Fergus County Nurse's Office

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. 

**Fergus County Nurses Office will be CLOSED:  December 6th for training, December 24th for Christmas and December 31st for New Years.  We wish you all Happy Holidays!

COVID-19 updates:

Vaccine Updates: 

Fergus County Nurses Office is offering Pfizer, Moderna, and Janssen COVID vaccines.  We are offering booster doses for ages 18 years and older, it must be 6 months since 2nd dose of Pfizer or Moderna, or 2 months after Janssen (Johnson & Johnson).  Call our office for available times 406-535-7433 or check mtreadyclinic.org to register and find available clinics, search by zip code '59457'.


COVID Testing: 

Fergus County Nurses office is offering COVID-19 testing for symptomatic, exposure, travel or procedures. Call to schedule an appointment, testing is done by appointment only.  Please do not come into the courthouse if your are ill, call our office and we will make arrangements to assist you.

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 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.

  • 2021 - 2022 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 school, children must have the required vaccines by age. See below link for a list of required vaccines. 

 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.

  MT Immunization requirements for daycare

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

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 

  •  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

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

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

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

Facebook - Fergus County Nurses Office

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Heather Thom, RN, BSN
Nursing Director
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Amanda Rouse, RN
Public Health Nurse
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Marlo Thomas
Medical Support Assistant
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