Health Screenings

We offer screenings for a variety of health concerns:

Breast and Cervical Cancer – The North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) provides free or low-cost mammograms and PAP smears for early detection of breast and cervical cancer, as well as necessary follow-up treatment, for women ages 40 to 64 who are uninsured or underinsured and meet certain financial guidelines. Appointment required: call 828.884.3135.

Hypertension (High Blood Pressure) – We offer blood pressure screenings, counseling, and referral to treatment. Available Fridays, 8:30am – 4:30pm, and other days by appointment: call 828.884.3135.

Lead – Blood lead screening is available for children 6 months through 6 years of age.  Free.  Appointment required: call 828.884.3135.

Pregnancy – Pregnancy testing is available Monday through Friday, 8:30am – 4:30pm. Cost is based on income.

Well Child Physicals – Well child screening exams are available for those who meet income guidelines. No sports physicals. Appointment required: call 828.884.3135.

STDs / HIV Testing & Prevention

We provide confidential testing, diagnosis, treatment and counseling for common sexually transmitted diseases, including HIV, for both men and women. Our services are available to anyone, regardless of the county you live in, and for all people of childbearing age.

A nurse will ask questions about your health and your testing needs. It is important to understand your risks for acquiring an STD or HIV, and the nurse can help you identify steps you can take that may prevent future infections.  Our nurses are kind, caring, and non-judgmental, so you can feel free to share openly and get the best care possible.

Results for STD testing will be available within 7-14 business days, depending on the test. Results can be given over the phone with a password: call 828.884.3135.

Anyone who tests positive for gonorrhea, chlamydia, or syphilis is offered treatment at no charge.

It is important to identify sexual partners who are at risk and get them tested and treated as well. STDs can be passed back and forth between sexual partners, and can even harm the health of an unborn baby. Those who have tested positive for STDs should be retested 3 months after treatment.

Free of charge.  Available Monday – Friday, 8:30am – 4:30pm. Appointments are encouraged: call 828.884.3135.

Family Planning & Sexual Health

Our family planning service provides a complete physical exam, counseling and education, and follow-up including appropriate method of birth control. In addition to our caring nurses, we have two male providers and one female provider.

Services are available for all persons of childbearing age. Minors do not need parental or guardian consent for counseling, testing, or treatment.

Family Planning Clinics are held on the following monthly schedule:

1st Thursday of each month, 2:00pm – 5:00pm
2nd Wednesday of each month, 5:00pm – 8:00pm
3rd Thursday of each month, 8:30am – 11:30am
4th Thursday of each month, 1:00pm – 4:00pm 

Cost of services is determined by income. Condoms are available free of charge at the front desk during regular business hours. Services are available by appointment only: call 828.884.3135.

Immunizations / Tuberculosis Control

We provide immunizations according to the current state recommendations.

Recommended vaccines for children and adolescents and adults.

We also offer some vaccines that are recommended for travel outside the United States; for more information on recommended vaccines, visit the CDC’s Travelers’ Health page or call us at 828.884.3135.

Fees may apply. Children who have no insurance, Medicaid, or Health Choice receive vaccines at no cost. Many private insurance carriers cover vaccines at 100%. We can directly bill the following providers: Aetna, Blue Cross and Blue Shield, Cigna, Humana, and United Health Care, as well as Medicaid and Health Choice. Please note that Aetna, Humana, and United Health Care consider Transylvania Public Health to be an out-of-network provider. If you have a different private insurance carrier, we will provide a receipt for you to claim reimbursement from your insurance carrier.

Available Fridays, 8:30am – 4:30pm, and other days by appointment: call 828.884.3135.

Pregnancy Care Management

Pregnancy Care Management (PCM) is a free, voluntary program that provides supportive services to pregnant women who are eligible for Medicaid and are at risk for poor birth outcomes. Risk factors include a history of pre-term labor or low birth weight babies, pregnancy with multiple babies, fetal complications, chronic medical conditions or recent hospital visits, a history of substance abuse or tobacco use, an unsafe living environment or having trouble meeting basic needs, or missing multiple prenatal appointments.

Our pregnancy care coordinator is a registered nurse who works to improve the quality of maternity care, improve birth outcomes, and provide continuity of care. She helps pregnant women identify their needs and make plans to address them, works closely with them and their doctors, helps manage medications and organize services, and provides education in preparation for childbirth and parenting.

PCM services are available throughout pregnancy and for two months after delivery. We recommend beginning services as early as possible in the pregnancy to help ensure the best possible health outcomes for both mother and baby. (If further follow-up care is needed, families may be referred to our Care Coordination for Children program.)  

Prenatal care providers will help decide if a woman has any risk factors and refer eligible women to the PCM program. To make a referral, please call 828.884.1737.


Care Coordination For Children

Care Coordination for Children (CC4C) is a free, voluntary program designed to help families with children aged 0 to 5 who have special health care needs or chronic medical conditions, are at risk for physical, behavioral, or emotional conditions, are in foster care families, or are in short-term or long-term stressful situations.

Our CC4C care manager provides home visits, telephone calls, and other personal contacts as she works to connect children and their families with various services, support children in reaching their developmental potential, and help ensure that children are raised in a healthy, safe, and nurturing environment.

Families may request services directly or be referred by doctors and hospitals, agencies, and community members. To make a referral to the CC4C program, please call 828.884.1736.