Onslow County Health Department 2026: Services & Phone

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Independent guide: Department-of-Health.org is not Onslow County Government, the Onslow County Health Department, Environmental Health, WIC, the Register of Deeds, Camp Lejeune or any medical provider. Use this guide to identify the correct official service before sending records, paying fees or traveling to an office.
Jacksonville & Onslow County public health guide · 2026

Jacksonville public health clinics, WIC, vaccines and environmental help

For Jacksonville, Richlands, Swansboro, Holly Ridge, Sneads Ferry, Hubert and surrounding Onslow County communities, the right public-health contact depends on what you need. Clinical care and WIC start at one set of offices; septic, wells, restaurant permits and inspections use Environmental Health at a different address.

Use this 2026 guide to call the right office, prepare for an appointment, request the correct record, understand sliding fees and avoid an unnecessary drive across Jacksonville.

Main: 910-347-2154 WIC: 910-347-5002 Environmental: 910-938-5851 Monday-Friday
Main clinic 612 College Street Jacksonville, NC 28540.
Main phone 910-347-2154 Appointments, clinic questions and general health routing.
Environmental 910-938-5851 Septic, wells, food inspections and environmental permits.
Hours Monday-Friday, 8 AM-5 PM Closed Saturdays, Sundays and county holidays.
Quick answer

What can the Onslow County Health Department help with?

Onslow County Health Department provides clinical and community public-health services including immunizations, child health, reproductive health and family planning, STI testing, tuberculosis services, international travel health, care management, health education, WIC and communicable-disease work.

Environmental Health is part of the county public-health system but operates from a separate Jacksonville office. It handles onsite wastewater and septic systems, private wells, food service establishments, lodging, institutions, child-care sanitation, tattoos and other regulated environmental-health work.

Need a clinic appointment?

Call 910-347-2154. Use this route for child health, family planning, reproductive health, STI services, immunizations, TB and travel-health questions.

Need WIC?

Call 910-347-5002. WIC operates at 612 College Street and at the Tarawa Terrace WIC office.

Need septic, well or food help?

Call Environmental Health at 910-938-5851 and use the NW Corridor Boulevard office.

Jacksonville local shortcut Do not automatically drive to 612 College Street because your paperwork says “Health Department.” Septic applications, well applications and most environmental permits belong at Environmental Health, 234 NW Corridor Boulevard.
Phone directory

Onslow County Health Department phone numbers by task

Need Phone / office Best use
Appointments & general clinic 910-347-2154 Child health, reproductive health, STI, TB, immunizations, travel clinic and general clinical routing.
WIC 910-347-5002 WIC eligibility, appointments, nutrition services and breastfeeding support.
Environmental Health 910-938-5851 Septic, wells, food establishments, lodging, pools, child-care sanitation and environmental permits.
Register of Deeds 910-347-3451 Onslow County birth, death and marriage certificate requests.
Medical records fax 910-347-0728 OCHD medical-record requests when the county form/instructions direct you to fax.
Communicable disease report 910-347-2154 Healthcare-provider reporting and communicable-disease nurse questions during regular hours.
Appointments

How to make an Onslow County Health Department appointment

Call 910-347-2154 for a Health Department appointment. The county also publishes an online appointment-request form, but calling remains the clearest route when you need to confirm whether a service is appointment-only, accepts walk-ins or requires specific documents.

Name the service you need

Say “immunization,” “child physical,” “family planning,” “STI testing,” “TB screening” or “international travel clinic” instead of asking generally for an appointment.

Confirm appointment versus walk-in rules

Some programs accept walk-ins when staff and clinic capacity allow, but that does not guarantee same-day service.

Ask what to bring

Depending on the service, you may need photo ID, insurance cards, proof of income, immunization records, school forms or previous medical information.

Confirm payment expectations

Ask whether the service uses the sliding fee scale, insurance billing, a fixed charge or a state-funded program.

Verify the building

Clinical appointments usually route to College Street. Environmental Health applications route to NW Corridor Boulevard.

Transportation note The county appointment page identifies Jacksonville Transit and Onslow United Transit Systems as public-transportation options for residents who need transportation to appointments.
Clinical services

Child health, reproductive health, STI testing, TB and travel services

Child Health

Well-child physicals are available through age 20, including daycare, pre-K, kindergarten, school and sports physicals. The county specifically notes that Child Health does not provide ordinary “sick visit” care.

Reproductive & Women’s Health

Services include breast exams, cervical cancer screening, pregnancy testing, physical exams, family-planning services and prenatal-clinic care.

