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Union County, North Carolina

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Clerk of Courts

Clerk of Superior Court

J.R. Rowell
Phone: 704-698-3100
Fax: 704-698-3101


Phone: 704-292-2746

See full contact directory

What clinical services do we provide?

  • Children’s Health
  • Women’s Health
  • General Health
  • WIC
  • Medical Records

What community services do we provide?

  • ABC (About Breast Cancer)
  • Breast Feeding Peer Counselor
  • Care Coordination for Children
  • Child Care Health Consultant Program
  • Community Health Education
  • Parenting with a Purpose
  • Pregnancy Care Management
  • Public Health Preparedness
  • Vital Records

What are Union County’s privacy practices?

All patient services are confidential as required by North Carolina and federal law.

Communicable Disease Control Program

Communicable disease is defined as "illness due to a specific infectious agent or its toxic products that arises through transmission of that agent or its products from an infected person, animal, or reservoir to a susceptible host, either directly or indirectly through an intermediate plant or animal host, vector, or the inanimate environment." Communicable disease pathogens include bacteria, viruses, fungi, parasites and prions.

Communicable diseases can have a significant impact on the population. The surveillance and control of such diseases is an important part of protecting the public's health. The Communicable Disease program primarily deals with infectious diseases that are reportable by law.

The program also deals with other communicable diseases of public health significance, such as:

  • Influenza
  • Norovirus infection
  • Certain healthcare-associated infections.

For additional information please visit the NC Communicable Disease website.

The program responsibilities include:

  • Monitoring disease outbreaks
  • Monitoring reportable disease rates
  • Providing education to the public and medical community to prevent the spread of disease
  • Implementation of and enforcement of control measures to prevent the spread of infection.
  • Control and prevention of rabies and other diseases of animal origin that can affect humans.

Rabies is a vaccine preventable disease in humans, dogs, cats and ferrets as well as some domestic livestock. All mammals are susceptible to rabies and it is nearly always fatal. Rabies can be prevented in humans with timely and appropriate treatment. In North Carolina the disease most often occurs in wild animals especially skunks, raccoons, bats and foxes. Raccoon rabies is present in the raccoon population in virtually every North Carolina county. For additional information on Rabies please visit:

STD Health Services

STD and HIV prevention and control services includes providing clinical services, education and awareness efforts and monitoring disease trends through surveillance and epidemiology. STD Clinic provides testing, treatment and education at no cost to the client for:

  • Syphilis
  • Gonorrhea
  • Chlamydia
  • HIV / AIDS
  • Other sexually transmitted infections

NC DHHS STD/ HIV Information for Individuals and Families


Our Immunization Clinic provides vaccines to people of all ages, including those traveling internationally. Public Health offers vaccines for preventable diseases to reduce the spread of vaccine-preventable diseases within Union County. The following vaccines are offered through our immunization clinic:

  • Gardasil
  • Hepatitis A (Adult) – 2 shot series
  • Hepatitis A (Pediatric)
  • Hepatitis B – 3 shot series
  • Meningococcal Vaccine
  • MMR
  • Twinrix – 3 shot series
  • Pentacel
  • Typhoid
  • Polio
  • Varicella
  • Tdap
  • Yellow Fever

In addition to vaccines, Blood Titer testing is available for the following:

Spanish Immunization Schedule (adults)

International Travel Immunizations

With the mission of public health to promote health, prevent disease and protect the community, International Travel Immunizations allow us to assist those traveling internationally the opportunity for disease protection. A Registered Nurse will review travel itinerary, provide immunization education and vaccination(s). A Vaccination record will be provided to you for your records.

Union County Lost and Found Pets

Online Search Instructions

Performance Guarantee Review Application

Children's Health

Children's Health

Child Advocacy

Every child should be able to grow up in a safe environment. Community partners come together to support child advocacy in Union County through a thoughtful and thorough evaluation process each time a case referral is received about a child in circumstances that are suspect.

The evaluation process 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.

Child Health Clinic

The Child Health Clinic provides primary care for children. Services offered through the Child Health Clinic are:

Well Child Visits

Preventive health services to children are available. Routine Physical Health Exams include:

  • Height / Weight
  • Developmental Screen
  • Vision Screening
  • Hearing Screening
  • Age appropriate lab test
  • Immunizations
  • Nutrition Counseling

Children are seen for a regular schedule of visits based on the guidelines of the American Academy of Pediatrics.

Schedule of Well-Child Care Visits

Sick Child Visits

Pediatric primary care is provided to Medicaid recipients. Children can get treated for common illnesses and their long-term health needs can be managed. Children are referred to specialists as needed.

NC Medicaid

Care Coordination for Children

For eligible children ages 0-5, this program provides those with chronic medical conditions, that are in stressful situations long-term, and/or who are in foster care, the attention to receive the services they need. Participation in the program requires a doctor referral, so discuss with your primary care physician if this program would be beneficial for your child.

Care managers will:

  • Identify needs / concerns, set goals for the child and family
  • Work with you to be certain you have a medical home (doctor) for your child and or support you in building a strong link with them
  • Work with all health care providers that your child sees to ensure the child receives the best treatment
  • Help you get answers to questions
  • Recognize you as the expert on your child
  • Offer referrals to other community agencies, including transportation and housing

CC4C services are provided and assured by local health departments in partnership with Community Care of North Carolina and the North Carolina Division of Medical Assistance.

Childhood Lead Poisoning Testing

The Center for Disease Control and Prevention recommends and the “Bright Futures” guidelines of the

American Academy of Pediatrics and Medicaid requires that all enrolled infants and young children receive a blood lead screen as follows:

  • Screen infants with a blood lead test by 12 months of age (or earlier, if indicated),
  • Screen children with a blood lead test at 24 months,
  • Screen children ages 36-72 months if not previously tested or if test results aren’t documented.

If your child is age 0-5 has not received a blood lead screen you should speak with your child’s doctor or contact the Health Department.

CDC Lead Information

CDC Prevent Lead Poisoning graphic


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 and 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 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 Immunization Clinic is available Monday afternoons and Tuesday, Wednesday and Friday from 8:00 a.m. – 5:00 p.m. by appointment only: 704-296-4800.

Watch the Immunizations Video to learn more!

Immunization Recommendations

Contact Information

Michelle Lancaster
Interim Public Health Director
1224 W. Roosevelt Blvd.
Monroe, NC 28110

Phone: 704-296-4800
Fax: 704-296-4887

About Children's Health Services

Union County Public Health Children’s Health provides services for children from birth to age 21. Children’s Health Services are provided through well child and pediatric primary care clinics, 48-hour Newborn visits and Newborn Postpartum Home-visits. Routine screenings and health guidance are provided by a team of Family Practice Physicians, Nurse Practitioners, Physician Assistants, Registered Nurses, Bi-lingual Clinical Assistants, Social Workers and Nutritionists.