Clinic Services


Well-Child Exams

With scheduled check-ups or well-child exams, minor health problems in children can be caught before they become serious. Diseases like chickenpox, mumps and measles can be prevented by immunizations. Any physical, mental developmental problems, hearing, and vision issues or problems can be found and treated early.

  • Well-Child exams include a complete physical exam (which meets requirements for school entry)

  • Also included are developmental and lead screenings for children 0-6 years of age.

  • Parents/guardians will be provided counseling on their child’s nutrition, safety and age related issues.

  • The Bell County Health Department provides childhood immunizations through the Kentucky Vaccine Program and most private insurance through Vaxcare.

    The Kentucky Vaccine Program (previously known as the VFC program) is a federally-funded and state-operated vaccine supply program that became operational on October 1, 1994. The Kentucky Vaccine Program is intended to help raise childhood immunization levels in the United States, especially among infants and young children.

    The groups of children designated to receive vaccines through the Kentucky Vaccine Program include:

    • Children enrolled in Medicaid

    • Children who do not have health insurance

    • Children who have health insurance which does not cover immunizations

    • Children who are American Indian or Alaskan Native

    PLEASE NOTE: Having a high insurance deductible does not qualify an individual as underinsured.

    Kentucky Immunization Program

    902 KAR 2:060 Kentucky Immunization Requirements

    Kentucky Department of Education Immunization Information

    For more information from the CDC regarding childhood vaccinations click here.

  • The School Health program focuses on acute and chronic illness, health conditions, and injuries, health education, and disease.

    Call (606) 337-7046 for more information.

    School Nurse services:

    • Assess and treat students with acute illnesses or injuries (within the scope of practice)

    • Coordinate and provide mandatory vision screening in targeted grades

    • Serve as a resource for students and staff related to communicable disease and chronically ill students

    • Coordinate care and student emergency action plans related to diabetes, seizures, asthma, allergies and use of emergency medications

    • Promote health education

    • Review immunization records to ensure compliance with Kentucky Immunization laws

    • Administer medication per physician order in accordance to state and school policies

Adult Services

For information on the types of adult vaccines provided and charges associated with those vaccines, contact our office in Pineville or Middlesboro.

  • While seasonal flu outbreaks can happen as early as October, most of the time flu activity peaks between December and February, although activity can last as late as May.

    For more information on the Influenza Virus, visit the CDC’s Influenza Basics Page.

  • Family Planning for Women Family Planning includes the following confidential services for women, men and adolescents:

    Medical Services:

    • Height, weight and blood pressure evaluation

    • Pap testing & pelvic exam

    • Breast exam

    • STD Testing and Treatment

    • Pregnancy Testing & Counseling

    • Birth Control Methods

    • Emergency Contraception

    • Sterilization (male & female)

    • Other Lab tests, if needed

    • Immunizations, if needed

    Education and Counseling:

    • Healthy Lifestyle Choices, including: good nutrition, exercise, avoiding harmful substances, and tobacco cessation.

    • Self Breast/Testicular Exams

    • STD/HIV Risks

    • Preconception Health/Folic Acid

    • Options Counseling

    • Infertility

    • Referrals & linkages with community resources

    The results of your check-up and lab tests will be explained to you. Family planning staff will help you choose the appropriate method of birth control and teach you ways to stay healthy. Staff members will answer any questions you may have. You will receive birth control method education and counseling, including Natural Family Planning and abstinence education.

    Benefits of Family Planning:

    • Having children when you want them

    • Being able to prepare financially for your children

    • Becoming healthier before and during pregnancy

    • Not worrying about an unwanted pregnancy

    • Making your own decisions about birth control

  • An STD is an infection that is passed during sexual intercourse.

    Some STDs infect only your sexual and reproductive organs. Others, such as, HIV, hepatitis B, and syphilis, cause general body infections.

