Download Community Resource Guide 2008

American Liver Foundation
National Capital Chapter
Community Resource Guide
ABOUT THE AMERICAN LIVER FOUNDATION
History
The American Liver Foundation was created in 1976 by the American Association for the Study of
Liver Disease. This organization of scientists and healthcare professionals was concerned with the rising
incidence of liver disease and the lack of awareness among both the general public and the medical
community.
Mission
The American Liver Foundation (ALF) is the nation’s leading non-profit organization for promoting
liver health and disease prevention. ALF provides research, education and advocacy for those affected
by liver-related diseases, including hepatitis.
Vision
We envision a day when liver disease is seldom found, easily cured, and when liver transplants are a
thing of the past.
Organization
The ALF is a national organization fighting liver disease with twenty six chapters across the country,
each supported by their local communities and offering important programs and services tailored to the
needs of each community. We support patients, fund medical research, educate medical professionals
and inform the public about the importance of liver health.
The National Capital Area Chapter
The National Capital Area Chapter serves the greater DC area, including all of Maryland and Virginia.
We seek to EDUCATE our community about liver wellness, risk factors, disease prevention, symptom
identification and treatment. We work to ADVOCATE for programs and policies that serve those
affected by liver disease at both the local and national levels. We raise funds for RESEARCH, so that
we can improve outcomes for those affected by liver disease and prevent future infections.
You can reach us Monday-Friday at our local office:
National Capital Chapter of the American Liver Foundation
127 South Peyton Street, Suite #220
Alexandria, VA 22314
Phone: 703-535-8880
Fax 703-535-8890
www.liverfoundation.org/chapters/alfdc
Kari Bedell
Executive Director
[email protected]
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TABLE OF CONTENTS
YOUR LIVER AND LIVER HEALTH...................................................................................................................................4
WHAT YOUR LIVER DOES .........................................................................................................................................................4
CARING FOR YOUR LIVER .........................................................................................................................................................4
LIVER DISEASE.......................................................................................................................................................................5
SYMPTOMS OF LIVER DISEASE..................................................................................................................................................5
MEDICAL TERMS TO KNOW ......................................................................................................................................................5
OVERVIEW OF SOME OF THE MORE COMMON LIVER DISEASES .................................................................................................6
TREATMENT FOR LIVER DISEASE...................................................................................................................................9
HOW TO CHOOSE A DOCTOR .....................................................................................................................................................9
IMPORTANT QUESTIONS TO ASK AT YOUR DOCTOR’S APPOINTMENT ........................................................................................9
HEPATITIS TESTING ................................................................................................................................................................10
HEPATITIS A AND B VACCINATIONS ......................................................................................................................................10
TRANSPLANTS .......................................................................................................................................................................11
Transplant Resources.......................................................................................................................................................12
TREATMENT/PRESCRIPTION ASSISTANCE AND OTHER RESOURCES ..............................................................14
HEPATITIS TREATMENT ASSISTANCE FOR THE UNINSURED ...................................................................................................14
MISCELLANEOUS PRESCRIPTION ASSISTANCE .......................................................................................................................15
OTHER RESOURCES FOR PATIENTS AND FAMILIES .................................................................................................................15
Out-of-Pocket Cost Assistance .........................................................................................................................................15
Caregiver Resources and Support....................................................................................................................................16
Patient Air Transportation ...............................................................................................................................................16
Other Resources ...............................................................................................................................................................17
LOCAL SUPPORT GROUPS FOR PEOPLE WITH LIVER DISEASE..........................................................................18
MARYLAND ...........................................................................................................................................................................18
VIRGINIA ...............................................................................................................................................................................19
LINKS TO OTHER ORGANIZATIONS’ WEBSITES.......................................................................................................20
LOCAL HEALTH SERVICES ..............................................................................................................................................22
DISTRICT OF COLUMBIA.................................................................................................................................................22
DC Hepatitis testing and vaccinations sites and low-income health services..................................................................22
MARYLAND .......................................................................................................................................................................25
MD Health Information....................................................................................................................................................25
MD Hepatitis Testing and Vaccination Sites / MD Health Departments .........................................................................25
Baltimore City Resources.................................................................................................................................................31
VIRGINIA ............................................................................................................................................................................34
VA Free Clinics ................................................................................................................................................................34
VA Health Districts/Departments.....................................................................................................................................36
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YOUR LIVER AND LIVER HEALTH
What your liver does
Your liver has many functions. The most important are that it:
• Converts food into nutrients
• Detoxifies substances that are harmful to the body
• Processes everything we eat, breathe and absorb through our skin
• Stores vitamins, minerals and sugars
Caring for your liver
There are Action Steps you can take to keep your liver healthy. Remember your ABCs and contact us
for more information about activities that can put you at risk for specific liver diseases.
“A” — Avoid Hepatitis and Liver Disease
Certain behaviors put you at risk for getting infected with a potentially serious liver disease. There are
many causes of liver disease, including: heredity, reaction to drugs and chemicals and viruses.
“B”— Be Careful of What Gets Into Your Body
Everything that you eat, drink, and breathe gets filtered by your liver. Even paint or chemicals absorbed
through your skin gets filtered by your liver.
“C”— Consult Your Doctor
Your doctor should be your partner in liver health. Ask your doctor about your liver enzymes, if you
have any risk factors for liver disease, and about the vaccine for hepatitis A and B. If you do have a liver
disease, there are specialists that you can be referred to and there are treatments available.
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LIVER DISEASE
Symptoms of liver disease
Although many people with liver diseases or disorders often have no symptoms, some warning signs can
include:
• Yellow discoloration of the skin or eyes
• Abdominal swelling or severe abdominal pain
• Prolonged itching of the skin
• Very dark urine or pale stools; or the passage of bloody or tar-like stools
• Chronic fatigue, nausea or loss of appetite
Medical terms to know
Ablation
Some liver tumors can be destroyed by processes called ablation. Radio frequency
ablation kills liver tumors by heating them to high temperatures with microwave probes.
Another ablation technique destroys tumors by injecting them with ethanol, a form of
alcohol.
Ascites
Fluid in the abdomen.
Bacteremia
The presence of bacteria in the bloodstream.
Chemotherapy Although chemotherapy cannot cure liver cancer, a new technique called transarterial
chemoembolization may help prolong life for liver cancer patients. In this procedure,
chemotherapy drugs are injected into the blood vessels that feed the tumors. This delivers
a high dose of chemotherapy to the tumor while decreasing the flow of blood that feeds
the tumor.
Cholangitis
Inflammation of the bile ducts.
Cholestasis
This is a condition where bile cannot correctly flow from your liver into your small
intestine.
Cirrhosis
Cirrhosis of the liver is scarring and hardening of the liver. The scar tissue blocks blood
flow to the liver and prevents it from working properly.
Cryosurgery (cryotherapy) This is the use of extreme cold produced by liquid nitrogen (or argon gas)
to destroy abnormal tissue.
CT Scan and MRIs These are more comprehensive methods of imaging your liver.
Fibrosis
If left untreated, the inflamed liver will start to scar. As excess scar tissue grows, it
replaces healthy liver tissue. This process is called fibrosis.
Hepatitis
Inflammation of the liver. Hepatitis can be caused by a virus, alcohol/drug abuse, or
metabolic causes.
Jaundice
A yellowing of body tissues, including the skin and the white of the eyes. It is caused by
increased formation of bilirubin or by problems excreting excess bilirubin from the body.
Liver biopsy Liver biopsy is a medical procedure in which a doctor where a small sample of liver
tissue is removed with a needle and then examined to determine the extent of liver
damage.
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Liver function tests Usually when people talk about liver enzymes, they mean AST (alanine
aminotransferase) and ALT (aspartate aminotransferase). A Liver Panel can also include
other tests like bilirubin and alkaline phosphatase. Normal AST and ALT levels can vary,
so it is important to discuss your individual results with your doctor.
You can also find some helpful information about understanding lab results at the US
Department of Veteran’s Affairs website:
http://www.hepatitis.va.gov/vahep?page=diag-tests-00
Radiation therapy In some cases of liver cancer, doctors may try to reduce the size or slow the
growth of liver cancer with radiation, or high-energy x-rays. Traditional radiation therapy
also destroys healthy liver tissue, so doctors are experimenting with new techniques that
deliver the radiation with higher precision.
Sepsis
A severe illness caused by overwhelming infection of the bloodstream by toxinproducing bacteria. Symptoms may include fever, chills, malaise (generally feeling
"rotten"), low blood pressure, and mental status changes. Sepsis can be life-threatening,
requiring urgent care. Treatment depends on the type of infection, but usually begins with
antibiotics or similar medications. Also known as blood poisoning, septicemia.
Sonogram
This is a cheap and fast method used to detect masses on the liver. It’s not always
definitive, so you may need more tests.
Surgical Resection In cases where liver cancer has been found early and the liver is otherwise
healthy, or has only early-stage cirrhosis, doctors will remove the portion of the liver
where the tumor is located, a process called surgical resection
Overview of some of the more common liver diseases
Alagille Syndrome Alagille syndrome is an inherited disorder that closely resembles other forms of
liver disease seen in infants and young children. However, a group of unusual features affecting
other organs distinguishes Alagille syndrome from the other liver and biliary diseases of infants.