STI Clinic

The clinic offers confidential STI/HIV testing, evaluation, counseling and treatment for many STIs. Scheduled appointments and walk-ins are accepted based on availability.

Tuberculosis

TB risk assessments and screenings are generally available Monday-Wednesday and Friday. The county currently lists a $30 charge when insurance does not cover the assessment or screening.

International Travel Clinic

The travel program reviews trip plans and may recommend destination-specific vaccines and preventive health steps. Call before travel rather than waiting until the final week.

Care Management

The department provides pregnancy and early-childhood care-management programs plus community referrals and public-health education.

STI clinic boundary The current county STI page says OCHD does not provide HIV PrEP and does not test for urinary tract infections. Those needs should be routed to an appropriate healthcare provider or urgent-care service.
Immunizations

Vaccines, shot records and what to bring

Onslow County’s Vaccine Clinic provides routine childhood vaccines, many adult vaccines and selected travel vaccines. The department records administered vaccines in the North Carolina Immunization Registry, which helps participating providers and schools access statewide immunization information.

Children

The Vaccines for Children program provides state-funded vaccines for qualifying children ages 0 through 18. Bring the child’s shot record, insurance information if insured and the requested identifying information.

Adults

Available services include vaccines such as influenza, Tdap/Td, shingles, pneumonia, hepatitis combinations and other recommended vaccines depending on supply and eligibility.

Travel vaccines

The county currently lists travel options including yellow fever, typhoid and Japanese encephalitis. Availability should be confirmed before relying on the list.

Appointments: Encouraged, although the county says walk-ins are welcome.
Phone: Use 910-347-2154 to schedule or verify vaccine availability.
Adult documents: Bring photo ID, insurance card if insured and existing shot record.
School deadline: Call early during back-to-school season instead of assuming same-day capacity.
Official immunization page Current vaccine services, insurance information and appointment guidance.
Open vaccine information
Childhood vaccines School-age vaccine and VFC guidance.
Open childhood vaccine page
Call Vaccine Clinic Confirm supply, eligibility, appointment availability and documents.
Call 910-347-2154
WIC

Onslow County WIC offices, phone and eligibility basics

WIC provides eligible pregnant, breastfeeding and postpartum women, infants and children under age five with healthy foods, nutrition counseling, breastfeeding support and referrals to health and community services.

WIC location Address Phone Hours
Onslow County Health Department WIC 612 College Street, Jacksonville, NC 28540 910-347-5002 Monday-Friday, 8 AM-5 PM
Tarawa Terrace WIC Office 2455 Iwo Jima Boulevard, Tarawa Terrace, NC 28543 910-347-5002 Monday-Friday, 8 AM-5 PM
Who may qualify?

Pregnant, breastfeeding or postpartum women, infants and children under five who meet program requirements.

Automatic income eligibility

The county says applicants already receiving Medicaid, TANF or Food and Nutrition Services are automatically income-eligible for WIC.

Breastfeeding support

Call 910-347-5002 and choose option 2 for the WIC breastfeeding-support warm line.

Fall 2026 Breastfeeding 101 dates The current county WIC page lists public Breastfeeding 101 sessions at 612 College Street on October 14, November 18 and December 9, 2026, from 9 AM-11 AM, with no registration required. Recheck the WIC page before attending in case the schedule changes.
WIC program page Eligibility, offices, breastfeeding information and program resources.
Open official WIC page
Call WIC Appointment, eligibility and clinic-location questions.
Call 910-347-5002
Tarawa Terrace Confirm which WIC office is best for your appointment before driving.
View county directory
Records

Medical records are different from birth and death certificates

Onslow County has several record systems. The easiest mistake is asking the Health Department for a certified vital record or asking the Register of Deeds for a clinic chart.

OCHD medical records

Use the Health Department medical-record request process for records created by OCHD programs such as immunizations, family planning, maternity, STI, TB or child-health care.

Birth, death & marriage certificates

Use the Onslow County Register of Deeds, located at 602 Anne Street in Jacksonville, phone 910-347-3451.

Environmental records

Environmental Health public-record requests use the county records process rather than the clinical medical-record workflow.

Requesting your OCHD medical record

The patient right-of-access form currently linked by the county lists medical-record fax 910-347-0728 and email ochd-medicalrecords@onslowcountync.gov. The form allows delivery by mail, email, fax, patient portal or in-person pickup where applicable and says processing may take up to 30 days.

Privacy reminder Medical-record requests involve protected health information. Use only the county’s official form and contact details. Do not send medical records or IDs to Department-of-Health.org.

