CLINICAL SERVICES

The Division of Public Health supports a variety of services that are provided by a network of local non-profit organizations and governmental agencies throughout Marin County.

California Children's Services (CCS) Program

The CCS program provides diagnostic and treatment services, medical case management, and physical and occupational therapy services to children under age 21 with CCS-eligible medical conditions. Program staff can be reached at 899 Northgate Drive, Suite 415, San Rafael, 499-6877.

Child Health Disability Prevention (CHDP)

The Child Health and Disability Prevention (CHDP) program provides complete health assessments for the early detection and prevention of disease and disabilities in children and youth. Health Care Program for Children in Foster Care (HCPCFC) is funded through CHDP and provides comprehensive health care, and documentation for youth placed in foster care system. Program staff can be reached at 899 Northgate Drive, San Rafael, 499-7397.

Dental Services

The Dental Clinic provides complete restorative treatment under the scope of general practice. Treatment needing a specialist may be referred out to community providers. Eligible patients are county program recipients, and others who are qualified for such services. Program staff can be reached at 411 4th Street, San Rafael, 473-5450.

Detention Medical Services

Detention Medical Services provides medical and mental health services to people incarcerated in the County's Adult (13 Peter Behr Drive, San Rafael, 499-6291) and Juvenile Detention (16 Jeanette Prandi Way, San Rafael, 499-6719) facilities. It also provides support services for clients of the Helen Vine Detoxification Center (472-4964). Detention Health Services Manger may be reached at 499-7532.

HIV/AIDS Services Program & Specialty Clinic

The County of Marin HIV/AIDS Services Program provides a number of services to Marin County residents with HIV and Hepatitis C.

**Effective 10/10/08, the HIV Specialty Clinic will be moving to a new location at 3260 Kerner Blvd in San Rafael. It will re-open for services on 10/16/08. Clinic hours will remain unchanged.**

Partner Counseling and Referral Services are available. Please call 473-7468 for additional information.

The Specialty Clinic is a multidisciplinary medical clinic providing primary HIV medical care, mental health, medical social work and case management services, nutritional counseling, and access to clinical trials. It also provides consultative Hepatitis C (HCV) medical care to Marin County residents. Services are available in Spanish. The Specialty Clinic is located at 3260 Kerner Blvd, San Rafael, CA 94901. Phone: 473-7377

Further information can be obtained by calling the phone numbers below:

HIV/AIDS Links

• HIV Testing Services Schedule
• HIV Testing Services Schedule (Spanish)
• Ryan White CARE Act HIV/AIDS Services in Marin
• Marin HIV/AIDS CARE Council

Public Health Laboratory Services

The Public Health Laboratory provides testing for clients of all county HHS programs, detention facilities and Marin Community Clinic. Testing is also performed for Rabies Control, and in support of county Environmental Health Services investigators The scope of services includes bacteriology, mycobacteriology, mycology, parasitology, virology, serology, water and food microbiology, as well as urinalysis, hematocrit, darkfield microscopy, and urine pregnancy testing. State of the art (Ligase Chain Reaction) is employed for chlamydia and gonorrhea testing. Herpes typing serology was recently added to the test menu. Tick identification, water microbiology testing, and pregnancy testing may be requested by the client. All other laboratory tests must be ordered by a medical provider. Laboratory phone: (415) 499-6849. Hours: Monday - Friday 8:00am to 5:00pm. After-hours laboratory emergencies: Phone the Marin County Communication Center at (415) 499-9464.

To report an animal bite, phone the Marin Humane Society at (415) 883-4621. Eligibility: Medi-Cal, MediCare, CHDP, some private insurance, and fee for service accepted.

Public Health Nursing

Public Health Nursing Services provide high risk infant follow-up, health education, senior health programs, Southeast Asian case management services, counseling and information on Sudden Infant Death Syndrome, and education and assessment on childhood lead poisoning, and communicable disease information, reporting and follow-up. For additional information please call (415) 473-6888 during normal business hours. Program staff can be reached at 899 Northgate Drive, Suite 100, San Rafael, 473-6007.

Public Health Nursing - Childhood Lead Poisoning Prevention Program

Marin County Childhood Lead Poisoning Prevention Program (CLPPP) works towards eliminating childhood lead poisoning by raising awareness of lead poisoning among residents and child caregivers, working with healthcare providers to increase screening and early detection of elevated blood lead levels, and advocating for lead-safe environment for the children of Marin. CLPPP also provides comprehensive case management services for lead-poisoned children. For further information, contact Nabil Alsoufi, at 473-3254.

Helpful Links:

• Reducing Lead Hazards When Remodeling Your Home

Public Health Nursing - Communicable Disease

Public Health Nursing provides information, reporting, investigation and follow-up of communicable diseases. To report or to obtain information on communicable or infectious diseases please call (415) 473-2623 or 473-7805. Spanish: (415)473-2623.

