For updates on the Governor's Directives, please click the link:



PRESS RELEASE 8/10/2020 (click the link in the title)

Please feel free to use the signage provided here for mandatory mask requirements.   

PRESS RELEASE 7/16/2020: 

Press Release

Central Montana Health District

COVID-19 Update: As of Thursday, July 16, 2020, at 10 a.m. Central Montana Health District is reporting two confirmed cases of COVID-19 in Fergus County. Both cases are in 20-29-year-old males; however, the cases are not believed to be related. Both are believed to be contracted in-state. Contact investigations are being done by public health and anyone identified as a contact will be notified by a public health nurse.

This is a cumulative total of 10 cases with 8 people recovered within the six counties of Central Montana Health District. At this time there are two active cases in Fergus County, which does not meet the criteria of 4 active cases set for mandatory masking as issued by Governor’s Directive on 07/15/2020.

CMHD reminds all residents that, because there is no cure for COVID-19, it is more important than ever to practice social distancing of at least 6 feet and wear a cloth face covering whenever you go out in public. COVID-19 disease is spread through direct contact with someone who has COVID-19, especially when they cough or sneeze.

More data can be found on the Central Montana Health District website:


Coronavirus testing stats for the Health District's six counties will be udated regularly.  Please follow the link for the most current information:


To address the many questions that have been directed to us and the state, the following link will provide answers to the most frequently asked questions.  Please call us if you need further clarification.


Effective Friday, June 5, 2020, the Governor has issued a revision to the opening of bars which includes allowing some sitting at the bar as well as extending the curfew to 12:30 AM from 11:30 PM.  The document can be viewed here.

We will be conducting webinars to address any questions your business may have going into Phase Two.  

Please send all questions before the webinar to  There will also be a chance to ask questions at the end of the webinar.

Personal Services: Salons, tattoo parlors, massages, etc, Monday, June 1st, 2020 at 7:30 PM  Recording

Bars/Casinos/Restaurants, Tuesday, June 2nd, 2020 at 9 AM.  Recording 

Churches, Thursday, June 4th, 2020 at 10 AM. Recording

Guidance to Senior and Assisted Living Facilities, Wednesday, July 1, 2020 at 11 AM.  Recording

To access one of our webinars, please follow this link for information and GoToMeeting procedures:

These webinars will be recorded and available to you for future reference.


CMHD RESOLUTION 2020-05 REGARDING ENFORCEMENT OF COVID-19 RESTRICTIONS approved May 15, 2020. (will be posted when filed in subsequent County Clerk and Recorders offices).


FERGUS COUNTY RESOLUTION 19-2020  approved by Fergus County Commissioners on May 8, 2020.






Graduation Plans for 2020

For guidlines on graduation ceremonies during Phase One of the Re-Opening Big Sky, click here.

Business Signage

We have provided some signage that you are welcome to use in your businesses.  Take a peak and see what best works for you here.

 What does Phase 1 look like to your business? Find out here.

State Mandated Re-Opening Plan Agreements 

Before re-opening your business, the state has mandated that each location review, sign, date and return the Agreements to your County Sanitarian.  These Agreements are required to be posted in your establishment and visable to your customers.  A Re-Opening Plan Agreement has been created specifically for each type of establishment.  You may access the Agreement for your establishment by clicking on the form links below.




Gas Stations

Grocery Stores

Restaurants - Fast Food

Restaurants - Sit Down

Retail Stores

Salons and Massage

Tattoo Parlors

Example of Enhanced Cleaning Plan:


For guidance on cleaning/disinfecting/sanitizing, protecting yourself and your staff and overall general information on COVID-19, the following links from the CDC will help you, your staff and your customers remain safe while conducting business.



UPDATE (4/22/2020):  Governor Bullock has implemented Phase One of the Phased Re-Opening of Montana and has lifted the stay-at-home order effective April 26, 2020. Churches may resume services but six-foot physical distancing must be observed.  Main street businesses and retail stores including personal care services such as salons, massages and body art may re-open with restrictions on April 27, 2020. Bars, restaurants, distilleries, breweries, and casinos can re-open on May 4, 2020 with restrictions such as groups no larger than six may be seated together and groups must be six feet apart.  No one is permitted to sit at the bar top.   Schools may re-open on May 7, 2020 but the decision to open is the discretion of the School Board.  Other social gatherings locations such as gyms, pools/hot tubs, movie theaters, bowling alleys, etc. are to remain closed.  Consumer protection (masks, handwashing, social distancing), health screening, 14-day traveler quarantine, and prohibited nursing home and hospital visitation will remain in place.  Phase One has no expiration date at this time.  This may be extended or reduced based upon direction from the Governor.  To view the new directives, please click the following: Directive 4-22-2020  Phased Approach  Timeline Summary


Directives from the April 7, 2020 Press Conference can be viewed here: Extension of Directives   Local Emergency Levy   First Responders


Governor Bullock has issued a directive for closures of establishments that offer on-premises dining or beverage services to the public as well as other establishments including but not limited to casinos, gyms and movie theaters.  For those establishments that serve food and beverages, there are options to remain open with drive-thru, takeout, curbside and delivery services.  A copy of this directive can be viewed here.  The Department of Revenue has also provided guidance for the service of alcoholic beverages during these closures which can be viewed here.  Please feel free to contact our office with any questions.


