Nagel Clinic at Lakehills provides free professional healthcare services for low-income, uninsured Bandera County residents, ages 12 and older.

Services Offered:

• Complete Health Assessment
• Treatment of Illness & Injury
• Lab Testing
• Medications
• Health Education
• Referrals

Click here for eligibility requirements.

Click here to download the new patient application.

Community Counselors help people who are uninsured, whose existing coverage does not provide mental health services benefits, are low-income and lack the money to pay for counseling services, or who would not receive treatment any other way.

Counseling services are provided by trained, licensed professional counselors, licensed clinical social workers, and licensed marriage and family counselors. Sessions are private and conducted in a safe and familiar environment such as churches and community centers.

The first meeting with a counselor is free. A modest fee based on a sliding fee scale is collected for each follow-up session; however, no one is denied service because they cannot pay.

Community Health Workers, or Promotores de Salud, increase wellness by reaching out to, connecting with, and engaging underserved families and communities to help improve health outcomes for themselves, their families, and the communities in which they live.

Methodist Healthcare Ministries' Community Health Workers are certified by the Texas Department of State Health (DSHS).

Services include:

• Establishing positive, trusting relationships with community residents in or from underserved communities.
• Helping patients/clients, families, and underserved communities overcome barriers in language and culture to better connect to quality health care services and resources.
• Connecting underserved populations to health care services and resources.
• Providing informal counseling, support, and follow-up home visits for patients/patients.
• Aiding in the creation and maintenance of community partnerships, collaborations, programs, and services.

The Elder Care Program is a specialized segment of the Clinic’s primary care that will focus on medical issues and diseases associated with aging. The program focuses specifically on falls prevention, screening for cognitive impairment, sleep issues, medication management, overall mental health, diet and exercise for patients aged 60+.

Click here for eligibility requirements.

Click here to download the new patient application.

RiskBusters provides patients and the community-at-large with healthy lifestyle classes. These include nutrition-rich cooking demonstrations in the Clinic’s H-E-B Teaching Kitchen, cardio-focused exercise, and nutritional grocery shopping classes. County-wide health and wellness fairs and events are also part of the program.

Patients are typically referred to RiskBusters during their Primary Care visit or based on the results of health questionnaires. Patients may have a variety of risk factors: high blood pressure and/or cholesterol, diabetes, obesity, or smoking. Participants work with counselors to help change unhealthy behaviors and address underlying contributing health risks such as anxiety and depression.

Click here for eligibility requirements.

Click here to download the new patient application.

With the knowledge that mental health is equally as important as physical health, the Clinic’s comprehensive Integrated Behavioral Health services provide counseling for patients using Primary Care Program questionnaires.

The goal of the program is to increase access to depression- and anxiety-related programming, as well as provide increased opportunities for referral to counseling services.

Click here for eligibility requirements.

Click here to download the new patient application.

The Men’s Health Program includes PSA Testing, a blood test that screens for prostate cancer, as well as skin, colon and testicular cancer screening. Other treatments pertain to heart disease and diabetes and mental health wellness. Given that more women than men seek Clinic services, ANCC specifically plans to increase awareness and acceptability of treatment among male residents.

Click here for eligibility requirements.

Click here to download the new patient application.

This program links pharmaceutical product donations with patients for access to no-cost or dramatically discounted medications for the treatment of various conditions such as diabetes, hypertension, blood pressure irregularities, and many more.

The Clinic does not store or supply any narcotics.

Click here for eligibility requirements.

Click here to download the new patient application.

This is the Clinic’s cornerstone program for the treatment of illness or injury, provided by our staff of professional doctors, nurse practitioners, and physician assistants.

Should other issues arise during treatment, such as chronic disease, diabetes, hypertension, or other such issues, a referral may be made to one of the Clinic’s other programs for further evaluation and care.

Click here for eligibility requirements.

Click here to download the new patient application.

T.E.E.N is an interactive summer program for youth facilitated by a Clinic IBH counselor, which explores adolescent development in the areas of thought, emotion, exercise, and nutrition. Relevant topics have included bullying, screen time, family dynamics, etc.

Click here for eligibility requirements.

Click here to download the new patient application.

The Clinic’s Well-Woman Program provides a combination of primary and preventive care that focuses on gender-specific issues, such as:

• Reproductive health
• Birth control advice
• Pregnancy tests
• Screening for skin, colon, breast, and cervical cancer
• Screening and treatment of STDs
• Prevention and treatment of heart disease and diabetes

What Should I Expect During My Exam?

You’ll be asked to fill out paperwork during your appointment. You’ll get asked questions about:

• Your family medical history
• Any medications you’re on
• Your sexual activity/history
• Your menstrual cycle
• If you’ve been pregnant before