Psychometric testing of Spanish SINCERE (SINCERE–Sp)

internal referrals to Indigenous Services and Cultural Care Coordination.As the implementation continues, scaling up screening efforts has presented the largest challenge due to constraints of current workflow and lack of stakeholder agreement.Conclusion: This case study explores the evolving landscape of SDoH screening at Indian Health Board, highlighting the role of cultural health in healthcare outcomes.By fostering dialogue and collaboration across stakeholders, we aim to advance both clinical practice and community health through culturally informed SDoH interventions.