Children with Alagille syndrome usually suffer a progressive loss of the bile ducts within the
liver over the first year of life and narrowing of bile ducts outside the liver. This leads to a
buildup of bile in the liver, causing damage to liver cells. Scarring may occur and lead to
cirrhosis in about 30 to 50 percent of affected children.
Alcohol Induced Liver Disease
There are three kinds of liver disease related to alcohol consumption:
Fatty liver is a type of alcohol-induced liver disease. It is marked by a build-up of fat cells in the
liver. Usually there are no symptoms, although the liver may be enlarged and you may
experience discomfort in your upper abdomen. Fatty liver occurs in almost all people who drink
heavily. The condition will improve after you stop drinking.
Alcoholic hepatitis is an inflammation of the liver. Up to 35 percent of heavy drinkers develop
alcoholic hepatitis. In its mild form, alcoholic hepatitis can last for years and will cause
progressive liver damage. The damage may be reversible if you stop drinking. In its severe
form, the disease may occur suddenly, after binge drinking, and it can quickly lead to life
threatening complications.
Alcoholic cirrhosis is the most serious type of alcohol-induced liver disease. Cirrhosis refers to
the replacement of normal liver tissue with scar tissue. Between 10 and 20 percent of heavy
drinkers develop cirrhosis, usually after 10 or more years of drinking. The damage from cirrhosis
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is not reversible, and it is a life-threatening disease. Your condition may stabilize if you stop
drinking.
Autoimmune Hepatitis Autoimmune hepatitis is a potentially life-threatening disease in which the
body’s own immune system attacks the liver and causes it to become inflamed. The disease is
chronic and 70% of those affected are women, usually between 15-40 years old. If untreated, it
can lead to cirrhosis and liver failure. In most cases, autoimmune hepatitis can be controlled with
medication but not cured.
Biliary Atresia Biliary atresia is a disease of the bile ducts that affects only infants. In biliary atresia,
the bile ducts become inflamed and blocked soon after birth. This causes bile to remain in the
liver, where it starts to destroy liver cells rapidly and cause cirrhosis, or scarring of the liver. The
cause of this disease is not known and there is no cure for biliary atresia. The only treatment is a
surgical procedure in which the blocked bile ducts outside the liver are replaced with a length of
the baby’s own intestine, which acts as a new duct. This surgery is called the Kasai procedure. If
the Kasai procedure is not successful, the only other option is a liver transplant.
Fatty Liver Disease Fatty liver is just what its name suggests: the build-up of excess fat in the liver
cells. If fat accounts for more than 10% of your liver’s weight, then you have fatty liver and you
may develop more serious complications. Fatty liver may cause no damage, but sometimes the
excess fat leads to inflammation of the liver. This condition, called steatohepatitis, does cause
liver damage. Sometimes, inflammation from a fatty liver is linked to alcohol abuse; this is
known as alcoholic steatohepatitis. Otherwise the condition is called nonalcoholic steatohepatitis,
or NASH. An inflamed liver may become scarred and hardened over time. This condition, called
cirrhosis, is serious and often leads to liver failure. NASH is one of the top three leading causes
of cirrhosis.
Hemochromatosis Hemochromatosis is one of the most common genetic disorders in the United
States. It is an inherited condition in which the body absorbs and stores too much iron. The extra
iron builds up in several organs, especially the liver, and can cause serious damage. Without
treatment, the disease can cause these organs to fail. Treatment for hemochromatosis involves
ridding the body of excess iron through periodic phlebotomy (removal of blood).
Hepatitis A Hepatitis A is a viral infection of the liver caused by the hepatitis A virus, or HAV. It is
not a long lasting or chronic infection, and nearly all people recover from hepatitis A within six
months without any lasting health problems. Most cases of hepatitis A are caused by consuming
food or water contaminated with fecal matter that contains the virus. Hepatitis A is vaccine
preventable.
Hepatitis B Hepatitis B is a disease of the liver that is caused by the hepatitis B virus, or HBV. Most
hepatitis B infections are short-term, or acute, and do not cause lasting health problems, but in
5% of adult cases hepatitis B becomes a long-term (chronic) condition. Chronic hepatitis B can
lead to more serious liver diseases, including cirrhosis, liver failure and liver cancer. Hepatitis B
is vaccine preventable.
Hepatitis C Hepatitis C is a disease of the liver that is caused by the hepatitis C virus, or HCV.
Between 60 and 85 percent of patients cannot get rid of the virus in its acute stage and develop a
long-term, or chronic, hepatitis C infection. Chronic hepatitis C is a serious condition that
damages the liver and can lead to potentially fatal liver diseases such as cirrhosis, liver failure
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and liver cancer. One of the most common reasons for liver transplants is damage caused by
hepatitis C infection. There is no vaccine to prevent hepatitis C, but many people can be treated
successfully with antiviral medications.
Liver Cancer Liver cancer refers to the growth of malignant tumors in liver tissue. Cancer that starts
in the liver is called primary liver cancer. Cancer that spreads to the liver from another organ is
called metastatic liver cancer. Often there are no symptoms of liver cancer until the later stages.
This is why early detection is difficult. Liver cancer is treated in a variety of ways, such as
cryosurgery, surgical resection, ablation and chemotherapy. For some patients, transplant may be
an option.
Primary Biliary Cirrhosis Primary biliary cirrhosis, or PBC, is a chronic, or long-term, disease of
the liver that slowly destroys the medium-sized bile ducts within the liver by inflammation. This
causes bile to remain in the liver, where gradual injury damages liver cells and causes cirrhosis,
or scarring of the liver. As cirrhosis progresses and the amount of scar tissue in the liver
increases, the liver loses its ability to function.
Primary Schlerosing Cholangitis Primary sclerosing cholangitis (PSC) is a chronic, or long-term,
disease that slowly damages the bile ducts inside and outside the liver. This causes bile to
accumulate in the liver, where it gradually damages liver cells and causes cirrhosis, or scarring of
the liver. As cirrhosis progresses and the amount of scar tissue in the liver increases, the liver
slowly loses its ability to function. Many people with PSC will ultimately need a liver
transplant, typically about 10 years after being diagnosed with the disease. PSC may also lead to
bile duct cancer.
Reye Syndrome Reye syndrome is a rare illness that affects all bodily organs but is most harmful to
the brain and the liver. It occurs primarily among children who are recovering from a viral
infection, such as chicken pox or the flu. It usually develops a week after the onset of the viral
illness but can also occur a few days after onset. Liver-related complications of Reye syndrome
include fatty deposits, abnormal liver function tests, and poor blood clotting and bleeding caused
by liver failure. Reye syndrome is often misdiagnosed as encephalitis, meningitis, diabetes, drug
overdose, poisoning, sudden infant death syndrome, or psychiatric illness. There is no cure for
Reye syndrome. Successful management, which relies on early diagnosis, is aimed primarily at
protecting the brain from irreversible damage by reducing brain swelling, preventing
complications in the lungs, and anticipating cardiac arrest.
Wilson’s Disease Wilson's disease is an inherited condition that causes the body to retain excess
copper. The liver of a person who has Wilson's disease does not release copper into bile as it
should. As the copper builds up in the liver, it begins to damage the organ. If not treated,
Wilson's disease can cause severe brain damage, liver failure, and death. If detected early and
treated properly, a person with Wilson's disease can enjoy completely normal health.
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TREATMENT FOR LIVER DISEASE
How to choose a doctor
Hepatitis and other liver disease treatments are most often provided by Hepatologists (liver specialist)
and gastroenterologists. Internist and Primary care physicians also sometimes provide treatment in
consultation with a liver disease specialist.
The following hospitals in our area have hepatologists on staff:
Inova Fairfax Center for Liver Disease
http://www.inova.org/liver/index.jsp
703-208-6650
Georgetown Transplant Center and International Center for Liver Diseases
http://www.georgetownuniversityhospital.org/body.cfm?id=115
202-444-2000
Comprehensive Liver Center at the University of Maryland Medical Center
http://www.umm.edu/transplant/liver/index.htm
1-800-492-5538
The Johns Hopkins Gastroenterology & Hepatology Resource Center
www.hopkins-gi.org
410-955-4166
University of Virginia Digestive Health Center of Excellence
http://www.healthsystem.virginia.edu/internet/digestive-health/home.cfm
434-924-2959
Medical College of Virginia- Virginia Commonwealth University Health Systems
Division of Gastroenterology, Hepatology and Nutrition
http://www.intmed.vcu.edu/home/divisions/gastroenterology.html
804-828-4060
To find a hepatologist in your area, go to www.aasld.org. The American Association for the Study of
Liver Disease (AASLD) provides a patient directory to all hepatologists.
Important questions to ask at your doctor’s appointment
For those diagnosed with hepatitis:
• Do I have an acute or chronic infection?
• Do I have high or low virus level?
• Do I have mild or severe liver damage? Will I need a liver biopsy to determine the extent of liver
damage?
• What are my chances of developing cirrhosis or liver cancer?
• Do I need to have my family tested?
• What treatment is available for my disease? Should I receive treatment? How will treatment help
me? What do I need to know about my treatment?
• What are my chances of clearing the virus if I receive treatment?
• What is the chance of me developing cirrhosis or liver cancer if I do not receive treatment?
