Community Health Services

All services are available by appointment

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.

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.

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.

Environmental Health Services

Environmental Health documents and investigates residents’ complaints about environmental health problems, including reports of food and waterborne disease, mosquito problems, improper sewage disposal, and other public health issues.

My Meal Detective

Food Services
Local health department staff inspect and issue required permits to such food service establishments as school cafeterias, restaurants, food stands at community events, camps, day care centers, B&B’s, and migrant camps. They work with those who provide prepared food to the public to help assure that food is wholesome and healthy. The local health department is responsible for working with local dairies to assure a healthy product, free of disease. This is done through regular inspections and ongoing input into dairy operations.

Drinking Water
Environmental health staff provides assistance to property owners who have or desire to have private wells on their property. They assist with required activities and issue, upon proper documentation and payment of fees, permits for private onsite wells. Each county health department maintains records on properties with private onsite wells.

Sewage Disposal
Environmental health staff provides assistance to residents who desire to or already have onsite sewage disposal systems on their own or their rented property. This assistance includes providing the activities, referral and documentation necessary to obtain required permits for onsite sewage disposal. Each county health department maintains records on properties with onsite sewage disposal systems.

Tourism and Recreation
The environmental health staff inspects and permits all public swimming pools, hotels, inns, and B&B’s in the District.

Environmental health staff investigates potential rabies exposures. This includes investigating cases of humans who have suffered an animal bite, domestic pets exposed to potentially rabid animals and quarantining animals involved in biting incidents. Staff facilitates the testing of animals for rabies. The Community Health Division of the local health department also assists in potential rabies exposures by helping to assure that people receive necessary treatment to protect themselves from rabies. Residents who have been bitten by an animal, had direct contact with a bat, whose pets or livestock have had contact with potentially rabid animals (ex. skunks, raccoons, foxes), or who otherwise have a concern about rabies or rabies treatment should contact their local health department.

Vital Statistics
Each site provides acknowledgement of paternity (adding father’s information to birth certificates); applications for Virginia birth, death, and marriage certificates (including those of genealogical interest); and certified copies of death certificates for deaths occurring in the county. Other vital statistics support services are provided – contact your local health department for details.


Health Director: Colin M. Greene, MD, MPH