Health & Clinical Services

Most of the district’s services are offered on a sliding fee scale, based on a customer’s income.  Proof of Income may be requested for services.  Please bring any insurance cards and immunization records with you for services.  School-required immunizations are offered free of charge.  Health counseling is also free.pregnant woman exam

Maternity Clinic offers physical exams, labs and prenatal care at each health department.  Our maternity clinic operates on a sliding fee scale.  The number of patient visits per month will vary as a pregnancy progresses.

Our newest nursing program, the Maternal, Infant, and Early Childhood Home Visiting Program, provides for intense home visiting and support services for first-time moms, utilizing a nationally successful, evidence-based model developed by the Nurse-Family Partnership.  Nurse-Family Partnership’s maternal health program introduces vulnerable first-time parents to caring maternal and child health nurses. This program allows nurses to deliver the support first-time moms need to have a healthy pregnancy, become knowledgeable and responsible parents, and provide their babies with the best possible start in life. The relationship between mother and nurse provides the foundation for strong families, and lives are forever changed – for the better.

Family Planning is a clinic, on a sliding scale, that is available for men and women at each health department.  Services include a physical exam, a pap smear, a check for sexually transmitted diseases, a discussion of birth control and treatment of minor related disorders.

writing_rxLife Matters Program is funded by Susan G. Komen for the Cure Tidewater Affiliate, Centers for Disease Control and the Commonwealth of Virginia via Every Woman’s Life (VABCCEDP). This program provides free, comprehensive breast health care to women 18 to 63 years of age and symptomatic men in the same age category. Participants must be uninsured or underinsured. Specific income guidelines and citizenship requirements also apply.  Comprehensive care includes screening and diagnostic mammograms, breast ultrasounds, biopsies and surgical consults. Participants diagnosed with cancer through this program who are American citizens are automatically transitioned into Medicaid for their treatment. Free cervical screening and diagnostic services are offered thru Every Woman’s Life. The same age, insurance and income guidelines apply. In addition, transportation is available to program participants in both counties. For more information please contact Tracey Dedicatoria, Program Coordinator at (757) 302-4257 or

Women, Infants and Children (WIC) supplemental food program is also administered by the health department.  WIC is available for financially and nutritionally eligible pregnant women, breast-feeding women and children up to age five.  For information or to schedule an appointment, call (757) 787-5880 or (757) 442-6228, option 2.

needle readyImmunizations are available for children, birth to 18 years of age.  Those immunizations required for entry into school are free; Hepatitis B vaccines are also free for children born after January 1, 1994.

Communicable Disease investigations, surveillance and control are a district service.  The district offers assistance and refers customers who have been exposed to tuberculosis for chest x-rays, follow-up and medicines as needed.  Sexually transmitted diseases can be treated at the clinic, free of charge.  Free, confidential HIV testing and counseling is also available.

Community Health Education services are also offered by the district.  Talks and/or presentations on topics such as rabies control, HIV/AIDS prevention, nutrition, weight reduction, smoking cessation, stress management and cancer prevention and early detection are provided through the district for various groups and civic organizations.  Education on community safety and community health is also available.

The Ryan White Program provides case management services for individuals with HIV or AIDS whomeet financial eligibility requirements as established by the Department of Health.  Case management includes coordination of services available through the Virginia AIDS Drug Assistance Program (ADAP) and assistance in obtaining primary medical care and medications for the treatment of HIV/AIDS for individuals without insurance coverage or third party benefits.  For information or assistance, contact the Ryan White Program Nurse at (757) 414-6245.

needle with bloodNursing Home Preadmission Screening (NHPAS) is performed by the local departments of social services in cooperation with the local departments of health. The Code of Virginia requires that all individuals who will be eligible for community or institutional long-term care services (as defined in the state plan for medical assistance), shall be evaluated to determine their need for nursing facility services. Nursing home preadmission screenings are used to divert clients from institutional placements, when possible, and to access various Medicaid waiver services, such as personal care services, in order to prevent institutionalization.

The screening team consists of a nurse, social worker, and physician who are employees of the Department of Health or the local department of social services.