Our Community & Clinical Services unit provides a wide range of services, prenatal care management, maternal health, family planning, newborn and post-partum assessments, including child health, immunizations, school and dental health and disease surveillance. Services are provided by our dedicated team of nurse practitioners, nurses, social workers, dental and clerical staff.



Adult Health

Our Adult Health program provides screening and preventive services which includes physicals, immunizations and limited laboratory testing.  We believe education is key in minimizing health risks and is a critical part of the Adult Health program.


Baby LINKS

Our Baby LINKS program provides skilled nursing assessments for postpartum mothers and newborns and ‘Links’ new mothers in Dare County to available support services while providing all new parents with parenting education and information.


Breast & Cervical Cancer Control

Through the North Carolina Breast and Cervical Cancer Control Program (BCCCP) we are able to provide free or low cost breast and cervical cancer screening and follow-up services to qualified women between the ages of 21-64, with an emphasis on women over 50.  As funding is available from other resources, screening services may be provided for women not eligible for BCCCP or when BCCCP funds are exhausted.

What is cancer?

Cancer is a term used for diseases in which abnormal cells divide without control and can invade other tissues. Cancer cells can spread to other parts of the body through the blood and lymph systems.

Did you know?

  • Any woman can get breast cancer, but more older women get breast cancer than younger women.

  • Breast cancer is easier to cure if found early and treated right away.

  • A mammogram can find breast cancer when it is very small. It can be found up to two years before it is felt.

  • You can have cervical cancer and not know it because there is often no pain.

  • All women need to get regular PAP tests, even those who are older, past child-bearing age or who are not sexually active.

  • Cervical cancer is cancer of the cervix, which is the opening of the womb.

How can cancer be prevented?

The number of new cancer cases can be reduced and many cancer deaths can be prevented.

Research shows that screening for cancers as recommended helps prevent these diseases by finding precancerous lesions so they can be treated before they become cancerous or by  finding these diseases at an early stage, when treatment works best.  

You can also lower your risk of getting cancer by practicing general wellness and making healthy choices, such as:

  • Exercise

  • Weight Control

  • Knowing your family history of breast cancer.

  • Finding out the risks and benefits of hormone replacement therapy.

  • Limiting the amount of alcohol you drink.

  • Getting screened for breast cancer regularly.

Breast cancer screening test

Mammogram: Mammograms are x-rays of the breast and the best way to find breast cancer early, when it is easier to treat and before it is big enough to feel or cause symptoms.

Breast Magnetic Resonance Imaging (MRI): A breast MRI is used with a mammogram for women who are at high risk for getting breast cancer.

Breast cancer screening recommendations

It is recommended that women who are 50 to 74 years old and are at average risk for breast cancer get a mammogram every one to two years.

Women who are 40 to 49 years old should talk to their doctor or other health care professional about when to start and how often to get a mammogram.

Cervical cancer screening test

Pap test: Pap tests are screenings that look for precancerous cell changes on the cervix that might become cervical cancer if they are not treated appropriately.

HPV test: HPV test looks for the human papillomavirus that can cause these cell changes.

Cervical cancer recommendations

The Pap test is recommended for all women between the ages of 21 and 65 years old, and can be done in a doctor’s office or clinic.

There are times when your doctor may perform a pelvic exam without giving you a Pap test. Ask your doctor which tests you are having, if you are unsure.

Vaccines are available that can protect against certain HPV infections. These vaccines only work to prevent HPV- they will not treat an infection that is already there. The CDC recommends to start vaccinating girls and boys at age 11 - 12 years, but may be given starting at 9 years of age through the age of 26 years old.

How can we help?

We can provide or help to connect you with:

  • Screenings

  • Follow-ups

  • Professional education

  • Public education/communications

  • Quality assurance

  • Surveillance and evaluation

  • Mammogram referral


Child Health

Our Child Health program provides preventative health services, physical and developmental assessments to identify and minimize potential health risks for infants and children.  We are able to offer well child health screenings and childhood immunizations, including flu vaccines, through this program.


Communicable Disease Control

The Communicable Disease Program provides surveillance and tracking of all reportable diseases and emerging health threats. Disease outbreak investigations are conducted and appropriate control measures are implemented. Our staff work together to assess data and information, address what actions need to be taken and to assure the community is receiving information to meet its needs.

Our department has a well established Epidemiology (EPI) Team made up of diverse multidisciplinary staff. Our EPI Team works to:

  • Coordinate routine and non-routine disease surveillance activities;

  • Conduct epidemiologic investigations;

  • Gather and analyze information from investigations;

  • Recommend appropriate public health interventions for disease control; and

  • Educate the public about disease prevention and control measures.  

Our EPI Team meets regularly to review current epidemiology surveillance, topics, issues, and alerts. They also identify public health threats from surveillance data, determine priorities for action, and develop plans and implement actions. Our EPI Team plans prevention strategies and training based upon lessons learned from previous events; and conducts training for team members as needed. One of the most essential reasons the team meets regularly is to strengthen relationships with key agencies/community partners to enhance community response to communicable diseases and/or public health threats.  During an incident or event, the EPI Team aids in fulfilling the statutory responsibility for investigating and responding to outbreaks and other public health threats to Dare County.



Family Planning Medicaid

The Medicaid Be Smart Family Planning program provides family planning services to medicaid-eligible women throughout their child bearing years. 



