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Toole County Health Department

402 1st Street South • Shelby, MT 59474 • 406-424-5169 • Email:

Our Vision: "Healthy People Living in a Healthy Community"

Toole County Health Department Director: Kristi Aklestad, RN, MSN, CLC
Hours: 8:30 am - 5:00 pm Monday-Friday


The Toole County Community Health Improvement Plan: 2017-19

In 2016, organizations and volunteers collaborated to identify how to strategically address community health priorities to improve the health and well-being of Toole County.  Community members, stakeholders, and partners used an assessment process to determine health priorities and to develop the plan, which aligns healthcare organizations and other partners in our community to improve the health of the residents. We all influence the community we live in. The residents of Toole County are invited not only to embrace their individual health and the health of their families, but also to work with us to make Toole County a healthier place to live, work, and play.

View the Toole County Health Improvement Plan 2017-2019 [PDF]


Toole County Health Dept - Notice of Privacy Practices [PDF]


Toole County Health Department Annual Report

Dear Citizens of Toole County,
I am pleased to present the Toole County Health Department's Annual Report for fiscal year 2017. This report is a culmination of the work that the health department's dedicated staff performs to reach our vision of “healthy people living in a healthy community”.

Read More: 2017 Annual Report


Do not let cost be a barrier to protecting your children or yourself against vaccine preventable diseases. We will bill insurance and Medicaid; if you are uninsured or underinsured, we may have a program to help. Children who do not have insurance qualify for free vaccine. Call 424-5169 for an appointment.

If you are pregnant, or have an infant or child under the age of 5, you may qualify for WIC services. Call to see if you qualify.

Cancer Screening
Call to see if you qualify for free pap tests for women over 30, free mammograms for women over 50 and free colorectal cancer screening for men and women over 50.

Tobacco Cessation
Come to the health department for Tobacco Quit Kits or call 1-800-QUITNOW.

Montana Tobacco Quit Line Website

Resources & Links

Montana WIC

Programs for Families with Children with Special Health Care Needs

Information on Current Health Issues (Center for Disease Control & Prevention)

Montana Cancer Control Programs

Montana Tobacco Use Prevention Program (MTUPP)

Emergency Planning

American Red Cross

Prescription Assistance Program

Healthcare/Insurance Assistance


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