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How long will I need to be treated? When can I expect to see the results from the treatment?
How will you assess whether the treatment is working for me?
What are the potential side effects of treatment? What should I do if I have side effects? Is there
anything I can take to help the side effects go away?
If I do not need to receive treatment now, how often should I be tested?
What medicines or other substances should I avoid to protect my liver? Do I have to stop
drinking alcohol even if I only have a few beers or a glass of wine once a week?
What type of diet will help me protect my liver? Should I lose weight? How can I do so safely?
Should I take any special precautions to avoid infecting others?
For those diagnosed with any liver disease:
• Do I have mild or severe liver damage? Will I need a liver biopsy to determine the extent of liver
damage?
• What treatment is available for my disease? Should I receive treatment? How will treatment help
me? What do I need to know about my treatment?
• How long will I need to be treated? When can I expect to see the results from the treatment?
How will you assess whether the treatment is working for me?
• What are the potential side effects of treatment? What should I do if I have side effects? Is there
anything I can take to help the side effects go away?
• What medicines or other substances should I avoid in order to protect my liver? Do I have to
stop drinking alcohol even if I only have a few beers or a glass of wine once a week?
• What type of diet will help me protect my liver? Should I lose weight? How can I do so safely?
• Do I need to have my family tested?
Hepatitis testing
Viral hepatitis is the most common form of liver disease. If you find out that you have hepatitis B or C
you will need additional tests to find out if you have any liver damage and if you are eligible for
treatment. Some people have very little or no liver damage, others have some damage (called fibrosis)
and some people have much more severe liver damage (called cirrhosis).
For information about local testing sites, see the “Local Health Services” section of this guide, which
includes resources for DC, Maryland, and Virginia.
Hepatitis A and B Vaccinations
There are vaccinations available to prevent transmission of hepatitis A and hepatitis B. All children
attending public school in our area must receive a hepatitis B vaccination. (You can receive your
hepatitis A vaccination in conjunction with your hepatitis B vaccination series.) For information about
local vaccination sites, see the “Local Health Services” section of this guide, which includes resources
for DC, Maryland, and Virginia.
Vaccination is the best way to prevent hepatitis B because it gives you long term immunity. The
hepatitis B vaccine is given in three doses. The first two doses are given a month apart; the final dose is
given about six months later.
The ALF recommends hepatitis B vaccination for:
• All newborns, infants, children and teenagers
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Health care and emergency workers
Hemodialysis patients
Patients with chronic liver disease
Military personnel
Morticians and embalmers
Patients and staff at institutions for the developmentally challenged
Prison inmates
People with multiple sexual partners
Men who have sex with men
Injection drug users
Sexual partners and household members of people with hepatitis B
International travelers who expect to have close contact with residents in countries or regions
where there is a high rate of hepatitis B infection
Members of ethnic or racial groups with a high rate of hepatitis B infection (including Asian
Americans, African Americans, Latino Americans, Native Americans and Alaskan Natives)
Vaccination is the best way to prevent hepatitis A because it gives you long-term immunity. The
hepatitis A vaccine is given in two doses, usually about six months apart.
The ALF recommends hepatitis A vaccination for:
• All children age one or older
• Travelers to regions with poor sanitation or where hepatitis A is common, such as the Middle
East, South America, Eastern Europe, Central America, Africa, Southeast Asia, Mexico and the
Caribbean
• Patients with long-term liver disease or blood-clotting disorders such as hemophilia
• People who have had, or are waiting for, a liver transplant
• People who use illegal drugs
• Men who have sex with men
Transplants
A liver transplant is surgery to replace a diseased liver with a healthy liver. When a patient receives a
liver transplant, his or her entire liver is removed. It is then replaced by either a complete new liver or a
portion of a healthy liver. (Once transplanted, a piece of a healthy liver can grow into a normal-size
liver.)
In most cases, the new liver or liver tissue comes from a deceased donor. It is becoming more common,
however, for patients to receive liver tissue from a living donor, who may be a family member. In this
case, the transplant surgeon removes part of the donor's liver and uses it to replace the patient's liver.
Liver transplantation is needed for patients who are likely to die because of liver failure. Many diseases
can cause liver failure. The most common is cirrhosis, which is the scarring and death of liver cells.
Cirrhosis caused by hepatitis C is the most common reason for liver transplants.
Other conditions that may ultimately require a liver transplant include:
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Diseases of the bile ducts, including biliary atresia, primary biliary cirrhosis (PBC) and primary
sclerosing cholangitis (PSC), which can cause liver failure if there is a backup of bile in the liver.
Some inherited diseases, such as Wilson disease, in which dangerous levels of copper build up in
the body, and hemochromatosis, where the liver is overwhelmed by iron.
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Primary liver cancer or cancer that affects only the liver.
Alcoholism which can cause cirrhosis.
Who is eligible for a liver transplant?
There are many more people who need a liver transplant than there are livers available for donation.
Patients are examined by a team of specialists to determine if a liver transplant is appropriate and likely
to succeed. If so, they are placed on a national transplant waiting list. This waiting list is prioritized so
the sickest people always go to the top of the list. About 17,000 Americans are currently on a waiting
list for a liver transplant.
What is the average amount of time that patients wait for a donated liver?
The time that people spend waiting for a liver transplant varies widely. Blood type, body size, severity
of illness and availability of donor organs all affect waiting time. Some people who develop sudden and
complete liver failure from an acute illness may only have to wait a few days for a transplant. Other
people, whose condition is less severe, may stay on the waiting list for many months.
What happens during transplant surgery?
Liver transplant surgery takes between six and 12 hours. During the operation, doctors remove the
diseased liver and replace it with the donated liver. Most patients stay in the hospital for up to three
weeks after surgery.
What are the side effects of a liver transplant?
The most common side effects are caused by the drugs that treat or prevent rejection. These side effects
can include fluid retention, raised blood pressure, headaches, diarrhea and nausea. The severity of these
side effects varies among patients.
What lifestyle changes are associated with liver transplants?
Most patients can return to a normal or near-normal lifestyle six months to a year after a successful liver
transplant. When practical, transplant recipients should avoid exposure to people with infections.
Maintaining a balanced diet, getting regular exercise and staying on prescribed medications are all
important ways to stay healthy.
What is the outlook for liver transplant patients?
The outlook for patients is often expressed as a five-year survival rate. This refers to the percentage of
liver transplant patients who are still alive five years after their transplant. The five-year survival rate for
liver transplant patients is about 75 percent. Patients who receive livers from living donors have a
slightly higher survival rate than patients whose livers came from deceased donors.
To learn about the American Liver Foundation’s Transplant Fund, go to:
www.liverfoundation.org/transplant
Transplant Resources
Carolina Donor Services www.carolinadonorservices.org
Serves:
• Virginia Counties: Pittsylvania and Danville
(252) 757 - 0090
Life Net http://www.lifenet.org/
(757) 464 - 4761
Serves:
• Virginia counties: Accomack, Albemarle, Alleghany, Amelia, Amherst, Appomattox, Augusta,
Bath, Bedford, Bland, Botetourt, Brunswick, Buckingham, Campbell, Caroline, Carroll, Charles
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City, Charlotte, Chesterfield, Craig, Cumberland, Dinwiddie, Essex, Floyd, Fluvanna, Franklin,
Frederick, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hanover,
Henrico, Henry, Highland, Isle of Wight, James City, King and Queen, King William, Lancaster,
Louisa, Lunenburg, Madison, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New
Kent, Northampton, Northumberland, Nottoway, Orange, Page, Patrick, Powhatan, Prince
Edward, Prince George, Pulaski, Rappahannock, Richmond, Roanoke, Rockbridge, Rockingham,
Shenandoah, Southampton, Surry, Sussex, Tazewell, Westmoreland, Wythe, and York
•
Virginia Cities: Bedford, Buena Vista, Charlottesville, Chesapeake, Clifton Forge, Colonial
Heights, Covington, Emporia, Franklin, Galax, Hampton, Harrisonburg, Hopewell, Lexington,
Lynchburg, Martinsville, Newport News, Norfolk, Petersburg, Poquoson, Portsmouth, Radford,
Richmond, Roanoke, Salem, Staunton, Suffolk, Virginia Beach, Waynesboro, Williamsburg and
Winchester
Living Legacy Foundation of Maryland www.thellf.org (410) 242 - 7000
Serves:
• Maryland Counties: Allegany, Anne Arundel, Baltimore, Caroline, Carroll, Dorchester, Garrett,
Harford, Howard, Kent, Queen Anne's, St. Mary's, Somerset, Talbot, Washington, Wicomico,
Worchester
• Maryland Cities: Baltimore
Transplant Centers in Living Legacy Foundation’s Service Area: Johns Hopkins University Hospital
Tennessee Donor Services http://www.donatelifetn.org/ (615) 234 – 5251
Serves:
• Virginia Counties: Buchanan, Dickenson, Lee, Russell, Scott, Smyth, Washington, and Wise
• Virginia Cities: Bristol and Norton
United Network for Organ Sharing www.unos.org
Dedicated to the patients waiting and the donor families who have shared the gift of life.
