Alamance County health services, clinic phone numbers and local help routes
Alamance County Health Department in Burlington handles much more than immunizations. Local residents use it for child health, maternity care, family planning, communicable-disease services, WIC, children’s dental care, behavioral health, vaccines and community-health programs.
Environmental Health and certified vital records use different routes, so the fastest way through the system is to identify the service first. This guide separates the clinic, WIC, dental, Environmental Health and Register of Deeds paths so you do not end up at the wrong Graham-Hopedale Road counter.
What does Alamance County Health Department do?
Alamance County Health Department is the local public-health agency serving Burlington, Graham, Mebane and communities throughout Alamance County, North Carolina. The department provides clinical, preventive, nutrition, dental, behavioral-health, disease-control and community-health services while its Environmental Health section handles sanitation, food, wells and on-site wastewater.
Child Health, immunizations, maternity care, family planning and communicable-disease clinics including STI and TB services.
WIC nutrition support, children’s dental care, pregnancy services, behavioral-health counseling and community-health outreach.
Food establishment sanitation, private wells, septic systems, public swimming pools and related inspections and permits.
Alamance County Health Department phone numbers by service
Calling the main line works when you are unsure where to start, but several frequently used programs have their own direct number.
| Need | Phone | Best use |
|---|---|---|
| Main Health Department | 336-227-0101 | General health-service questions and routing. |
| Clinic appointments | 336-570-6459 | Child Health, immunizations, maternity, family planning and other clinic scheduling. |
| Children’s Dental Health Center | 336-570-6415 | Children’s dental appointments and eligibility/payment questions. |
| Environmental Health | 336-570-6367 | Septic, wells, food sanitation, pools and environmental permits. |
| WIC | 336-570-6745 | WIC applications, appointments, nutrition support and breastfeeding services. |
| Health Department Vital Records contact | 336-513-5541 | Health Department vital-record program questions. Certified copies use the Register of Deeds route described below. |
| Communicable disease report | 336-516-7715 | 24/7 reporting of a confirmed or suspected communicable disease. |
| Community outreach | 336-570-6382 | Health education presentations and community outreach requests. |
How to prepare for an Alamance County clinic appointment
Call 336-570-6459 for Health Department clinic appointments. If you need to speak directly with a nurse in a specific clinic, call the main number at 336-227-0101 and choose option 8.
Tell scheduling whether you need Child Health, immunization, maternity care, family planning, communicable-disease care or another clinic service.
Call 336-570-6459 or use the appointment option linked from the official Health Department site.
The department asks patients to bring a Social Security card, photo ID or driver’s license, Medicaid or insurance cards, and money for a payment or copay when applicable.
The county asks patients to arrive at least 15 minutes before the scheduled appointment.
Language interpretation is available at no cost. If you need a sign-language interpreter, the department asks for notice when scheduling and, when possible, at least 48 hours in advance.
Clinic services available through Alamance County Health Department
The current Health Department clinic directory includes Child Health, Children’s Dental Health Center, Communicable Disease, Immunizations and Vaccines, Maternity Care and Family Planning.
Services are available from birth through age 21 and include well-child physicals for daycare, Head Start and kindergarten, plus vision, hearing, lead and developmental screening.
Services include pregnancy testing, physical exams, Pap tests, cervical-cancer screening, birth-control options and STI counseling/testing.
Prenatal care, nutrition counseling, high-risk pregnancy case management and CenteringPregnancy services are among the current program offerings.
The clinic provides testing, treatment and prevention for reportable communicable diseases and responds to outbreaks.
Office-based counseling is available to Health Department clients dealing with stress, depression, anxiety, substance-related concerns, parenting challenges and other stressors.
The STI clinic provides screening, treatment, education and counseling. The county states STI clinic services are free and available by appointment, including for minors without parental consent.
Immunizations and 2026-27 flu vaccines
For immunization appointments, call 336-570-6459. Alamance County also maintains its Vaccinate Alamance information for current vaccine availability, seasonal flu products and local appointment options.
Qualifying children from birth through age 18 may receive vaccines through the federal Vaccines for Children program without vaccine charge.