Public Health Nursing - Immunization

Childhood, adult and travel immunizations, and tuberculin skin tests are provided at low or no cost. Adverse reactions to immunizations should be reported by telephone call to (415) 473-6891. For additional information please call (415) 473-6888.

**Effective 10/10/08, the Immunization Clinics will be moving to a new location at 3260 Kerner Blvd in San Rafael. They will re-open for services on 10/15/08. Clinic hours will change after the move. **

Sexually Transmitted Disease (STD) Clinic

As the medical component of the STD Prevention and Control Program, the clinic provides confidential services to clients, including: testing for STD's, diagnosis, treatment, examination, counseling/case management, partner follow-up, and certain family planning services (FPACT Program). All services are provided at the Public Health Clinic and Laboratory. Appointments are not required; however, we are only able to provide services to a limited number of clients each day. We encourage you to arrive before the start of clinic. For questions regarding STD's, please contact a health counselor who can be reached by calling the STD reception line. Our clinic information:

Marin County Health Department
Clinical and Laboratory Services
920 Grand Ave (cross street: 4th Street)
San Rafael, California 94901

STD Reception line: (415) 499-6944
STD FAX Number: (415) 499-6855

** Effective 10/10/08, the STD Clinic will be moving to a new location at 3260 Kerner Blvd in San Rafael. It will re-open for services on 10/15/08. Clinic hours will remain unchanged.**

STD Clinic Registration Hours (subject to availability):

Monday, Tuesday, Wednesday	8:00 - 11:00 AM
** NOTE: Effective 6/4/2008, the Weds morning clinic will move to Weds eves and will be a male-only clinic. Registration will start at 4:30 PM **
Thursday	1:00 - 3:00 PM
Friday	9:00 - 11:00 AM

Services are free for anyone under 18 years of age. The 18 and older fee is $20.00 (re-visit fee of $15.00 if seen less than 1 month earlier). NO ONE WILL BE DENIED TREATMENT because of inability to pay. Testing includes: Chlamydia, gonorrhea, syphllis, herpes culture (if sores are present) and HIV (optional). A genital examination will be performed to check for genital warts (HPV), rash, or other STD-related lesions, to assess and evaluate symptoms described by the client. Additional testing is offered (for clients seen at the STD clinic) for a fee, including: Herpes Type II blood test ($35.00 - must be paid at the time of visit); Pap ($12.00); Urinalysis ($4.00). Note: Women who are menstruating are asked to return after menstruation is completed, but please call as needed.

Forms of payment accepted for services include: cash, personal check, credit card/debit card (Visa, MasterCard only), Medi-Cal, CMSP, Medicare/Medicaid, and Health Access Program (teal F-PACT card). Eligibility screening will be provided for those qualifying for F-PACT services at our clinic.

Helpful Links:

• Centers for Disease & Prevention (CDC)
• California STD HIV Prevention Training Center
• San Francisco City Clinic
• Planned Parenthood
• Sonoma County Public Health

Tuberculosis (TB) Clinic

As the clinical component of the Tuberculosis Prevention and Control Program, services include tuberculosis screening: evaluation, diagnosis and treatment of active cases; and preventive treatment. Directly observed therapy is provided both at the clinic site and elsewhere in Marin. TB Clinic phone: (415) 499-6867

**Effective 10/10/08, the TB Clinic will be moving to a new location at 3260 Kerner Blvd in San Rafael. It will re-open for services on 10/15/08. Clinic hours will remain unchanged.**

TB Clinic Hours (by appointment):

Eligibility: All (Medi-Cal, MediCare, Insurance, and fee for service accepted.)

Women's Health Services/Gynecology

The Gynecology/Family Planning Program of Women's Health Services provides a full range of reproductive and adolescent health services, gynecologic assessment and treatment, health outreach and counseling, and education to primarily low-income families. Program staff can be reached at the Montecito Plaza shopping center, 361 3rd Street, Suite E, San Rafael, 507-4019.

**Effective 10/24/08, Women's Health Gynecology Services will be moving to a new location at 3260 Kerner Blvd in San Rafael. They will re-open for service on 10/29/08. Clinic hours will remain unchanged.**

Women's Health Services/Maternity

The Maternity Program of Women's Health Services is a full-scope medical practice providing maternity services for low-income and high-risk women, including the provision of antenatal, intra-partum, and postpartum services. Program staff can be reached at the Montecito Plaza shopping center, 361 3rd Street, Suite E, San Rafael, 507-4030.

**Effective 10/24/08, Women's Health Maternity Services will be moving to a new location at 3260 Kerner Blvd in San Rafael. They will re-open for service on 10/29/08. Clinic hours will remain unchanged.**