Washington Regional Transplant Community www.wrtc.org
(703) 641 – 0100
Serves:
• Washington, DC
• Maryland Counties: Calvert, Charles, Frederick, Montgomery, and Prince George's Counties
• Virginia Counties: Arlington, Clarke, Culpeper, Fairfax, Fauquier, King George, Loudoun,
Prince William, Spotsylvania, Stafford, and Warren
• Virginia Cities: Alexandria, Fairfax, Falls Church, Fredericksburg, Manassas and Manassas
Park
• West Virginia Counties: Berkeley and Jefferson Counties
Transplant Centers in Washington Regional Transplant Community’s Service Area: Georgetown
University Medical Center, University of Maryland Medical Center
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TREATMENT/PRESCRIPTION ASSISTANCE AND OTHER
RESOURCES
Hepatitis Treatment Assistance for the Uninsured
The cost of hepatitis B and C treatment can be expensive. If you are insured, some health insurance
companies do cover the cost of the recommended treatments. If you are uninsured or underinsured there
are programs available to help with the cost of hepatitis antiviral drug treatment.
The Frederick County Hepatitis Clinic, Inc. In this area, we are fortunate to have one dedicated
hepatitis clinic. The clinic offers hepatitis testing and treatment for qualifying individuals.
Patients are asked to make a $20 co-pay per visit. You do not need to be a resident of Maryland.
350 Montevue Lane
Frederick, MD 21702
301-631-3343
Partnership for Prescription Assistance A network with 475 prescription plans in the United States.
These programs offer discounted (and sometimes free) medications to qualified, enrolled
participants.
1-888-4-PPA NOW
https://www.pparx.org/Intro.php
Together Rx Access Provides a 25% to 40% discount on the price of medication offered by the plan.
1-800-444-4106
www.togtherrxaccess.com
RX Assist A directory of pharmaceutical company patient assistance programs.
http://www.rxassist.org/
Schering Corporation
1-888-437-2608
www.beincharge.com
Roche Laboratories
1-877-PEGASYS (734-2797)
www.pegasys.com
Gilead Sciences
1-800-226-2056
http://www.gileadhiv.com/500PatientAssistance.aspx
Novartis
1-800-277-2254
http://www.pharma.us.novartis.com/about-us/our-patient-caregiver-resources/pap-enrollment.jsp
Bristol Myers Squibb
1-888-281-8981
http://www.bms.com/static/patient_assistance/data/programs.html
Clinical Trials Clinical trials can be a way to access prescription medicines if you cannot afford them.
www.clinialtrials.gov – Provides lists by city and state for every clinical trial in the country.
www.centerwatch.com – A clinical trial listing service of industry- and government-sponsored
trials, including recently FDA-approved drug therapies.
14
Miscellaneous Prescription Assistance
The Pharmaceutical Research and Manufacturers of America This organization includes 48 drug
companies that have assistance programs offering medications for free - or for reduced prices - to
people who cannot afford to pay full price. Each company has different rules about who gets
help, but the programs really work.
1-800-762-4636 for free directory
http://www.helpingpatients.org
U.S. Department of Veterans Affairs Eligible veterans can get prescriptions filled for just $7 per
month per drug through the VA. Purple Heart awardees, former POWs, and disabled vets receive
highest priority. Other new enrollees must meet a means test that varies according to the
veteran's state and county of residence. The veteran must be seen by a VA doctor.
1-877-222-VETS
http://www1.va.gov/health_benefits
Help for Uninsured Children Families who need help paying for their children's prescriptions
should look into their state's Children's Health Insurance Program. Children who don’t have
other health insurance and whose families' incomes are less than 300 percent of the federal
poverty level may be eligible.
1-877-KIDS-NOW
http://www.insurekidsnow.gov
Indigent Prescription Programs This site contains a list of names and telephone numbers of
prescription drug companies that have indigent programs in place.
www.edhayes.com/indigent.html
NeedyMeds Contact information for patient assistance programs which can be accessed by drug or
program name. Also includes Medicaid links, Federal Poverty Guidelines, pharmaceutical
discount card comparisons and news articles.
www.needymeds.com
Other Resources for Patients and Families
Out-of-Pocket Cost Assistance
The HealthWell Foundation® is a 501(c)(3) non-profit organization established in 2003 to address the
needs of individuals who cannot afford their insurance copayments, premiums, coinsurance, or
other out-of-pocket health care costs.
http://www.healthwellfoundation.org/about.aspx
The Chronic Disease Fund is an independent 501(c)(3) non-profit charitable organization that helps
underinsured patients with chronic disease, cancers or life-altering conditions obtain the
expensive medications they need
http://www.cdfund.org/
1-877-968-7233
The CancerCare Co-Payment Assistance Foundation is a not-for-profit organization established in
2007 to address the needs of individuals who cannot afford their insurance co-payments to cover
the cost of medications for treating cancer.
http://www.cancercarecopay.org/
1-866-55-COPAY
15
NORD (National Organization for Rare Diseases) works closely with humanitarian-minded
pharmaceutical and biotechnology companies to ensure that certain vital medications are
available to those individuals whose income is too high to qualify for Medicaid but too low to
pay for their prescribed medications.
http://www.rarediseases.org/programs/medication
The Patient Access Network Foundation is an independent, non-profit 501(c)(3) organization,
unaffiliated with any of its donors, dedicated to assisting insured patients who cannot afford the
out-of-pocket costs associated with their treatment needs.
http://www.patientaccessnetwork.org/About.html
1-866-316-PANF
The Patient Advocate Foundation Co-Pay Relief Program currently provides direct financial support
to insured patients, including Medicare Part D beneficiaries, who must financially and medically
qualify to access pharmaceutical co-payment assistance.
http://www.copays.org/
1-866-512-3861
Caregiver Resources and Support
National Family Caregivers Association has a resources for caregivers page:
http://www.nfcacares.org/caregiving_resources/agencies_and_organizations.cfm
The American Red Cross has a Family Caregiving Program and a Family Caregiving reference guide
to assist caregivers: http://www.redcross.org/services/hss/care/family.html
Caregiver Emergency Respite Fund is a public charity providing emergency assistance and education
programs for family caregivers. This site contains comprehensive advice for caregivers:
http//www.caregiveremergencyrespitefund.org
317-713-2979
Patient Air Transportation
Angel Flight® Mid-Atlantic is a non-profit organization serving patients in need and their families.
They provide air transport to specialized medical facilities for evaluation, diagnosis, treatment
and rehabilitation. Serves the District of Columbia, Maryland, Virginia, and West Virginia.
http://www.angelflightmidatlantic.org/
Children’s Flight of Hope’s mission is to provide free private air transportation to and from medical
facilities for critically ill or injured children (with their families or guardians) who, due to
medical, financial, or logistical reasons, are unable to travel to their destinations by any other
mode. (To or from North Carolina.) http://www.childrensflightofhope.org/program.htm
Corporate Angel Network arranges free travel through empty seats on corporate jets for cancer
patients. http://www.corpangelnetwork.org/about/index.html
Mercy Medical Airlift’s mission is to ensure that no needy patient is denied access to distant
specialized medical evaluation, diagnosis or treatment for lack of a means of long-distance
medical air transportation; further, to ensure the provision of urgent transportation in situations
of compelling human need and homeland security emergencies. (Manassas, VA)
http://www.mercymedical.org/
16
National Patient Air Transport Helpline will provide needy kids referrals to a charitable air medical
transportation to see out of area specialist. (Virginia Beach, VA)
1-800-296-1217
The National Patient Travel Center’s mission is ". . .to ensure that no financially-needy patient is
denied access to distant specialized medical evaluation, diagnosis or treatment for lack of a
means of long-distance medical air transportation."
http://www.patienttravel.org/index.html
1-800-296-1217
Other Resources
Including emergency food, clothing, utility assistance, local transportation, etc.
United Way
Enter zip code for local directory: www.liveunited.org
Catholic Charities Find local affiliates by state:
http://www.catholiccharitiesusa.org/NetCommunity/Page.aspx?pid=292&srcid=193
Salvation Army Look up local contacts by zip code:
http://www.salvationarmyusa.org/usn/www_usn_2.nsf
17
LOCAL SUPPORT GROUPS FOR PEOPLE WITH LIVER DISEASE
Support groups can be an important resource for patients and their loved ones. Hepatitis C, in particular,
can be a difficult treatment to get through. It can help to talk and gain insight from other people going
through the same situation. We are fortunate to have a number of local support groups that can help you
as you learn about your diagnosis, contemplate treatment and lifestyle changes and to support you as
you go through treatment.
Maryland
Annapolis
Liver Health Support Group - Anne Arundel Medical Center Sajak Pavilion
2002 Medical Pkwy 2nd floor, Room 250-C Annapolis, MD 21401
Meets: 2nd Monday of every month 6:30-8:30 PM
This is a patient led support and advocacy group.
Contact Robin Lord Smith for more information: [email protected]
Frederick
Living with Hepatitis and Transplant Support Group
Frederick County Health Department /350 Montevue Lane/ Frederick, MD 21702
Meets: quarterly
Be a part of our group. We share experiences and support each other through our journey with liver
disease and transplantation.
Contact Constance for more information. 301-631-3343
Maryland PBC Support Groups
Meets: varied schedule
Our group meets occasionally for lunch or dinner to share ideas and experiences with PBC. We
welcome all interested in learning more about PBC or living and supporting those with PBC.
