Community Health Services

All services are available by appointment – due to COVID-19, appointments are limited.
Please call your local health department for more information!

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.

Clinical Services
Clinical Services such as Childhood, Adolescent, and Adult Immunizations, Tuberculosis Screening, Pregnancy Testing, HIV Testing, Blood Pressure Evaluation, and Sexually Transmitted Infection testing are offered Monday through Friday from 8:00 a.m. to 11:30 a.m. and 1:00 p.m. to 3:30 p.m. by appointment. Please call for further information or to make an appointment.

Child Health Services
Well Child physicals, School Physicals including Pre-school physicals and Sports Physicals are available by appointment.

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, bioterrorism events, and contagious diseases spread to humans by either animals or other persons.

Family Planning, Women’s Health
Services include annual adolescent and women’s health examinations, pap smears as indicated, birth control methods, and screenings for sexually transmitted infections.

Foreign Travel Services
Consultation and medical care for those traveling out of the country. These services are provided at our Clarke and Shenandoah County office locations. Services include consultation with a clinician, 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.

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.

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

Sexually Transmitted Infection Screening
Diagnosis, treatment, counseling, and partner follow up for persons with sexually transmitted infections.

Tuberculosis Control
We provide diagnosis, treatment and follow up of patients that are suspected of having active tuberculosis and any person that has been in direct contact with an active case of tuberculosis. The health department serves as a medical consultant to private providers seeking guidance on diagnosis and treatment of patients with latent tuberculosis.

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 employers with documentation concerning tuberculosis status.

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.

Woman Infants and Children’s Program (WIC)

The Women, Infants and Children Program (WIC) is offered through your local health department and is funded by the United States Department of Agriculture (U.S.D.A.).   WIC provides Federal grants to States for supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk. WIC focuses on the overall good health of women, infants, and children, encourages healthy pregnancy outcomes, and promotes healthy eating habits that follow current U.S.D.A. recommendations. To be eligible for the WIC Program, applicants must meet categorical, residential, income and nutrition risk requirements.

Vital Statistics

Each site provides acknowledgement of paternity (adding father’s information to birth certificates); applications and certified copies for Virginia birth, death, and marriage certificates.


Health Director: Colin M. Greene, MD, MPH