North Carolina vaccination requirements apply to children and students. Bring current immunization records and any school form you need completed.
Current county guidance says COVID-19 vaccine availability is limited while the department transitions to 2026-27 formulations. Verify stock before making a trip.
| 2026-27 flu product | Current listed self-pay price | Age / availability note |
|---|---|---|
| Standard flu vaccine | $56 | Listed for ages 6 months-64 years. |
| High-dose flu vaccine | $108 | Listed for age 65 and older. |
| FluMist | $63 | Listed for ages 2-49; availability can change. |
| Flublok | $101 | Listed for ages 9 and older; availability can change. |
Alamance County WIC appointments, hours and enrollment
Alamance County WIC serves eligible pregnant people, breastfeeding and postpartum participants, infants and children up to age 5. NCDHHS lists the county WIC program at the Health Department location, 319 N. Graham-Hopedale Road, Burlington, with phone 336-570-6745.
Monday-Friday, 8:00 a.m.-5:00 p.m. The WIC office states that it is now open from noon-1 p.m. on weekdays.
The first through fourth Mondays of each month, except holidays, include appointment-only WIC hours from 5:00-6:00 p.m.
The county states all WIC applicants must be seen in the WIC office to enroll. Call before visiting so staff can explain the current eligibility-document checklist.
Children’s Dental Health Center
The Health Department’s Children’s Dental Health Center can be reached directly at 336-570-6415. The county says the practice serves patients regardless of ability to pay and offers discounts for essential services based on family size and income.
The county service directory describes the Children’s Dental Health Center as serving children from age 0 through 21.
Current county information says Alamance and Caswell County residents are welcome.
Medicaid and some insurance plans are accepted. The clinic also publishes a sliding-discount notice tied to family size and income.
Birth and death certificates: Health Department vs Register of Deeds
This is an important Alamance County office distinction. The Health Department publishes a Vital Records contact number, 336-513-5541, but certified copies of Alamance County birth, death and marriage records are issued through the Alamance County Register of Deeds.
Use the Register of Deeds for a certified birth, death or marriage certificate. The current fee is $10 per certified copy.
118 West Harden Street, Graham, NC 27253. Main phone: 336-570-6565.
The Register of Deeds maintains birth, death and marriage records for people who were born, died or obtained their marriage license in Alamance County.
Before ordering, make sure the birth, death or marriage record belongs in Alamance County’s records.
North Carolina restricts certified copies to the individual and specified family members, legal representatives or others with qualifying legal authority.
The Register of Deeds offers an authorized online request system. Mail requests require the signed application, fee, photocopy of government-issued ID and a self-addressed stamped envelope.
The county says mailed vital-record requests must use a money order or bank check. Online requests accept major credit/debit cards and add a card-processing fee.
Food safety, wells, pools, septic systems and environmental permits
Alamance County Environmental Health uses 336-570-6367 and county documents list its office at 209 N. Graham-Hopedale Road, Burlington, NC 27217. It handles private wells, on-site wastewater/septic, food and lodging sanitation, public pools and other environmental-health programs.
Plan review, permits and sanitation inspections apply to restaurants, food stands, mobile units, schools, child-care facilities, hotels and other regulated operations.
Environmental Health handles well permits, repairs, abandonment, inspections and water-sample services.
Services include improvement permits, construction authorization, existing-system inspections, repair permits and permit revisions.
What to know before applying for septic or well work
Alamance County’s environmental-health application covers improvement permits/site evaluations, construction authorizations, existing septic inspections, septic repairs, new wells, well repairs, abandonment permits, well-camera inspections and water sampling.
A new septic system, repair, building addition, mobile-home replacement, new well and water sample do not use the same permit workflow.
Have the tax-map number or GPIN, property address, owner information, directions to the site and proposed project details ready.
The current septic application requires property lines/corners and proposed improvements to be marked and the evaluation area accessible. Call 811 to have utilities marked before Environmental Health visits.
The current county application warns that a site not properly prepared can result in a $95 site-revisit fee and place the application back into chronological order after the fee is received.
Save well, septic, soil-evaluation and inspection documents for future additions, property sales, manufactured-home replacements and repair work.