Contact Mitzi or Barbara for more information.
Phone: 301-320-0018 (301-871-6729)
Rockville
Hepatitis Support Group
Shady Grove Adventist Hospital/Weinshel Health Education Center (Elm, Maple, or Willow Room)
/9901 Medical Center Drive/Rockville, MD 20850
Meets: First Tuesday of Each Month at 7:00 PM
Many people who have hepatitis feel frustrated and alone. Talking to others with similar concerns is
often helpful. Please join us for our Monthly Meetings that serve as an emotional and educational
support network for people with hepatitis.
No need to RSVP- just drop in for more information.
Silver Spring
Hepatitis Support Group
Capital Gastroenterology Consultants /10801 Lockwood Drive Suite 200/Silver Spring, MD
Meets: Every 4th Saturday of the month from 11:00am to 1:00pm
All are welcome: those who suffer from hepatitis, their loved ones and friends, members of the medical
profession, and public health workers. We do request that the confidentiality of meeting-goers be
respected. There is no fee. Light refreshments are served.
18
This is a peer group, facilitated by patients and family members, although we sometimes have guest
speakers. Bring your questions and concerns, and we'll help each other. If you have a spouse, loved one,
or friend who would like to know more about hepatitis, bring them along.
Contact Becky Lorenz for more information/ 301-989-9097/ [email protected]
Virginia
Charlottesville
ALF / UVA Digestive Health Center of Excellence HCV Support Group
University of Virginia Medical Center/ East Hospital/ Digestive Diseases Conference Room
Charlottesville, VA
Meets: meeting times vary-please call for next scheduled meeting
Education and support for people living with, affected by or interested in learning more about hepatitis
C. We have frequent guest speakers with expertise to share.
Contact Call Linda to RSVP or for more information. 434- 243-2801
Richmond
ALF /Richmond Hepatitis C Support Group
Bon Secours at St. Mary's Hospital/ 5801 Bremo Rd./ Room 163/ Richmond, VA 23226
Meets: quarterly
Support and education groups for people living with or wanting more information about hepatitis C. All
are welcome. Contact Call Carol to RSVP for more information. 804-282-8980
Roanoke
Hepatitis C Support Group
Lewis-Gale Foundation /3807 Brandon Avenue Suite 1000/ Roanoke, VA 24018
Meets: Fourth Tuesday of Each Month at 7:00 PM
Join us as we work to change the way people view liver patients. We have many people who are willing
to share ideas and experiences. Guest speakers enlighten the group on many aspects related to Hepatitis
C.
Contact Judith F. Hagadorn for more information. 540-774-4022
Virginia PBC Support Groups
Our group meets to discuss nutrition, exercise and a vast array of topics related to PBC. We are open to
patients, spouses, or family members of those affected by PBC.
Contact Anne Beard for more information.
Phone: 434-724-4297
19
LINKS TO OTHER ORGANIZATIONS’ WEBSITES
Hepatitis
CDC’s Viral Hepatitis Homepage www.cdc.gov/ncidod/diseases/hepatitis/index.htm
HCV Clinical Care Options – Hepatitis wwwclinicaloptions.com
Hep C Advocate www.hcvadvocate.org
Hep C Vets www.hcvets.com
Hep C Connection www.hepc-connection.org
Hep C Alert www.hep-c-alert.org
Hepatitis A, B and C Prevention Programs www.hepprograms.org
Hepatitis B Foundation www.hepb.org
Hepatitis C Advocate Network www.hepcan.org
Hepatitis C - An Epidemic for Anyone www.epidemic.org
Hepatitis C Home Test Kits www.homeaccess.com/02/02
Hepatitis Central www.hepatitis-central.com
Hepatitis Foundation International www.hepfi.org
Hepatitis Neighborhood www.hepatitisneighborhood.com
The Hepato-site: The Center for Hepatitis Treatment & Research (University of Cincinnati)
www.hepato-site.net
HIV and Hepatitis www.hivandhepatitis.com
National Hepatitis C Coalition www.nationalhepatitis-c.org
National Institute of Health’s National Institute of Allergy and Infectious Diseases
www.niaid.nih.gov
Viral Hepatitis Prevention Board www.vhpb.org
Rare and Childhood Liver Diseases
Alagille Syndrome Alliance www.alagille.org
Alpha-1 Association www.alpha1.org
Alpha-1 Advocacy Alliance www.alpha1advocacy.org
Alpha-1 Foundation www.alphaone.org
AlphaNet www.alphanet.org
American Hemochromatosis Society www.americanhs.org
Biliary Atresia and Liver Transplant Network Inc.
www.transweb.org/people/recips/resources/support/oldbilitree.html
Biliary Atresia Research Consortium www.barcnetwork.org
Canadian Hemochromatosis Society www.cdnhemochromatosis.ca
Children's Liver Alliance (Australia) www.liverkids.org.au
Children's Liver Association for Support Services www.classkids.org
Children's Liver Disease Association www.childliverdisease.org
Cholestatic Liver Disease Consortium rarediseasesnetwork.epi.usf.edu/clic/index.htm
Genetic Alliance http://www.geneticalliance.org/
Hemochromatosis Foundation www.hemochromatosis.org
Iron Disorders Institute www.irondisorders.org
Iron Overload Diseases Association www.ironoverload.org
Liver Families www.liverfamilies.org
NIH Office of Rare Diseases http://rarediseases.info.nih.gov/
Parents of Kids with Infectious Diseases www.pkids.org
PBCers Organization www.pbcers.org
PSC Partners http://www.pscpartners.org/
20
PFIC Progressive Familial Intrahepatic Cholestasis www.pfic.org
Pulmonary Hypertension Association www.phassociation.org
Sarcoidosis Awareness Network www.sarcoidosisnetwork.info
The Magic Foundation www.magicfoundation.org
Wilson's Disease Association www.wilsonsdisease.org
Transplant
Children's Organ Transplant Association www.cota.org
Transplant Experience www.transplantexperience.com
TransWeb www.transweb.org
United Network for Organ Sharing www.unos.org
Other research, support and advocacy
Alcoholics Anonymous www.aa.org
Canadian Liver Foundation www.liver.ca
Gay Men's Health Crisis www.gmhc.org
Immunization Action Coalition www.immunize.org
Latino Organization for Liver Awareness www.lola-national.org
Liver Cancer Network www.livercancer.com
LiverDisease.com - Homepage of Dr. Melissa Palmer www.liverdisease.com
National Foundation for Infectious Diseases www.nfid.org
National Network for Immunization Information www.immunizationinfo.org
National AIDS Treatment Advocacy Project www.natap.org
Project Inform www.projectinform.org
Vaccine Information for Public and Health Professionals www.vaccineinformation.org
Professional Organizations
American Association for the Study of Liver Diseases www.aasld.org
American Association for the Study of Liver Diseases official journal www.hepatology.org
American Society for Gastrointestinal Endoscopy www.asge.org
American College of Gastroenterology www.acg.gi.org
North American Society for Pediatric Gastroenterology, Hepatology and Nutrition
www.naspgn.org
Journal of Pediatric Gastroenterology and Nutrition www.jpgn.org
American Society of Transplantation www.a-s-t.org
Journal of the American Medical Association www.jama.ama-assn.org
The Lancet Interactive independent medical journal www.thelancet.com
The New England Journal of Medicine www.nejm.org
21
LOCAL HEALTH SERVICES
DISTRICT OF COLUMBIA
DC Hepatitis testing and vaccinations sites and low-income health services
DC Department of Health
825 North Capitol Street, NE
3rd Floor
Washington, DC 20002
Phone: (202) 442-9035
www.dchealth.dc.gov
The DC Department of Health Website provides
information about the following health plans for
uninsured residents: Medicaid, DC Healthy
Families Insurance Program, Health Care Safety
Net Administration, DC State Planning Grant
DC HIV/AIDS Administration
(includes Adult Viral Hepatitis)
64 New York Avenue, NE
Suite 5001
Washington, DC 20002
Telephone Number: (202) 671-4900
Director: Shannon L. Hader, MD, MPH
DC Express Free Immunization Clinics
For uninsured and underinsured District of Columbia residents. Proof of residency required (e.g.,
driver’s license, non-driver’s license ID, current utility bill, copy of lease, etc). No appointment
necessary. Please bring immunization records. Call (202) 576-7130 for more information.
Reeves Municipal Center
2000 14th Street, NW, Washington, DC
(Corner of 14th & U Streets)
Thurs 4:30 pm to 7:30 pm
District of Columbia Developing Families
Center
801 17th Street, NE
(Between Benning Rd. and Maryland Ave.,
on 17th Street near Hechinger Mall)
2nd & 4th Tues of each month, 4:30 pm to 7:30
pm
Congress Heights Community Health Center
3720 Martin Luther King Jr. Avenue
SE 3rd Floor
(Martin Luther King Ave. & S. Capitol St.)
Weds 5 pm to 7 pm
Israel Baptist Church
1251 Saratoga Avenue, NE
(off 12th Street and Rhode Island Avenue, near
Brentwood Road)
1st Weds of each month 4:30 pm to 7:30 pm
3rd Sat of each month 12 pm to 3 pm
DOH/Immunization Program
6323 Georgia Avenue,
NW Suite 305
Mon & Tues 10 am to 2 pm
22
DC Community Health Centers
To be eligible for services at some of the health centers, you must be a current patient of the health
center. Contact the clinic for more information about becoming a patient.
