Child Health Services

Child Health Services include a number of outreach and clinical programs.

Immunization Coordination

Coordination involves monitoring the immunization status of all Caldwell County children 2 years of age and younger. The coordinator updates immunization status in the NCIR (North Carolina Immunization Registry) as needed. The coordinator also locates immunization records per individual requests and works with local medical providers related to NCIR usage. The goals of immunization coordination include:

  • Maintaining a Caldwell County Health Department immunization rate of at least 90%
  • Maintaining a Caldwell County immunization rate of at least 79%
  • Ensuring that at least 75% of medical providers document in the NCIR

Care Coordination for Children (CC4C)

CC4C is a program that began on March 1, 2011. CC4C is a public health targeted case management program. The CC4C Program is administered as a partnership between Community Care of North Carolina (CCNC), the NC Division of Public Health (DPH), and the NC Division of Medical Assistance (DMA).

Referrals originate from medical homes, hospitals, community organizations, CCNC care management staff, or families and can be submitted on paper or taken by phone. CC4C staff serve children from birth to 5 years of age, who meet the following priority risk factors:

  • Children with special healthcare needs
  • Children exposed to toxic stress in early childhood
  • Children in the foster care system who need to be linked to a medical home
  • Children in the neonatal intensive care unit who need assistance as they transition back to the community and need to be linked to a medical home
  • Children flagged on a priority population list based on the above who have expected potentially preventable hospital costs given the person's disease burden

CC4C Program Information (PDF)
Make a Referral to the CC4C Program (PDF)

School Health Services

Caldwell County Health Department partners with Caldwell County School and the State of North Carolina to provide health services at each school in the county. CCHD provides a total of 7 school nurses, two of which are funded by state grants and 3 are funded by the Caldwell County Board of Education. These nurses provide monitoring for immunization status, communicable disease control, health screenings, follow-up referrals, and health education to students and staff.

Find out more about what School Nurses do.

The Caldwell County School System has a process and policy regarding head lice set up for all students in the school system. 

Important Forms

These forms are to be completed by your child's doctor and submitted to the school which your child will be attending.

If you have a child who needs to take medications at school, this consent form needs to be completed by your child's doctor and submitted to the school nurse at your child's school. Each medication needs its own form.

Newborn / Postpartum Home Visiting

Home visiting nurses provide health, social support, and educational support directly to families in their homes. Home visits serve as a means for follow-up on an infant's health as well as education regarding infant's health and follow-up.

Child Health Clinic Services

Children are seen by appointment for clinic services. Call 828-426-8400 to make an appointment.

  • Immunizations: do not forget to bring any other vaccine records for your appointment, with or without insurance
  • Well check visits, history and physical
  • Day care, kindergarten and sports physicals
  • Developmental Screenings
  • Screening for sickle cell anemia, lead (if applicable)
  • College Physicals
  • Hearing and Vision Screening with physicals
  • Sick Visits
  • Tobacco prevention
  • Spanish interrupters
  • Resources for parents
  • Safety guidelines

Appointments & Payment


All appointments are scheduled, Monday through Friday, 8 am to 5 pm. Please call 828-426-8400 to make an appointment. All calls are taken in the order received. Please do not hang up. Free interpreter services are available!

On the second Wednesday of the month, we are closed in the morning for a monthly staff meeting. On that day, we start accepting calls for appointments at 9:30 am.

If your child is sick and needs an appointment to be seen, but the schedule is already full when you call, you will be given the first available time slot or your call may be routed to the triage nurse on call.

If you and your child walk in without an appointment, the triage nurse will have to evaluate you and determine if you will be able to be seen the same day or if you will have to schedule an appointment for the next day.

Please arrive 15 minutes before your scheduled appointment. If you arrive late, we will have to reschedule your appointment. If you are unable to keep your appointment, please call ahead to cancel.

Parent or legal guardian (with paperwork) have to be present for children under 18 years of age.


Cash, check, and most insurance plans are accepted for payment. We also accept VISA, MasterCard, and Discover credit cards or debit cards for payment.

If your child has Medicaid or is on another health insurance, please bring their insurance card with you.

Beginning September 1st, 2015 Caldwell County Health Department will require all clients presenting for service to provide proof of income. Income will be assessed annually unless there is a change in financial status. Clients will be asked at each visit if there has been a change in financial status/number in the household.

Clients who have met the income criteria for the following programs (i.e., Medicaid, WIC, Food and Nutrition Services (FNS) Program (Food Stamps) or the Temporary Assistance to Needy Families (TANF) Program) will only be required to show documentation of current eligibility and no additional income screening will be necessary.

No client will be refused services when presenting for care based on a lack of documentation. However, each client will be billed at 100% until proof of income and family size is provided to the agency.