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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

Community Service Programs

Community Service Programs

Public Health Emergency Preparedness

Public Health Preparedness plans and strengthens the public health response to natural and weather related disasters, outbreaks and bio-terrorism events. Public Health Preparedness works closely with local first responders and Emergency Management to ensure a quick response to local, regional and state events. Our program offers preparedness education and training opportunities and provides support to local partners as needed.

Several key areas within Public Health Preparedness are:

If you have any questions or would like additional information, please contact:

Emily Walmsley

Preparedness Coordinator


ABC Project (About Breast Cancer - Susan G. Komen-funded grant program)

Program offers breast health services and education to women in Union County. Breast Health educational material and presentations are available through the ABC Project. Mammogram services, screening and diagnostic, are scheduled on a first come first serve basis to those women who meet the following qualifications:

  • Must be a Union County or Anson County resident
  • Must be uninsured, underinsured and not enrolled in Medicare or Medicaid
  • Must not have had a mammogram screening within the last 12 months
  • Must meet specific financial qualifications (at or below 250% above poverty)

If you have any questions or would like additional information, please contact Maria Laury, ABC Project Coordinator at 704-296-4821.

Child Care Health Consultant Program (CCHC)

Child Care Health Consultants offer expert information, resources and referrals to local child care providers. Through onsite and telephone consultation, health education and technical assistance, CCHCs work with individual child care facilities to help create environments that best support the healthy growth and development of young children. CCHC’s partner with child care providers to:

  • Assess health and safety needs and practices in the child care facility. Work with the Center to help achieve their goals.
  • Develop strategies for inclusion of children with special health care needs.
  • Establish and review health policies and procedures.
  • Manage and prevent injuries and infectious diseases.
  • Review immunization records.
  • Connect families with community health resources and medical homes.
  • Provide health education and training for staff members, families and children.
  • Interpret NC Child Care Rules and National Health and Safety Performance Standards to provide guidance to child care programs.
  • CCHC’s are not responsible for regulating child care facilities.

(Information adapted from NC Child Care Health and Safety Resource Center website)

For questions, or to request technical assistance, or guidance, contact:

Child Care Health Consultant (CCHC)
Fran Hoover, RN, BSN at 704-282-5058.

Parenting Classes

Come join others and learn how to better use your parenting skills to create happy healthy homes. Sessions are taught in Spanish on Thursday evenings at 6:00 PM at scheduled locations within the community. A registration fee of $5.00 is charged. Upon completion a certificate of attendance is provided. Please call for locations and to register. All who love and care for children are welcome.

Maria Laury 704-296-4821

Gustavo Arevalo 704-226-5124

Session Topics:

  • Alcohol, Tobacco, Drug, and Poison Prevention
  • Dental Health
  • Effective Discipline
  • Family Literacy
  • Fire Safety in the Home
  • Firearm Safety in the Home
  • What to do When Your Child Gets Sick
  • Nutrition and Fitness

Breast Feeding Peer Counselor

The Breastfeeding Peer Counselor Program is designed to provide mother to mother breastfeeding support and basic breastfeeding education during normal business hours and beyond to WIC Program mothers who are pregnant or breastfeeding. Union County’s breastfeeding peer counselors are bilingual and have completed the North Carolina Breastfeeding Peer Counselor Core Training.

  • WIC mothers choosing to breastfeed are provided information through one on one counseling, group discussions and breastfeeding educational materials.
  • Breastfeeding mothers receive follow-up support through peer counselors.
  • Breastfeeding mothers are eligible to participate in WIC longer than non-breastfeeding mothers.
  • Mothers who exclusively breastfeed their infants receive an enhanced food package.
  • Breastfeeding mothers may be eligible to receive breast pumps or other nursing supplies to help support the initiation and continuation of breastfeeding.

To apply for WIC, call 704-296-4890

If you are enrolled in WIC and seeking breastfeeding support, call 704-296-4899

Where can I find more information about emergency preparedness?

Contact Information

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

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