Unity Health Care, Inc.
Administrative Office
1220 12th Street, SE, Suite 120
Washington, DC 20003
Phone: (202) 715-7900
FAX: (202) 544-4393
[email protected]
http://www.unityhealthcare.org/
locations. Unity operates both Health Centers
and Homeless Centers. At the Health Centers,
fees are based on a sliding scale, and both
uninsured and insured patients are treated (Unity
accepts Medicaid, Medicare, Health Right,
Managed Care Organization, DC Healthcare
Alliance, and most private insurance plans). At
the Homeless Centers, testing is free.
Unity Health Care offers Hepatitis B and C
testing for current patients at all of the following
Unity Health Centers
First Street Health Center
70 N Street, NE
Washington, DC 20002
Phone: (202) 535-1831
M-F 8:00 AM-4:30 PM
Anacostia Health Center
1328 W Street, SE
Washington, DC 20020
Tel: 202-610-7160
M-F 8:15 AM-4:45 PM
Brentwood Square Health
Center
1201 Brentwood Road, NE
Washington, DC 20018
Phone: (202) 832-8818
M-F 8:15 AM-4:45 PM
Southwest Health Center
850 Delaware Ave., SW
Washington, DC 20024
Phone: (202) 548-4520
M-F 8:15 AM-4:45 PM
Hunt Place Health Center
4130 Hunt place, NE
Washington, DC 20019
Phone: (202) 388-8160
M-F 8:15 AM-4:45 PM
Congress Heights Health
Center
3720 MLK, Jr. Ave., SE
Washington, DC 20032
Tel: 202-279-1800
M-F 8:15 AM-4:45 PM
East of the River Community
Health Center
123 45th. Street, NE
Washington, DC 20019
Phone: (202) 388-7890
M, T, Th, Fri: 8:30AM-5PM
Weds: 11:00 AM-7:30 PM
Good Hope Road Health
Center
1638 Good Hope Road, SE
Washington, DC 20020
Phone: 202-610-7280
M-F 8:15 AM-4:45 PM
Phoenix Health Center
Integrated Care Center
1900 Massachusetts Ave, SE
Washington, DC 20001
Phone: 202- 548-6500
23
Stanton Road Health Center
3240 Stanton Road, SE
Washington, DC 20020
Phone: (202) 889-3754
M-F: 1:00 PM - 4:30 PM
Woodridge Health Center
2146 24th Place, NE
Washington, DC 20018
Phone: (202) 281-1160
M-F 8:15 AM-4:45 PM
Upper Cardozo Health Center
3020 14th Street, NW
Washington, D.C., 20009
Phone: (202) 745-4300
Clinic: M-F 8:30am-5:00pm
Walk-in Extended Hours:
M, W 5:00 pm-7:30 pm
Sat: 8:00 am-1:30 pm
Walker-Jones Health Center
1100 First St., NW
Washington, DC 20001
Phone: (202) 354-1120
M, W, F 8:15 AM-8:00 PM
T, Th 8:15 AM-4:45 PM
Sat 8:00 AM-12:00 PM
Unity Homeless Centers
801 East Building
St. Elizabeth's Hospital
Grounds
2700 Martin Luther King, Jr.
Ave, SE
Washington, DC 20032
Phone:202-548-6500
Central Union Mission
Center
1350 R Street NW
Washington DC 20009
Phone: 202-745-7118
www.missiondc.org
Blair Shelter Health Center
(For Homeless Males Only)
635 I Street, NE
Washington, DC 20002
Phone: 202-773-4953
Friendship Place
4713 Wisconsin Avenue, NW
Washington, DC 20016
Phone: 202- 773-4953
New York Avenue
1355 NY Ave., NE
Washington, DC 20002
Phone: 202-281-3884
Harbor Light Salvation Army
Health Center
2100 New York Avenue, NE
Washington, DC 20002
Phone: 202- 269-6333
House of Ruth Health Center
(For Homeless Women Only)
651 10th Street, NE
Washington, DC 20002
Phone: 202- 547-2600
Columbia Road Health Center
1660 Columbia Road, NW
Washington, DC 20009
202-328-3717
Hepatitis B and C testing available to current
patients. Fees based on a sliding scale with
proof of income.
Family & Medical Counseling Services
2041 Martin Luther King Jr. Ave. SE
Washington, DC 20020
Phone: 202-889-7900
Offers Hepatitis A, B, and C testing for HIVpositive patients. Accepts both insured and
uninsured patients, possible sliding scale fees.
La Clinica Del Pueblo
2831 15th St. NW
Washington, DC 20009
Phone: 202-462-4788
Free Hepatitis B and C testing available to
current patients.
Perry Family Health Center
128 M St., NW
Offers Hepatitis B and C testing for about $40Washington, DC 20001
$50. Call for insurance information.
202-682-3840
http://www.provhosp.org/About_us/HFacilities/PerryS/PerryS.htm
So Others Might Eat (SOME) Medical Clinic
60 "O" Street, NW
Washington, DC 20001
202.797.8806
[email protected]
Offers Hepatitis B and C testing to current
patients who are uninsured or have Medicaid,
Medicare, Health Right Alliance, or Charter
Health Alliance. Fees based on a sliding scale.
Whitman Walker Clinic
(For the GLBT community)
1407 S St., NW
Washington, DC 20009
Main Line: 202-797-3500
Appointments: 202-939-7690
Hepatitis B and C testing available to current
patients with a doctor’s order. Fees based on a
sliding scale. Call for more information.
24
MARYLAND
MD Health Information
Ask your doctor or primary medical care provider if you have questions about hepatitis testing or
treatment.
If you don’t have health insurance or a health care provider, you can go to
http://dhmh.state.md.us/mma/mmahome.html to access information about the Maryland Medical
Assistance Program. Individuals may be eligible for services depending upon income and other factors.
You can also contact your local (county or Baltimore City) Department of Social Services to ask about
how you might get help.
If you are a United States Military Veteran, contact the Baltimore VA Medical System at
www.hepatitis.va.gov or call 1-800-463-6295.
General Resources
The Frederick County Hepatitis Clinic, Inc.
In this area, we are fortunate to have one dedicated hepatitis clinic. The clinic offers hepatitis testing and
treatment for qualifying individuals. Patients are asked to make a $20.00 co-pay per visit. You do not
need to be a resident of Maryland.
350 Montevue Lane
Frederick, MD 21702
301-631-3343
Maryland Medbank
410-821-9262
The Maryland Medbank Program serves eligible low-income, chronically ill, underinsured and
uninsured individuals in Maryland who meet certain financial criteria.
First Call for Help
410-685-0525
1-800-492-0618
First Call for Help provides contact information for local health resources throughout Maryland.
MD Hepatitis Testing and Vaccination Sites / MD Health Departments
Allegany County Health Department
P.O. Box 1745
12500 Willowbrook Road
Cumberland, MD 21502-1745
301-759-5000
http://www.alleganyhealthdept.com/
Hepatitis B and C testing:
Free every Thursday at STD clinic on a walk-in
basis from 8 – 10:45 a.m. and 1 – 3 p.m.
Hepatitis A and B Adult Vaccination:
Available for uninsured patients or patients
covered by Blue Cross/Blue Shield.
Hepatitis A: $35 per shot.
Hepatitis B: $24 per shot.
25
Hepatitis B and C testing:
Only available to Health Department
employees.
Anne Arundel County Health Department
Health Services Building
3 Harry S. Truman Parkway
Annapolis, MD 21401
410-222-7095
www.aahealth.org
Hepatitis A and B Adult Vaccination:
Only available to Health Department employees
or those who have been exposed to Hepatitis A
or B. $10 donation is requested.
(Anne Arundel Co.) People’s Community
Health Centers
http://www.peopleschc.org/
5517 Ritchie Hwy
Brooklyn, MD 21225
410-636-8701
Testing and vaccinations are available at the
following locations. Fees are based on income.
Baltimore City Resources
8341 Pioneer Dr
Severn, MD 21144
410-519-5458
See page 31.
Baltimore County Health Department
Drumcastle Government Center
6401 York Road, 3rd Floor
Baltimore, MD 21212
410-887-3740
http://www.baltimorecountymd.gov/Agencies/h
ealth/
Hepatitis B and C testing:
Free as part of a full round of STD screening –
patient must specifically request to be tested for
Hepatitis B and C.
Hepatitis A and B Adult Vaccination:
None.
(Baltimore Co.) Chase Brexton Health
Services
Randallstown Center
8507 Liberty Road
Randallstown, MD 21133
410-496-6441
Testing and vaccinations are available to Chase
Brexton patients. Call for more information.
Additional locations in Baltimore City,
Columbia, and Easton.
http://www.hchmd.org/index.html
(Baltimore Co.) Health Care for the
Homeless
Testing and vaccinations are available to the
homeless. Additional locations in Baltimore
City, Montgomery County, Frederick County,
and Harford County.
