| 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 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.
| 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 of 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
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.
| Maternity Services: | |
 Low-income women can receive routine prenatal care at some local health departments or receive referrals to community providers.
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
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
Low cost assessment for tuberculosis infection with arrangements for skin testing and/or chest x-ray if indicated. Provides school and other employees with documentation concerning tuberculosis status.
WIC
Free nutrition program for low-income pregnant and breast feeding women, infants, and children to age five. Recipients receive education, breastfeeding support, nutritional screening, and specific foods. Free foods include milk, baby formula, eggs, dried beans, peanut butter, cheese, juice, and cereal.
Education Services
Public health staff are 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.
| Environmental Health Services: | |
 Complaints
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.
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.
Rabies
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 geneological 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.
| 
Budget
