HRRMC Saguache Health Center provides family medicine, obstetrics, physical therapy, orthopedic evaluations, laboratory and pharmacy services for San Luis Valley residents.
Family Medicine & Obstetrics
Our primary care providers Dr. James Wigington, Dr. Ashley O'Hara and nurse practitioner Sarah Stoit, FNP-C, offer a full-service health clinic, caring for all members of the community and families, including children, teens and adults.
Physicians James Wigington and Ashley O'Hara also offer obstetrical services, supporting you and your growing family at all points of your pregnancy and post-partum.
Substance Use Services
If you or a family member or friend are experiencing or struggling with substance use issues, our providers are here to help with support and treatment options.
Rehabilitation
Our clinic offers Physical Therapy services for you to return to work, sport or general health after injury or surgery.
Visit our FREE Orthopedic Evaluation Clinic for any acute or chronic orthopedic injuries or issues. Call (719) 655-2531 to schedule your appointment, which is free of charge. See below for more information.

Direct Access Laboratory Testing
DAT allows for patients to choose from a variety of common lab tests without a provider's order needed, and pay cash-based prices. This is a convenient option for patients of Saguache Health Center. Click here to view our brochure that breaks down our menu of tests and their cash prices.
Women's Wellness Clinical Services
HRRMC's Women’s Wellness Connection (WWC) program offers free cervical cancer screenings/Pap smear tests and free breast cancer screenings/mammograms to women who qualify.
Ask about this program in our clinic, or call (719) 530-1065 to learn more.
Need help with a concern? Our Patient Resource Liaison will support and guide patients who are frustrated, stuck, confused or not sure where to turn next in their healthcare journey. Learn more about how the Patient Resource Liaison can help find solutions to your medical care challenges.
Ages and Stages Questionnaires
Click to access
You will first be prompted to visit a webpage and put in a password before accessing the questionnaires, which you should receive from your provider team.
Verbal Consent Forms
Please read the following applicable consent form(s) below prior to your visit, as we are authorizing verbal consents. If you have a telehealth appointment, you must review and provide verbal consent to both forms below.
Consent to Treat & Conditions of Service
Informed Consent for Telemedicine Services
Sliding Fee Scale
The Saguache Health Center participates in Medicare and Health First Colorado (Medicaid). It is also a National Health Service Corps (NHSC) site.
As an NHSC site, the clinic offers a sliding-fee payment scale for self-pay and uninsured patients based on income and family size. It is the policy of the HRRMC Saguache Health Center to provide essential services regardless of a patient's ability to pay. For more information about the sliding-fee payment scale and to download an application, click on the links below.
- Click here to download the Sliding Fee Scale.
- Click here to download our Discounted/Sliding Fee Schedule Application.