HCH – Baltimore County
9100 Franklin Square Drive
Baltimore, MD 21237
443-777-2029
Calvert County Health Department
P.O. Box 980
975 Solomons Island Road
Prince Frederick, MD 20678
410-535-5400
http://livehealthy.maryland.gov/
Hepatitis B and C testing: Free to uninsured/
Medicaid patients by appointment at STI clinic.
Hepatitis A and B Adult Vaccination: Available
to Calvert County residents only. Hepatitis A:
$34 per shot. Hepatitis B: $40 per shot.
TwinRix: $53 per shot.
26
Caroline County Health Department
P.O. Box 10, 403 South 7th Street
Denton, MD 21629
410-479-8030
http://www.carolinehd.org/
Hepatitis B and C testing:
None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $29 per shot.
Hepatitis B: $35 per shot.
TwinRix: $52 per shot.
Carroll County Health Department
Box 845, 290 S. Center Street
Westminster, MD 21158-0845
410-876-2152
http://www.carrollhealthdepartment.dhmh.md.g
ov/
Hepatitis B: $40 per shot;
TwinRix: $52 per shot.
Prices subject to change.
The Immunization Clinic also provides some
free Hepatitis B/Twinrix vaccinations to eligible
residents. For more information, call: Doris
Hare at 410-876-4936 or Della at 410-876-4815.
The Immunization Clinic is open for walk-ins
on the first Thursday of every month, 3pm –
7pm.
Hepatitis B and C testing:
Free at STD Clinic.
Hepatitis A and B Adult Vaccination:
STD Clinic: Free Hepatitis B vaccines.
Adult Immunization Clinic:
Hepatitis A: $34 per shot.
Cecil County Health Department
John M. Byers Health Center
401 Bow Street
Elkton, MD 21921
410-996-5550
http://www.cecilcountyhealth.org/
appointment.
Hepatitis A and B Adult Vaccination:
Hepatitis A: none.
Hepatitis B: $38.73 per shot.
TwinRix: Free to eligible residents as part
of a full STD exam. Call for more information.
Hepatitis B and C testing:
Free at Health Center; call ahead for
Charles County Health Department
P.O. Box 1050
4545 Crain Highway
White Plains, MD 20695-1050
301-609-6900
http://www.charlescountyhealth.org/
Must accompany a full round of general STD
testing.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $18.50 per shot.
Hepatitis B: $24 per shot.
Prices subject to change.
Hepatitis B and C testing: Free at STD clinic if
clinician determines such testing is necessary.
Dorchester County Health Department
3 Cedar Street
Cambridge, MD 21613
410-228-3223
http://www.dorchesterhealth.org/
Hepatitis B and C testing:
None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $25 per shot.
Hepatitis B: $30 per shot.
27
Frederick County Health Department
350 Montevue Lane
Frederick, MD 21702
301-631-3348
http://www.co.frederick.md.us/index.asp?NID=
2347
Hepatitis A and B Adult Vaccination:
Hepatitis A: $29 per shot.
Hepatitis B: $32 per shot.
TwinRix: $49 per shot.
Available on Thursdays from 1pm-3pm, or
Mon-Fri by appointment.
Hepatitis B and C testing:
Free. Available on Thursdays from 1pm-3pm, or
Mon-Fri by appointment.
Call testing and vaccination coordinator Connie
Callahan at 301-600-3343 for information or
appointments.
County, Montgomery County, Frederick County,
and Harford County.
(Frederick Co.) Health Care for the
Homeless
http://www.hchmd.org/index.html
Frederick Community Action Agency
100 S. Market St.
Frederick, MD 21701
301-600-1506
Testing and vaccinations are available to the
homeless. Additional locations in Baltimore
Garrett County Health Department
1025 Memorial Drive
Oakland, MD 21550
301-334-7777
http://www.garretthealth.org/
Hepatitis B and C testing:
Available for $28.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $41 per shot.
Hepatitis B: $34 per shot.
Hepatitis B and C testing:
Free at STD clinic with full round of general
STD testing, Weds 8:00 am – 11:30 am.
Harford County Health Department
119 South Hays Street, Box 797
Bel Air, MD 21014-0797
Main Line: 410-638-8400
Communicable Diseases: 410-638-8458
http://www.harfordcountyhealth.com/
Hepatitis A and B Adult Vaccination:
None.
HCH - Harford County
1 North Main Street
Bel Air, MD 21014
410-638-3060
(Harford Co.) Health Care for the Homeless
http://www.hchmd.org/index.html
Testing and vaccinations are available to the
homeless. Additional locations in Baltimore
City, Baltimore County, Montgomery County,
and Frederick County.
28
Columbia Health Center
7180 Columbia Gateway Drive
Columbia, MD 21046
410-313-7500
Howard County Health Department
7178 Columbia Gateway Drive
Columbia, MD 21046
410-313-6300
1-866-313-6300
[email protected]
http://www.co.ho.md.us/Health/HealthMain/He
alth_HomePage.htm
Hepatitis B and C testing:
Available free to those patients who have
certain risk factors
Hepatitis A and B Adult Vaccination:
Hepatitis A: $29 per shot.
Hepatitis B: $35 per shot.
For information about testing and vaccines,
contact:
(Howard Co.) Chase Brexton Health Services
Columbia Center
5500 Knoll North Drive
Suite 370
Columbia, MD 21045
410-884-7831
http://www.chasebrexton.org/
Testing and vaccinations are available to Chase
Brexton patients. Call for more information.
Additional locations in Baltimore County,
Baltimore City, and Talbot County.
Kent County Health Department
125 South Lynchburg Street, Box 359
Chestertown MD 21620
410-778-1350
http://www.kenthd.org/
None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $26 per shot.
Hepatitis B: $32 per shot.
TwinRix: $45 per shot.
Hepatitis B and C testing:
Montgomery County Health Department
401 Hungerford Drive, 5th Floor
Rockville MD 20850
240-777-1245
STD Clinic: 240-777-1760
Immunization Program: 240-777-1050
http://www.montgomerycountymd.gov/hhstmpl.
asp?url=/content/hhs/phs/index.asp
Hepatitis B and C testing:
Available for $10 at the STD Clinic Mon-Fri by
appointment. Call one day in advance for an
appointment. Proof of Montgomery County
residency required.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $95 per shot.
Hepatitis B: $40 per shot.
(Montgomery Co.) Health Care for the Homeless
http://www.hchmd.org/index.html
Testing and vaccinations are available to the
homeless. Additional locations in Baltimore
City, Baltimore County, Frederick County, and
Harford County.
Community Clinics Inc.
I15850 Crabbs Branch Way
Rockville, Maryland 20855
301-340-7525
Mobile Medical, Inc.
9309 Old Georgetown Rd
Bethesda, MD 20814
301-841-0835
29
Prince George’s County Health Department
1701 McCormick Drive
Largo, MD 20774
1-888-561-4049
STD Clinic: 301-583-3150
Hepatitis B and C testing:
None.
Hepatitis A and B Adult Vaccination:
Available for $10 at STD Clinic.
http://www.goprincegeorgescounty.com/Government/AgencyIndex/Health/index.asp
Queen Anne’s County Health Department
206 North Commerce Street
Centreville, MD 21617
410-758-0720
http://qahealth.org/
for Communicable Diseases.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $28 per shot.
Hepatitis B: $34 per shot.
TwinRix: $47 per shot.
Available on Tuesdays only. Call main line and
ask for Communicable Diseases.
Hepatitis B and C testing:
Available for $8 per test. Call main line and ask
St. Mary’s County Health Department
21580 Peabody Street
P.O. Box 316
Leonardtown, MD 20650
301-475-4330
http://www.smchd.org/
Hepatitis B and C testing:
Available by appointment at STD clinic as part
of a full round of STD testing.
Hepatitis A and B Adult Vaccination:
None.
Somerset County Health Department
7920 Crisfield Highway
Westover, MD 21871
443-523-1700
http://www.somersethd.org/
Hepatitis B and C testing:
None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $28 per shot.
Hepatitis B: $34 per shot.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $63 per shot; subject to availability.
Hepatitis B: available to high-risk individuals
for a small administrative fee.
For more information, call Judy Richards at
410-819-5650.
Talbot County Health Department
100 South Hanson Street
Easton, MD 21601
410-819-5600
http://www.talbothealth.org/
Hepatitis B and C testing: None.
http://www.chasebrexton.org/
(Talbot Co.) Chase Brexton Health Services
Easton Center
300 Talbot Street
Easton, MD 21601
866-260-0412
Testing and vaccinations are available to Chase
Brexton patients. Call for more information.
Additional locations in Randallstown,
Columbia, and Easton.
30
Washington County Health Department
1302 Pennsylvania Avenue, P.O. Box 2067
Hagerstown, MD 21742
240-313-3200
http://www.washhealth.org/
Hepatitis B and C testing:
None.
Hepatitis A and B Adult Vaccination:
Hepatitis B: $45 per shot.
Wicomico County Health Department
108 East Main Street
Salisbury, MD 21801
410-749-1244
http://www.wicomicohealth.org/
There is an additional office fee for each visit.
If the patient has visited the office before, the
fee is $39; if the patient has not visited the
office before, the fee is $67. These fees can be
reduced depending on a patient’s income
(patients need to provide 3 proofs of income
during the financial interview in order to
determine eligibility).