Immunizations

Our Immunization Program promotes public health through the elimination of vaccine-preventable diseases such as polio, hepatitis B, measles, chickenpox, whooping cough, tetanus, rubella (German measles), and mumps.  We also work to raise awareness of the importance of immunizations through education to various age groups.



Laboratory Services

We are able to provide tests and lab services for individuals who have a written order from their primary care provider.  



Maternal Health Services

Our Maternal Health program targets uninsured and underinsured pregnant women to prevent maternal and infant morbidity and mortality through early and consistent access to prenatal and postpartum care. Early prenatal care helps to ensure healthy outcomes for women and babies.



Miles of Smiles

We established the Miles of Smiles dental van service in 2002 to offer easier access to dental care for children of Dare County. The mobile van meets patients where they are—at school. The Miles of Smiles van works with your child to create a stress free environment while promoting good oral health.

Our dental services are provided to children 3-19 years of age. Total and comprehensive care is offered, including services such as:

  • cleanings

  • sealants

  • exams

  • x-rays

  • fillings

  • crowns

  • limited orthodontic work

  • athletic mouth guards

  • limited root canals

  • extractions

The van is staffed by a full-time board certified dentist and trained dental assistant.  Our team has years of experience in the dental health field and works with each child individually to ensure a positive experience.

The Miles of Smiles dental van travels to all Dare County elementary schools, as well as Manteo Middle School and Mattamuskeet (Hyde County) campuses.  Visits to the schools occur on a 6-month scheduled rotation throughout the school year.

Appointments can be made for any child, even if the child does not attend the school the van is currently visiting. Most private insurance plans are accepted in addition to Medicaid, Health Choice, and private payments on a sliding fee scale.

During summer months, the van can be found at the Northern Beach Division Parks & Recreation offices in Kill Devil Hills or the Fessenden Center in Buxton.  

 



Physicals & Health Assessments

Health Assessments are required for all  students entering NC public school and sports participation evaluations are required for all student athletes in grades 7-12. Most universities/colleges require current physicals for college entrance as well as vaccinations.

Health assessments are conducted to make sure that your child is healthy, ready to learn, and is up-to-date on his/her vaccinations. Sports physical are conducted to identify medical or musculoskeletal conditions that might make participation in a particular sport unsafe, to screen for any previously undetected health problem, and to assure that any previous injuries have been adequately rehabilitated so that the athlete is not at risk for further injury

We offer all required immunizations during the visit. Older students, who have not received a tetanus booster containing the pertussis component or do not have proof of their immunizations, will need a booster.



Pregnancy Care Management (PCM)

Our PCM program is a support program that focuses on helping pregnant women access health care services and resources. The program is available to Medicaid eligible women who are pregnant or have delivered in the last 60 days with identified risks to the health of mother or baby, and is provided at no cost. Our specially trained registered nurse provides education, referrals, and support for women who need information, help with pregnancy care and resources to support their health.



Pregnancy Medicaid

Medicaid for Pregnant Women covers Maternal Support Services to Medicaid-eligible pregnant women during and after pregnancy (60-day postpartum period).

The Medicaid Be Smart Family Planning program provides family planning services to medicaid-eligible women throughout their child bearing years. 



Presumptive Medicaid

Presumptive Medicaid is an initial Medicaid available to prenatal patients while they are waiting for approval for Medicaid for Pregnant Women.  



School Health Nursing

Our department provides health services to Dare County Public School students by stationing public health nurses in each school. We are proud to provide services that includes screening, evaluation, treatment, health education and case management for students with chronic diseases and/or other special health care needs.

In addition to providing health education for staff and students; surveillance and reporting of infectious or communicable diseases; school vaccination clinics; general first aid; and treatment/referrals relating to minor illnesses, our school nurses track school entry required vaccines and provide vaccines to ensure that the children of Dare County are protected.


Sexually Transmitted Diseases/Infections (STDs or STIs)

STD/STI screenings are available through our clinic. Regular screenings are important because you may have an STD/STI without any signs or symptoms. All STDs/STIs can and must be treated, and some can be cured. Depending on social and sexual history and physical exam, you may be screened for:

  • Chlamydia or NGU

  • Gonorrhea

  • Human Immunodeficiency Virus (HIV)

  • Syphilis

  • Trichomoniasis

  • Herpes Simplex Virus

  • Hepatitis B

  • Genital Warts



Women’s Health & Family Planning

Our Family Planning Services Include:

  • Routine Annual Visits for Women’s Health

  • Prevention and Education of Women’s Health Issues

  • STD Screenings and Treatment

  • Breast and Cervical Cancer Screenings

  • Preventative Screenings for Anemia, Diabetes & more

  • Contraceptive & Birth Control Options including Nexplanon & IUDs

  • Pregnancy Testing

  • Emergency Contraception

The women's health provider can screen for any number of potential health problems. In some cases, if these problems are caught early, they can be more easily treated.

Services are provided on a sliding fee scale. The amount owed is based on family size and income. An eligibility clerk will assist you in determining how much you will pay before being seen for your appointment. Proof of income will be required at each visit along with insurance information if available. Some insurances, including Medicaid, can be billed.

All appointments and findings are strictly confidential in accordance with government laws and guidelines.

The Medicaid Be Smart Family Planning program provides family planning services to medicaid-eligible women throughout their child bearing years. 
The Medicaid Be Smart Family Planning program provides family planning services to medicaid-eligible women throughout their child bearing years.