CMHD Order of Health Officer Adopting Governor Directives Related to COVID-19 may be viewed here.


CMHD Health Officer Order of Closures can be viewed here.


CMHD Resolution 2020-02: A Resolution Establishing Screening, Testing, Isolation, and Quarantine Measures Related to COVID-19 can be viewed here.



For updates on the Coronavirus in Montana, please click the link below:

For travel bans and advisories, please click the link below: 


NEHA has released an article regarding Coronavirus and Food Safety. It has great information and answer to food establishments questions on safe practices.   You can view the article by following the link: 


Due to the Coronavirus outbreak, immunization clinics that have been scheduled at your local schools in April have been postponed.  We will contact your schools to reschedule.  Thank you for you patience and understanding.


Our Mission

Improving the health of our communities through education, health promotion and disease & injury prevention.



Sanitarian Fee Schedule Change

Please be aware that fees for Environmental Health Services has increased as of January 1, 2020.  New fee schedule is located under the Environmental Health section of the website in the Sanitarian Fee Schedule.


Public Health Complaints

To submit a complaint regarding public health issues, please complete the following form and return to our office.  All complaints must be submitted in writing.



 "HPV vaccination is preventing cancer-causing infections and precancers. Two doses of the HPV vaccine are recommended for all boys and girls at ages 11-12; the vaccine can be given as early as age 9. If you wait until they’re older, they may need three doses instead of two" Source: CDC

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Upcoming Immunization Clinics


Spring 2020 immunization clinics will be scheduled in your area soon. If your area is not listed below, check back later for more information as we are coordinating with the schools and senior centers for dates.

Our public health nurse will be administering vaccinations in your community on the following days. Student consent forms will be sent to your home or will be available at your school. Adults in need of immunizations are also welcome to participate.  To be better prepared to serve you, please contact our office if you have a specific vaccination need.


You may access our immunization consent form by clicking: CMHD Child Consent Form 2018 or CMHD Adult Consent Form


Wednesday April 1, 2020 (look for the BCBS Carevan)

  • Stanford School  9:30 am
  • Geyser School 1:00 pm

Thursday, April 2, 2020 (look for the BCBS Carevan)

  • Hobson School 9:30 am 

Wednesday, April 8, 2020

  • Melstone School 10:00 am 

Tuesday, April 14, 2020  

  • Winnett School 10:00 am

Wednesday, April 15, 2020

  • Hillcrest Elementary 10:00 am
  • Harlowton High School 12:45 pm

Tuesday, April 21, 2020

  • Lavina School 10:30 am
  • Ryegate School 12:30 pm 
  • Golden Valley Colony 1:30 pm

Thursday, April 23, 2020

  • Judith Gap School 9:30 am



Colorado QuitLine ™ Be tobacco free

Do you want to quit using tobacco products but don't know where to start?  Yes! The Montana Quit Line does provide help for Chewers as well as other tobacco users! And it's free for Montana residents!Click the Quit Line link and get the support you need for success. Montana Quit Line  

DipfreeTXT "Dip" (Chew, Smokeless) Cessation for Youth from the site.

MyLastDip Web-based Smokeless Cessation site - A resource to quit dip and chewing tobacco.

Kill the Can Alternative Dip Reviews - Using nicotine free dip/chew can provide an assist with other quitting interventions. This website, run by a support group for smokeless quitters, provides a wide range of information about alternative chew products.


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To view upcoming Central Montana Health District events and important updates, you can now visit our Facebook page.   CMHD Facebook


Clean Indoor Air Act 

 The Montana legislature passed the Clean Indoor Air Act (CIAA), one of the most important public health policies in state history, in 2005.

The law requires all enclosed public places and workplaces, including work vehicles, or vehicles that serve as a place of work, and vehicles accessible to the public, such as taxis and buses to be smokefree; and it requires businesses to prominently place smokefree signs on all public entrances. The Montana Department of Public Health and Human Services has adopted these rules.

To submit a complaint of violation of the Clean Indoor Air Act, please follow the link below and complete the online form.

Montana Clean Indoor Air Act: Online Form: Complaint of Violation