms of cancer
-- Cancer diagnosed younger than age 50
-- Bilateral or multiple primary cancers
-- More than one cancer type in a family member
-- Ovarian cancer
-- Pancreatic cancer
-- Male breast cancer
-- Triple-negative breast cancer
-- Family history of a known gene mutation, including BRCA1 and MLH1
-- Colon or endometrial tumors with abnormal MSI/IHC
-- 10 or more gastrointestinal polyps
-- Metastatic prostate cancer

Patient needs a physician referral to have a genetic counseling consultation so visit with your oncologist, family medicine physician, or OBGYN. Upon this referral, a genetic counseling session at the June E. Nylen Cancer Center will be scheduled.