<Li> Portland Area: Director, Dean Seyler, B.S. (Confederated Tribes of Warm Springs) </Li> <Li> Tucson Area: Director, Dixie Gaikowski (Three Affiliated Sioux Tribes) </Li> <P> The IHS provides a variety of health services in outpatient and inpatient settings, with benefits including pharmacy, dental, behavioral health, immunizations, pediatrics, physical rehabilitation, and optometry . A more extensive list can be found at the official IHS website, and it is recommended for patients to contact their particular IHS facility to confirm services provided since benefits may differ by location . </P> <P> To qualify for health benefits from the IHS, individuals must be of American Indian and / or Alaska Native descent and be a part of an Indian community serviced by IHS . Individuals must be able to provide evidence such as membership in a federally - recognized tribe, residence on tax - exempt land, or active participation in tribal affairs . Federally - recognized tribes are annually defined by the Bureau of Indian Affairs (BIA). Non-Indians can also receive care if they are the child of an eligible Indian, the spouse (including same - sex spouses) of an eligible Indian, or a non-Indian women pregnant with an eligible Indian's child . The exact policy can be found in the IHS Indian Health Manual (IHM). </P>

Who is responsible for providing immunizations and direct care services