Public Health

Health Department EmployeeUnion County Public Health has been serving residents since 1937 with primarily prevention services. The remarkable reduction in infectious and communicable disease has resulted largely from immunizations, sanitation, enforcement of state and local laws, and other intervention activities. Education, nutrition intervention, consultation, and other health services designed to improve health outcomes have resulted in improved health status and general quality of life. Public Health provides continual surveillance of health conditions in the county, sends statistical information to the state, and networks with the state for information vital for health program planning.Accreditation Seal

Public Health is here to serve you in the prevention of disease, promotion of health, and the protection of our community’s health. Across North Carolina public health reaches everybody, everywhere, everyday.

Welcome to the Union County Division of Public Health Video

Welcome to the Union County Division of Public Health Video (Spanish)


Welcome to the Division of Public Health Dental Clinic. All new patients must complete the New Patient Registration packet. Please print and complete all registration packet pages. Upon completion of the packet, call 704-296-4829, or stop in the dental clinic located inside the Division of Public Health to schedule your first appointment.

Dental Clinic New Patient Registration

A Dental Hygienist from the NC Oral Health Section provides:

  • Classroom and community education
  • Dental screening and referral for school children
  • School based sealant project

Dental Clinic Video

Educational services are designed to encourage and enable people to make wise decisions regarding health and include:

  • Smiles Project Video
  • Health Education/Health Data (Video)
  • ABC (About Breast Cancer) Project funded by a Susan G. Komen grant (Video)
  • Parenting Education Classes
  • Coordination with Teen Tobacco Prevention/Cessation initiative funded by the NC Health and Wellness Trust Fund
  • Providing programs in health lifestyles

WIC (video) is a supplemental nutrition program that serves pregnant breastfeeding and postpartum women, and infants and children up to age 5.  Nutritionists provide:

  • Nutrition education
  • Nutritious supplemental foods
  • Breastfeeding information and education (video)
  • Referrals for other health care services

For more information on WIC call 704-296-4890.


USDA Nondiscrimination Statement

The U.S. Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to allprograms and/or employment activities.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at, or any USDA office, or call (866) 632‐9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250‐9410, by fax (202) 690‐7442 or email at Individuals who are deaf, hard of hearing or have speech disabilities my contact USDA through the Federal Relay Service at (800) 877‐8339; or (800) 845‐6136 (Spanish).

USDA is an equal opportunity provider and employer.

Spanish: El Departamento de Agricultura de los Estados Unidos (por sus siglas en inglés “USDA”) prohíbe la discriminación contra sus clientes, empleados y solicitantes de empleo por raza, color, origen nacional, edad, discapacidad, sexo, identidad de género, religión, represalias y, según corresponda, convicciones políticas, estado civil, estado familiar o paternal, orientación sexual, o si los ingresos de una persona provienen en su totalidad o en parte de un programa de asistencia pública, o información genética protegida de empleo o de cualquier programa o actividad realizada o financiada por el Departamento. (No todos los criterios prohibidos se aplicarán a todos los programas y/o actividades laborales).

Si desea presentar una queja por discriminación del programa de Derechos Civiles, complete el USDA Program Discrimination Complaint Form (formulario de quejas por discriminación del programa del USDA), que puede encontrar en internet en, o en cualquier oficina del USDA, o llame al (866) 632‐9992 para solicitar el formulario. También puede escribir una carta con toda la información solicitada en el formulario. Envíenos su formulario de queja completo o carta por correo postal a U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250‐9410, por fax al (202) 690‐7442 o por correo electrónico a

Las personas sordas, con dificultades auditivas, o con discapacidad del habla pueden contactar al USDA por medio del Federal Relay Service (Servicio federal de transmisión) al (800) 877-8339 o (800) 845-6136 (en español).

El USDA es un proveedor y empleador que ofrece igualdad de oportunidades.

Child Advocacy -The Tree House, Where Healing Takes Root (Video)

Collaborative effort of community partners involved in abuse cases.
Referrals received by law enforcement or child protective services.

Evaluation includes:
Interview with parent or guardian
Individual interview with child
A complete head to toe medical exam

Following the evaluation medical and counseling options are discussed with parent or guardian. Follow-up is provided to referring agency.

Children's Dental Clinic

The clinic accepts only Medicaid and Health Choice for Ages 3 to 18 years. Services provided include:

  • Cleaning
  • X-rays
  • Fluoride treatments
  • Fillings
  • Root Canals
  • Extractions
  • Sealants
  • Pulpotomies
  • Stainless steel crowns

Care Coordination for Children

Program for eligible children, birth to 5 years of age, who have chronic medical conditions, are in stressful situations long term, in foster care or are referred by their doctor.