Patient Portal

The Onslow County patient portal is for patients age 18 or older. The county says staff begin registration during an office visit and a signed consent form is required before access is activated. Portal features include test results, billing statements, demographics, listed allergies and medications.

Patient Portal instructions Registration requirements and official login routing.
Open portal instructions
Vital Records Register of Deeds route for certified birth, death and marriage records.
Open Vital Records
Environmental records Official county route for Environmental Health public-record requests.
Open records instructions
Environmental Health

Septic, wells, restaurants, lodging and environmental permits

Environmental Health works from 234 NW Corridor Boulevard, Jacksonville, NC 28540, not the College Street clinic. The main number is 910-938-5851, and regular hours are Monday-Friday, 8 AM-5 PM.

Onsite wastewater

Soil evaluations, new septic systems, existing systems, repair permits and onsite wastewater approvals.

Private wells

Well applications and environmental-health requirements for regulated private drinking-water wells.

Food & lodging

Restaurants, food-service establishments, temporary food operations, lodging, institutions and related sanitation inspections.

Child-care sanitation

Environmental Health Specialists inspect sanitation conditions at regulated child-care facilities.

Tattoos

Application and environmental-health inspection requirements apply to regulated tattoo operations.

Inspection scores

Use the county’s “What’s the Grade?” system to search current restaurant and lodging inspection information.

Current payment detail Onslow County’s current Environmental Health fee page states that credit-card payments carry a 3.75% processing fee. Check the FY 2026-2027 fee schedule before submitting a permit application.

Open Environmental Health

Septic & onsite wastewater

How the Onslow County septic permit process works

For undeveloped land or a project that changes the permitted septic capacity, Onslow County uses a three-stage permitting process. The practical sequence is important because later construction approval depends on the earlier environmental review.

Apply for the soil evaluation

Submit the onsite wastewater application and property map or site plan. If someone other than the owner applies, owner authorization is required.

Prepare and mark the lot

Show the proposed structure, driveway, water supply and septic area, and make property corners identifiable in the field so the evaluator can complete the site visit.

Improvement Permit

If the site is suitable, the first permit identifies the approved septic-system type and permitted bedroom capacity.

Construction Authorization

The second stage authorizes installation and is needed before the septic system can be installed and before certain building-permit steps move forward.

Operation Permit

The final permit is issued after installation inspections have been completed and the system has been approved.

Failing septic system

Do not repair a failing system before obtaining the required Health Department repair permit. The current county repair page says there is no fee for that repair-permit service at this time.

Existing system + addition

If bedrooms are not increasing and the addition will not encroach on the septic system or well, an Existing System Authorization may be the correct route. The current county page lists a $150 application fee.

More bedrooms or relocation

An increase in bedroom count or a system relocation will generally require an Improvement Permit and Construction Authorization. Confirm with Environmental Health before designing the project.

Delay prevention The current onsite-wastewater application warns that an unprepared lot can be returned to inactive status. Property corners and site preparation matter; a revisit can trigger an additional fee and reset the application’s place in the evaluation pool.
Food & inspections

Restaurant permits, food inspections and temporary events

Food-service establishments that prepare or serve food to the public for payment must obtain the applicable Environmental Health permit before operating. Onslow County also inspects permitted establishments and posts sanitation grades.

New food business

Contact Environmental Health before opening. Depending on the operation, plan review, an application and pre-opening compliance steps may apply.

Temporary event

Temporary food vendors use a separate application. Filing deadlines and fees can change, so use the current form linked by Environmental Health rather than an old downloaded copy.

Inspection score

Onslow County provides an interactive “What’s the Grade?” lookup for newer restaurant and lodging inspection records.

Grade cards North Carolina food establishment inspections use posted sanitation grades. Onslow County explains the familiar A, B and C grading system and requires the grade card to remain readily visible at the establishment.

Open food-service permit guidance

Fees & insurance

Sliding fees, insurance and paying an OCHD bill

Certain Health Department clinical services use a sliding fee scale. Staff determine the charge using household income and household size, so patients should bring proof of income when requested.

30-day income window

The current billing page says clients have 30 days to provide proof of income. If it is not received, the client is billed at 100% of the applicable charge.

No automatic refusal

The county states that a client is not refused services simply because income documentation is unavailable when presenting for care.

Insurance

The current list includes Blue Cross Blue Shield, Medicaid/PHPs, Aetna, Cigna, Tricare, United Healthcare/UMR, MedCost and limited Medicare Part B coverage.

The Health Department accepts cash, checks and major credit cards for medical bills. For phone payment or billing questions, call 910-347-2154 and ask for billing.