    Sometimes there are no signs or symptoms with an STD. The symptoms can also appear and then go away. Just because you don’t have symptoms doesn’t mean you don’t have an STD.

    STDs can be spread during any type of sexual contact.

    HIV and Hepatitis can also be spread through contact with infected blood. If you think you may have an STD, get checked. STDs do not just go away on their own. Bell County Health Department may be able to provide testing for you if you think you may have an STD.

    Many STDs can be cured, but others cannot be cured. Even if an STD cannot be cured, it must still be treated to lessen the chances of it being spread to others.

    If you think you have an STD, or you have tested positive for an STD, you must tell your sexual partner(s). If they have contracted the STD, they can get sick. They can also spread the STD back to you or to others.

    For more information visit the CDC’s STD webpage.

    Call the Bell County Health Department for more information on our STD program.

Looking for your family’s immunization records?

FAQs

  • How the Flu Spreads

    People with flu can spread it to others up to about 6 feet away. Most experts think that flu viruses spread mainly by droplets made when people with flu cough, sneeze or talk. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. Less often, a person might get flu by touching a surface or object that has flu virus on it and then touching their own mouth, nose, or possibly their eyes.

    Who should get the Flu Vaccine?

    Vaccine experts recommend that everyone 6 months of age and older should be vaccinated against the flu. While vaccination against the flu is recommended for everyone, it is especially important for those at high risk for serious flu-related complications or those who live with or care for people at high risk. This includes:

    Children younger than 5 years, but especially those younger than 2 years

    Pregnant women;

    People 65 and older;

    People of any age with certain chronic medical conditions;

    Residents of nursing homes and other long-term care facilities;

    People who live with or care for those at high risk for complications from flu, including:

    Health care workers;

    Household contacts of persons at high risk for complications from flu; and

    Household contacts and out-of-home caregivers of children younger than 6 months of age (these children are too young to be vaccinated).

    When should I get the flu vaccine?

    Get your flu shot as soon as possible once annual vaccine is available. Flu season most often peaks in January or February or later, so for people not able to get the flu vaccine in the Fall, vaccination in December, January and beyond is beneficial in most years.

    Good Health Habits to Prevent the Spread of Flu

    The state public health agency urges all residents to take basic precautions to avoid the spread of germs and viruses. In addition to covering your mouth when coughing and sneezing, other good health habits that can help prevent the spread of flu and other respiratory viruses are:

    Wash your hands often with soap and water for 15-20 seconds or use alcohol-based disposable hand wipes or gel sanitizers.

    Avoid touching your eyes, nose or mouth. Germs often are spread when a person touches an object contaminated with germs and then touches his or her eyes, nose or mouth.

    Get an annual flu shot to help you develop antibodies to protect against flu infection.

    Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from contracting your illness.

    Stay home from work, school and errands if possible when you are sick. This will help prevent others from catching your illness.

    Remind children to practice healthy habits because germs spread easily at school and in child care settings, resulting in high rates of absenteeism among students and staff in our state’s schools.

  • An STI is an infection that is passed during sexual intercourse.

    Some STIs infect only your sexual and reproductive organs. Others, such as, HIV, hepatitis B, and syphilis, cause general body infections. Sometimes, there are no signs or symptoms with an STI. The symptoms can also appear and then go away. Just because you don’t have symptoms doesn’t mean you don’t have an STI.

    STIs can be spread during any type of sexual contact. HIV and Hepatitis can also be spread through contact with infected blood. If you think you may have an STI, get checked. STIs do not just go away on their own. Laurel County Health Department may be able to provide testing for you if you think you may have an STI.

    Many STIs can be cured, but others cannot be cured. Even if an STI can not be cured, it must still be treated to lessen the chances of it being spread to others. If you think you have an STI, or you have tested positive for an STI, you must tell your sexual partner(s). If they have contracted the STI, they can get sick. They can also spread the STI back to you or to others.