              Care managers will:

  • Identify needs and concerns and set goals
  • Offer referrals to community agencies
  • Work with Child's health care providers to ensure he/she receives the best treatment
  • Help families get answers to questions
  • Provide information on health and family topics
  • Talk about issues related to child's health and development.

Immunization Program

Immunizations Video

Union County Health Department offers immunizations for all ages. We offer certain federally funded vaccines for individuals 18 years and under at no cost through the Vaccines for Children Program (VFC). The vaccines available through this program may vary based on state guidelines therefore you should call the Health Department for specific questions.

We also offer several private vaccines that are available at a fee. The Health Department will bill the following private insurances for vaccines. We currently have contracts with Aetna, Blue Cross and Blue Shield, Cigna, and United. If your insurance does not cover the vaccine cost, you will receive a bill for this service. The following are the private vaccines currently available at the Health Department.


$174.00 per shot

3 shot series

Hepatitis A

$89.00 per Adult shot

2 shot series

Hepatitis A

$47.00 per Ped. Shot

2 shot series

Hepatitis B

$84.00 per Adult Shot

3 shot series

Hepatitis B

$40.00 per Ped. Shot

3 shot series


$129.00 per shot

may need booster in 5 years


$64.00 per shot

may need 2 shots


$106.00 per shot

4 shots series


$59.00 per shot

may need booster as adult


$64.00 per shot

Only offer once through Health Department


$54.00 per shot

Needed every 10 years,

(HepA/ HepB)

$119.00 per shot

3 shot series





$89.00 per shot

Booster needed after 2 years





$111.00 per shot

2 shot series




Yellow Fever

$134.00 per shot

Booster needed after 10 years

Immunization Clinic is available Monday afternoons, Tuesday, Wednesday, and Friday 8-5 by appointment only
International Travel Vaccine Clinic is available by appointment only.
Both clinics are by appointment only, please call 704-296-4800 to schedule an appointment.

Health Services to reduce the incidence and spread of Communicable disease include:

    • Childhood immunizations required by NC law, adult immunizations (including influenza, pneumonia, hepatitis B and tetanus), consultation and some immunizations for international travel
    • Tuberculosis (TB) shin testing and surveillance, examination , and treatment of TB patients
    • HIV (AIDS) testing and counseling
    • Sexually transmitted disease (STD) control services (including diagnosis, treatment, and contact follow-up)
    • Investigation, surveillance, and control measures for reportable communicable diseases as mandated by the State
Breast and Cervical Cancer Control

Women age 40 to 64 who are financially eligible receive preventive health services which include:

    • ABC Project 
    • Breast Exam
    • Mammogram
    • Cholesterol Screening
    • Pap Smear (available for age 18 to 64 who meet guidelines)
    • Blood Pressure Monitoring
    • Education
    • Referral


Family Planning
Family Planning related services include:

    • Pregnancy testing
    • Education
    • Physical Exam
    • Abnormal Pap Smear follow-up
    • Birth Control methods and counseling


Maternal Health
Health services to reduce infant mortality and promote health pregnancy outcomes include:

    • Prenatal Care
    • High Risk Clinic
    • Pregnancy Testing
    • Health Education
    • Nutrition Counseling
    • Postpartum Home Visits
    • Parenting Information and Referral
    • Social work including maternity care coordination and intensive psychosocial counseling


Pregnancy Care Management

Program is for pregnant Medicaid recipients who are determined to be at risk for poor birth outcomes.  Referrals can come from the Pregnancy Medical Home, Primary Care Providers or other groups that provide services to pregnant Medicaid recipients.              

    Care managers will:

    •  Identify needs and concerns and set goals
    •  Offer referrals to community agencies as needed
    •  Work with woman’s Pregnancy Medical Home to ensure quality care
    •  Help women get answers to questions
    •  Provide information on a healthy pregnancy, post-partum care and birth control methods
    • Help pregnant woman solve personal problems that get in the way of receiving care

The mission of the Union County Division of Public Health is to promote health, prevent disease and protect the health of the community.  We can offer numerous immunizations, titers, tests, screenings, and educational presentations on health, wellness and hygiene.

If you have employees, students, staff or congregation members that travel internationally we can provide the necessary immunizations to accommodate the travel.

    International Travel Brochure (English and Spanish)

    Public Health Immunizations (English)

    Public Health Immunizations (Spanish)

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Non-Discrimination for Services
Non-Discrimination for Services
All public health services are provided without regard to race, color, national origin, disability or handicap.  All patient services are confidential as required by North Carolina law. 

Phillip Tarte, Public Health Director
1224 W. Roosevelt Blvd.
Monroe, NC 28110
Phone: 704-296-4800
Fax: 704-296-4887

For appointments, call 704-296-4800.

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