Do not assume every service uses the same fee method Clinical sliding-scale charges, vaccine funding, TB screening, WIC, Environmental Health permit fees and credit-card processing fees are separate systems. Confirm the current charge for the exact service.
After hours

After-hours public health and Environmental Health reporting

For an immediate medical emergency or life-threatening situation, call 911. The routine Health Department appointment line is not emergency medical care.

Reportable disease after hours

Healthcare providers needing to report a reportable disease after normal hours are directed to call Onslow Memorial Hospital at 910-577-2345 and ask the operator for the Onslow County Health Department 24/7 call-down list.

Permitted-facility incident

The county’s reporting page directs operators of permitted food, lodging, pool, child-care and institution facilities to 910-455-0122 after hours for incidents such as fire, utility outage, pool accident or sewage backup.

General EH directory

The current Environmental Health staff directory separately labels 910-548-3765 as an “After Hours Emergency Phone.” During business hours, call 910-938-5851 if you are unsure which after-hours route applies.

Why two Environmental Health numbers? The county publishes one number for specific permitted-facility incidents and another general Environmental Health after-hours directory number. Use the instructions for your exact situation rather than treating the numbers as interchangeable.
Before you go

What to bring before visiting in Jacksonville

Clinic visit: Photo ID, insurance information, requested forms and medication or health information relevant to the appointment.
Child health: Child’s shot record, Social Security number, insurance information and proof of household income.
Vaccines: Existing shot record and school, work or travel paperwork if applicable.
WIC: Ask the WIC office which identification, residency and eligibility documents apply to your household.
Medical records: Use the signed county request form and photo identification as directed.
Septic: Property address, accurate property map, marked property corners, proposed site layout and owner authorization if applicable.
Food permit: Business name, site address, operation type, plans and current application form.
Environmental complaint: Exact location, dates, establishment or property name and a factual description of the problem.
FAQs

Onslow County Health Department FAQs

What is the Onslow County Health Department phone number?

The main Health Department phone number is 910-347-2154. WIC uses 910-347-5002, and Environmental Health uses 910-938-5851.

Where is the Onslow County Health Department?

The main Health Department clinic is at 612 College Street, Jacksonville, NC 28540. Environmental Health is separately located at 234 NW Corridor Boulevard, Jacksonville, NC 28540.

What are the Onslow County Health Department hours?

The main Health Department and Environmental Health currently list Monday through Friday, 8 AM-5 PM, with weekends and county holidays closed. Program schedules may be narrower, so confirm before visiting.

Does Onslow County Health Department accept walk-ins?

It depends on the program. The Vaccine Clinic says appointments are encouraged but walk-ins are welcome, and the STI Clinic accepts walk-ins based on availability. Call 910-347-2154 for the service you need before relying on walk-in capacity.

What is the Onslow County WIC phone number?

Call 910-347-5002. WIC locations include 612 College Street in Jacksonville and 2455 Iwo Jima Boulevard in Tarawa Terrace.

Where do I get an Onslow County birth or death certificate?

Use the Onslow County Register of Deeds rather than the Health Department medical-record desk. The Register of Deeds is at 602 Anne Street in Jacksonville and can be reached at 910-347-3451.

How do I request my Onslow County Health Department medical record?

Use the county’s patient health-information request form. The currently linked form lists medical-record email ochd-medicalrecords@onslowcountync.gov and fax 910-347-0728 and says a request may take up to 30 days to process.

Who handles septic permits in Onslow County?

Onslow County Environmental Health handles septic and onsite wastewater permits. The office is at 234 NW Corridor Boulevard in Jacksonville and the main number is 910-938-5851.

Who handles restaurant permits and inspection scores?

Environmental Health handles food-service establishment permits and sanitation inspections. Use 910-938-5851 and the county’s “What’s the Grade?” inspection lookup for current scores.

What should I do with an urgent public health problem after hours?

Call 911 for immediate medical emergencies. Healthcare providers making after-hours reportable-disease reports should follow the county’s official public-health reporting instructions. Operators of permitted Environmental Health facilities should use the incident-specific after-hours number shown on that official reporting page.

Independent information notice: Department-of-Health.org is not Onslow County Government, Onslow County Health Department, Environmental Health, WIC, the Register of Deeds, Onslow Memorial Hospital or a healthcare provider. This page is an independent navigation guide and does not provide medical diagnosis, emergency care, permit approval, records processing or WIC eligibility decisions. Do not send medical records, identification documents, permit applications or payment information to this website. Use the official Onslow County channels above for services and applications.