Community Health Services

Walk-in Hours at each site are 8:30 a.m. to 11:30 a.m. and 1 p.m. to 3:30 p.m. weekdays. Services described below available on a walk-in basis include free blood pressure checks, adult and childhood immunizations, HIV testing, pregnancy tests, and tuberculosis risk assessments. Some STD services are also available on a walk-in basis. All other services require an appointment. Please call for details.

Adult Immunizations

Available adult immunizations include diphtheria, hepatitis B, influenza, meningococcal, pneumococcal, rabies (both for those at-risk for exposure to rabies and for those who have been exposed to a potentially rabid animal), and tetanus. Immunizations recommended for travel to foreign countries are also available. (See Foreign Travel below).

Cardiovascular Risk Reduction

Free blood pressure checks are available during walk-in hours. Cholesterol checks for a small fee are available at each health department. Call for details.

Child Development Clinic

The Child Development Clinic provides assessment, referral and follow up on children from birth through 21 years of age suspected of developmental and behavioral disorders. These include such conditions as developmental delays; developmental disorders associated with sensory or physical disabilities; disorders of attention and hyperactivity; learning problems; emotional and behavioral concerns; mental retardation; or combinations of these problems. The clinic team consists of a pediatrician, nurse, social worker, educational consultant and psychologist.

Child Health Services

This provides for regular check-ups and immunizations for children up to age five. These are routine examinations only for preventive care. (Does not include sick or injury care.)

Childhood Immunizations

Provides all childhood immunizations required for school entry free to anyone. Other optional childhood immunizations are also available. Bring your child’s immunization records with you.

Communicable Diseases

Services include information on communicable diseases, investigations of suspected disease outbreaks, and preventive treatment for certain diseases. Outbreak investigations can be for suspected food or waterborne diseases, bioterrorist events, and contagious diseases spread to humans by either animals or other persons.

Family Planning, Women’s Health

Services include annual examinations, pap smears, birth control, and screenings for sexually transmitted diseases. Older low-income women can receive free breast and cervical cancer screening or referrals to community providers.

Foreign Travel Services

Consultation and medical care for those traveling out of the country. These services are provided at our Clarke and Shenandoah County sites. They include consultation with a physician, healthcare recommendations, preventive medication (including those preventing malaria) and immunizations. Travelers are strongly encouraged to contact the health department several months prior to their trip to assure that they receive all recommended immunizations and care before they leave the country. Travel to any country outside the United States (exception: Canada) should include a foreign travel consultation.

Medicaid Screening (EPSDT)

Medicaid recipients up to age eighteen can receive routine physical examinations and screenings at their local health department.

Nursing Home Screenings

Public health nurses provide in-home nursing home screenings to determine Medicaid eligibility.

Public Health Nursing

Public health nurses who are currently licensed registered nurses in the State of Virginia provide visits in the home, office, schools, or community for teaching, assessing patients, follow up with doctor’s recommendations, and giving presentations in different aspects of health and health department services. They work with and refer patients to other community agencies.

Pregnancy Testing

Pregnancy testing is available to all for a low fee during walk-in hours.

Preschool Clinic

Children entering school for the first time can receive their required physical examinations and screenings at their local health department.

Sexually Transmitted Diseases / H.I.V.

Diagnosis, treatment, counseling, and contact follow up for persons with sexually transmitted diseases. Free to all persons.

Tuberculosis Control

We provide diagnosis, treatment and follow up for tuberculosis patients and people exposed to a case of active tuberculosis. Treatment and follow up of latent tuberculosis infection for persons referred from their I.N.S. physicals.

Tuberculin Risk Assessment

A low cost assessment for tuberculosis infection with arrangements for skin testing and/or chest x-ray if indicated. This provides schools and other employees with documentation concerning tuberculosis status.

Woman Infants and Children’s Program (WIC)

WIC stands for the Special Supplemental Nutrition Federal Program for Women, Infants and Children. The goal of the program is to improve the health of pregnant, postpartum and breastfeeding women, infants and children (under 5 years) through better nutrition and access to health care. The program is funded through the U.S. Department of Agriculture and operated in Virginia through the Virginia Department of Health. The program provides screening and referrals to other health, welfare and social service agencies, nutrition education, breastfeeding promotion and support as well as supplemental nutritious foods. To be eligible for the WIC Program, applicants must meet categorical, residential, income and nutrition risk requirements.

Eligibility For Receiving Community Health Services:

Community Health Services are available to all residents of the Lord Fairfax Health District (the City of Winchester and the Counties of Clarke, Frederick, Page, Shenandoah and Warren). Services are either free, provided for a low fee (called a "flat fee"), or available on a sliding fee scale. Sliding fee scale services are available free or a decreased cost to low income persons who provide proof of their income status. This proof of income can include, for example, pay stubs, letters of support, or a Medicaid card. Call your health department for details. Services available for free to anyone include all immunizations required for school entry, communicable disease investigations, diagnosis and treatment of sexually transmitted diseases, public health education and H.I.V. testing.

Education Services

Public health staff is available to answer your health questions through your local health department. They also are available to speak to community organizations, schools, youth groups, and churches. Reference materials, informative pamphlets, and literature can also be obtained through your public health department. These services are free.

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