Restaurants, food stands and sanitation inspections
Environmental Health’s food and lodging program handles plan review, permitting and sanitation inspections for a wide range of regulated facilities. This includes food establishments, temporary food stands, mobile units, pushcarts, meat markets, child-care facilities, schools, hotels, bed-and-breakfast facilities and other institutional settings.
Contact Environmental Health before construction or opening so staff can determine whether plan review, a permit or a pre-opening inspection is required.
Use the permit type that matches the operation. County forms can impose advance-submission deadlines and operation-specific requirements.
Environmental Health also investigates sanitation complaints, foodborne-disease concerns and certain food-product issues.
STI, TB and disease-reporting help
The Communicable Disease Clinic provides testing, treatment and prevention services for reportable diseases. The department also investigates reports from physicians and laboratories and responds to outbreaks.
The county lists screening for infections including gonorrhea, syphilis, chlamydia, trichomoniasis, herpes and HIV, along with treatment, education and counseling.
The county states STI clinic services are free of charge and appointment-based, including for minors who seek services without parental consent.
For a confirmed or suspected communicable disease report, the county lists 336-516-7715 as available 24/7.
Before you drive to Graham-Hopedale Road
Which Alamance County office do you actually need?
| If you need | Correct route | Do not confuse it with |
|---|---|---|
| Clinic appointment | Health Department appointment line: 336-570-6459 | Environmental Health or Register of Deeds |
| WIC | WIC: 336-570-6745 | General clinic scheduling unless WIC staff directs you there |
| Child dental care | Children’s Dental Health Center: 336-570-6415 | Family Planning or general Environmental Health |
| Certified birth/death certificate | Register of Deeds: 336-570-6565 | Clinic appointment line |
| Septic, well or restaurant permit | Environmental Health: 336-570-6367 | Building Inspections unless Environmental Health tells you a building permit is also required |
| Medical emergency | 911 / emergency medical care | Waiting for a routine Health Department appointment |
Official Alamance County and North Carolina health links
Use official government pages when you are ready to schedule, submit forms, pay a fee, order a record or share personal health information.
Alamance County Health Department FAQs
What is the Alamance County Health Department phone number?
The main Alamance County Health Department phone number is 336-227-0101. Clinic appointments use 336-570-6459.
Where is Alamance County Health Department located?
The main Health Department is at 319 N. Graham-Hopedale Road, Burlington, NC 27217. Environmental Health documents list its section at 209 N. Graham-Hopedale Road.
What are Alamance County Health Department hours?
The department currently lists regular hours as Monday through Friday, 8:00 a.m. to 5:00 p.m., except holidays.
How do I make a clinic appointment?
Call 336-570-6459 or use the appointment option on the official Health Department site. The county asks patients to arrive at least 15 minutes early and bring identification, insurance or Medicaid information, and payment or copay when applicable.
Does Alamance County Health Department give vaccines?
Yes. The Health Department provides child and adult immunizations. Call 336-570-6459 to schedule and ask about vaccine availability and current fees.
What is the Alamance County WIC phone number?
Call Alamance County WIC at 336-570-6745. Regular WIC hours are Monday-Friday, 8:00 a.m.-5:00 p.m., and the office lists appointment-only extended hours from 5:00-6:00 p.m. on the first through fourth Mondays of the month, except holidays.
How do I get an Alamance County birth certificate?
For a certified birth certificate, use the Alamance County Register of Deeds. Certified birth, death and marriage certificates currently cost $10 each. The Register of Deeds is at 118 West Harden Street in Graham and can be reached at 336-570-6565.
Who handles septic permits in Alamance County?
Alamance County Environmental Health handles septic and on-site wastewater services. Call 336-570-6367 before applying or starting site work.
Who handles restaurant inspections in Alamance County?
Environmental Health’s food and lodging program handles sanitation inspections, plan review and permits for regulated food and lodging facilities. Call 336-570-6367 for current requirements.
What number do I call to report a communicable disease?
For a confirmed or suspected communicable disease report, Alamance County currently lists 336-516-7715 as a 24/7 reporting number.