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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

Women's Health

Women's Health

Breast and Cervical Cancer Control Program (BCCCP)

The North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) provides free or low-cost breast and cervical cancer screenings and follow-up to eligible women. BCCCP is here to help women ages 40 to 64 who are financially eligible to receive preventive health services which include:

  • Breast exam
  • Mammogram
  • Pap smear
  • Education
  • Referral


The Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Project provides cardiovascular disease screening, intervention, counseling and referral services to BCCCP enrolled women.

WISEWOMAN’s mission is to provide low-income, underinsured, or uninsured 40- to 64-year old women with the knowledge, skills, and opportunities to improve their diet, physical activity, and other life habits to prevent, delay, or control cardiovascular and other chronic diseases. WISEWOMAN provides:

  • Cholesterol Screening
  • Blood Pressure Monitoring
  • Diabetes Screening
  • Education

Family Planning Services

Family Planning services are available to assist individuals in making informed choices regarding their sexual and reproductive health. Patient centered services include providing individuals with tools and resources to manage or prevent pregnancies and reach personal health goals. Services are provided by a team of physicians, nurse practitioners, physician assistants and registered nurses and include:

  • Annual Exams
  • Postpartum Exams
  • Pap smears
  • Referrals for Colposcopy
  • STD testing
  • Birth Control
  • Emergency Contraception
  • Limited state funding for vasectomy

For additional Information on Reproductive health visit:

Maternal Health Services

Maternal Health Clinic serves routine and high risk pregnant women to reduce infant mortality and promote healthy pregnancy outcomes. Services provided include:

  • Routine Prenatal Care
  • High Risk Prenatal Care
  • Education and Administration of 17P, a progesterone medicine that can help prevent preterm birth in some women
  • Health Education
  • Nutrition counseling
  • Postpartum Home Visits
  • Parenting Information and Referral
  • Pregnancy Care Management
  • Breastfeeding Support

CDC’s Maternal and Infant Health

Protect Your Baby From Lead Poisoning brochure

Pregnancy Management Services

The Pregnancy Care Management program is for pregnant Medicaid recipients who are at risk for poor birth outcomes. Referrals to the program 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 women solve personal problems that get in the way of receiving care.
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Contact Information

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

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