    Kentucky STI Program Webpage

    CDC’s STI Webpage

  • Hepatitis A is a vaccine-preventable, communicable disease of the liver caused by the hepatitis A virus (HAV). It is usually transmitted person-to-person through the fecal-oral route or consumption of contaminated food or water.

    Hepatitis A is a self-limited disease that does not result in chronic infection. Most adults with hepatitis A have symptoms, including fatigue, low appetite, stomach pain, nausea, and jaundice, that usually resolve within 2 months of infection; most children less than 6 years of age do not have symptoms or have an unrecognized infection.

    Antibodies produced in response to hepatitis A infection last for life and protect against reinfection. The best way to prevent hepatitis A infection is to get vaccinated.

    People at increased risk for Hepatitis A:

    • International travelers

    • Men who have sex with men

    • People who use or inject drugs (all those who use illegal drugs)

    • People with occupational risk for exposure

    • People who anticipate close personal contact with an international adoptee

    • People experiencing homelessness

    CDC’s Hepatitis A Information

    Kentucky Department for Public Health – Hepatitis A Outbreak Information

  • Hepatitis C is a liver disease caused by infection with hepatitis C virus (HCV). The virus is found in the blood of persons who have this disease and is spread by contact with infected blood.

    What increases my risk for Hepatitis C infection?

    • Having a blood transfusion or organ transplant before July 1992

    • Having been treated for clotting problems with a blood product made before 1987

    • Having ever been on long-term kidney dialysis

    • Having ever injected street drugs, even once many years ago

    • If you are a healthcare worker exposed to blood in the workplace through accidental needlestick injuries.

    • Having been a baby born to infected mothers

    • Hepatitis C can also be spread by sexual intercourse, but this does not occur very often.

    Hepatitis C is not spread by:

    • Sharing eating utensils or drinking glasses

    • Casual contact

    • Breastfeeding

    • Sneezing

    • Food or water

    • Coughing

    • Hugging or kissing

    CDC’s Hepatitis C Information

  • Tuberculosis is a disease caused by tiny germs that are put into the air when a person who is sick with TB disease coughs, laughs, sings, or sneezes. Anyone nearby can breathe in these TB germs and get TB infection.

    TB will usually affect the lungs of the infected individual, but it can also sometimes affect other parts of the body.

    When TB is left untreated, the TB infection can turn into TB disease. TB disease can make you very sick.

    What can you do?

    1. Get a TB skin test at your healthcare provider or your local health department. The skin test allows the doctor to know if you have ever had TB germs in your body. You may be asked a series of questions for screening purposes before given a TB skin test. If your screening questions show that you have not been at risk for TB infection, you may not actually receive the skin test. You will however, receive the completed screening form in case your employer requires a copy to have in your employee file.

    2. Return to the office or clinic in 2 to 3 days (48-72 hours) if you received a TB skin test. This is so the health care provider can read your TB skin test.

    3. If you have TB infection or TB disease, you will need to take TB medicine as your health care provider says.

    For more information on Tuberculosis (TB), visit the CDC’s Tuberculosis (TB) Webpage.

Communicable Disease Reporting Requirements

Physicians, hospitals, and laboratories report communicable diseases as required by 902 KAR 2:020 to the Epidemiology unit of the health department. Qualified health department staff persons provide investigation of the cases and report the communicable diseases to the state office which reports to Centers for Disease Control and Prevention.

Medical Providers, hospitals, or laboratories who are reporting a communicable disease can download and fill out the Kentucky Reportable Disease (EPID 200) Form.

After Hours:
Kentucky Department for Public Health, Division of Epidemiology and Health Planning
Phone: 1-888-973-7678 or 1-502-564-3418 | Fax: 1-502-696-3803
*The Kentucky Department for Public Health will contact the local public health authorities regarding after hours reports.

Empower your immunity! Receive your vaccines at your local health department.

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Breastfeeding Peer Counselor Program (WIC)