Hepatitis B and C testing:
None.
Hepatitis A and B Adult Vaccination:
Hepatitis B: $25 per shot.
Worcester County Health Department
6040 Public Landing Road, P.O. Box 249
Snow Hill, MD 21863
410-632-1100
http://www.worcesterhealth.org/index-hr.php
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $37.09 per shot.
Hepatitis B: $43.03 per shot.
Baltimore City Resources
Baltimore City Health Department
Main Office
210 Guilford Avenue
Baltimore, MD 21202
410-396-4398
Field Health Services
211 E. 25th Street
7:30am to 11:00pm
410-396-7433
Call office to ask if testing and/or vaccines are
available.
Needle Exchange Program
Baltimore City Health Department
210 Guilford Avenue
Baltimore, MD 21202
Office: 410-947-5700
Mobile (westside): 443-250-6326.
Mobile (eastside): 443-250-6325
http://www.baltimorehealth.org/nep.html
Hepatitis B and C testing:
Free Hepatitis C testing available at vans
throughout the city. Call or visit website for
locations and times.
Hepatitis A and B Adult Vaccination:
None.
31
Baltimore Immunization & Registry Program
4 South Frederick St. Floor 3
Baltimore, MD 21202-4028
Phone: 410-545-3048
Fax: 410-396-3965
http://www.baltimorehealth.org/immunization.h
tml
Druid STD Clinic
1515 W. North Ave
Baltimore, MD 21217
410-396-0176
Eastern STD Clinic
620 North Caroline St.
Baltimore, MD 21205
410-396-9410
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination: Hepatitis
B: Free at one of the following locations.
(http://www.baltimorehealth.org/std.html)
Other Baltimore City Resources
Baltimore Medical Systems
3501 Sinclair Lane
Hepatitis B and C testing:
Available for $156 doctor’s fee plus cost of
labwork.
Baltimore, MD 21213
410-732-8800
http://www.bmsi.org/pages/directions.html
Call or visit the website for clinic locations.
Hepatitis A and B Adult Vaccination:
None.
Chase Brexton Health Services
Mt. Vernon Center
1001 Cathedral Street
Baltimore, MD 21201
410-837-2050
http://www.chasebrexton.org/
Testing and vaccinations are available to Chase
Brexton patients. Call for more information.
Additional locations in Randallstown,
Columbia, and Easton.
Evelyn Jordan Center
(Institute of Human Virology, University of
Maryland School of Medicine)
16 S. Eutaw Street, Suite 100
Baltimore, MD 21201
410-328-1900
Hepatitis B and C testing:
None.
Hepatitis A and B Adult Vaccination:
Available to those already enrolled as a patient
in the infectious diseases program.
Family Health Centers of Baltimore
631 Cherry Hill Road
Baltimore, MD 21225
410-354-2000
http://www.fhcb.org/Default.aspx
Call for information about testing, vaccines, and
other locations.
32
Health Care for the Homeless
http://www.hchmd.org/index.html
HCH Main Facility
111 Park Avenue
Baltimore, MD 21201
Phone: 410-837-5533
Fax: 410-837-8020
Testing and vaccinations are available to the
homeless. Additional locations in Baltimore
County, Montgomery County, Frederick County,
and Harford County.
Jai Medical Systems
1-888-JAI-1999
http://www.jaimedicalsystems.com/
5010 York Rd.
Baltimore, MD 21212
410-433-2200
If you do not have medical insurance, you must
apply through the Department of Social Services
for Medical Assistance.
4340 Park Heights
Baltimore, MD 21215
410-542-8130
Hepatitis B and C testing:
$70 at any of the following locations. An
additional $55 is charged if test result is
positive.
2425 Eutaw Place
Baltimore, MD 21217
410-728-6900
Hepatitis A and B Adult Vaccination:
Hepatitis A: $70 per shot.
Hepatitis B: $70 per shot.
1235 E. Monument St.
Baltimore, MD 21202
410-327-5100
People’s Community Health Centers
2204 Maryland Avenue
Baltimore, MD 21218
Phone: 410-467-6040
Fax: 410-467-5944
http://www.peopleschc.org/
3028 Greenmount Ave
Baltimore, MD 21218
5225 York Rd
Baltimore, MD 21212
818 W Franklin St
Baltimore, MD 21201
Testing and vaccinations available at the
following locations (use main phone number for
all locations). Fees based on patient’s
insurance/income. Additional locations in Anne
Arundel County.
1300 N Fulton Ave
Baltimore, MD 21217
1111 Washington Blvd.
Baltimore, MD 21230
Shepherd’s Clinic
2800 Kirk Avenue
Baltimore, MD 21218
410-467-7140
http://www.shepherdsclinic.org/index.php
Hepatitis B and C testing:
Free.
Hepatitis A and B Adult Vaccination:
Call about availability and cost.
Total Health Care
Larry Young Division Health Center
1501 Division Street
Baltimore, Maryland 21217
Phone: 410-383-8300
Fax: 410-728-4412
Call for information about testing, vaccines,
and other locations.
33
VIRGINIA
VA Free Clinics
http://www.vafreeclinics.org/virginia-free-clinics.asp
To become a patient, there are certain income and insurance guidelines/requirements you must meet.
These requirements vary by clinic. Call the clinic or visit the clinic’s website for more information about
eligibility requirements.
Alleghany Highlands Free Clinic
Low Moor, VA 24457
Phone: (540) 863-3019
http://home.ntelos.net/~ahfcfree/index.html
Serving: Alleghany County, Bath County,
Covington city
Hepatitis B and C testing:
Available to current patients.
Hepatitis A and B Adult Vaccination: None.
Free Clinic of the Twin Counties
PO Box 1708
Galax, VA 24333
Phone: (276) 236-0421
Fax: (276) 236-0421
Email: [email protected]
Serving: Carroll County, Galax city, Grayson
County
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination: Available
to current patients.
Free Medical Clinic of Martinsville and Henry County
Website: www.healthycommunitymhc.org
PO Box 3231
Serving: Henry County, Martinsville city,
Martinsville, VA 24115
Patrick County
Clinic Location:
315 Hospital Drive, Suite 203
Hepatitis B and C testing: Available to those
Martinsville, VA 24112
who meet the guidelines.
Phone: (276) 638-0787
Hepatitis A and B Adult Vaccination: None.
Fax: (276) 638-2669
Email: [email protected]
Gloucester-Mathews Free Clinic
2276 George Washington Memorial Highway
Hayes, VA 23072
Phone: (804) 642-9515
Fax: (804) 684-3691
Email: [email protected]
Serving: Gloucester County, Mathews County
Hepatitis B and C testing: Available to current
patients.
Hepatitis A and B Adult Vaccination: None.
Love of Jesus Health Clinic
10930 Hull Street Road
Midlothian, VA 23112
Phone: (804) 674-7499
Fax: (804) 674-7448
Email: [email protected]
http://www.lojhealthclinic.com/
Serving: Amelia County, Chesterfield County,
Colonial Heights city, Henrico County,
Petersburg city, Richmond city
Hepatitis B and C testing:
Available to current patients.
Hepatitis A and B Adult Vaccination: None.
34
Northern Neck Free Health Clinic
PO Box 1694
Kilmarnock, VA 22482
Clinic Location:
115 DMV Drive, Kilmarnock Virginia 22482
Phone: (804) 435-0575
Fax: (804) 435-9017
Email: [email protected]
Website: www.rivnet.net/nnfhc
Serving: Lancaster County, Middlesex County,
Northumberland County, Richmond County,
Westmoreland County
Hepatitis B and C testing: Available to current
patients.
Hepatitis A and B Adult Vaccination: None.
Other Free Clinics
The following free clinics may or may not offer Hepatitis testing or vaccinations. Call for more
information.
Arlington Free Clinic
Ballston Medical Center
3833 North Fairfax Drive, Suite 400
Arlington, VA 22203
Phone: (703) 979-1400
Fax: (703) 979-1436
Email: [email protected]
Website: www.arlingtonfreeclinic.org
Serving: Arlington County
Crossroads Medical Mission
Administrative Offices:
PO Box 16852
Bristol, VA 24209
Phone: (276) 466-1600
Fax: (276) 466-2800
Email: [email protected]
Website: www.crossroadsmedicalmission.org
Serving: Bristol city, Lee County, Russell
County, Washington County, Wise County
Crossroads Medical Mission is a mobile medical
clinic serving several locations throughout
southwest Virginia. Please check the CMM
website for current sites and schedule.
Chesapeake Care
2145 Military Highway South
Chesapeake, VA 23320
Phone: (757) 545-5700
Fax: (757) 545-7706
Email: [email protected]
Website: www.chesapeakecare.org
Serving: Chesapeake city, Norfolk city,
Portsmouth city, Virginia Beach city
Cross Over Ministry
108 Cowardin Avenue
Richmond, VA 23224
Phone: (804) 233-5016
Fax: (804) 231-5723
Email: [email protected]
Website: www.crossoverministry.org
Serving: Chesterfield County, Hanover County,
Henrico County, New Kent County, Richmond
Fan Free Clinic
PO Box 6477
Richmond, VA 23230
Clinic Location:
1010 North Thompson Street
Richmond, 23230
Phone: (804) 358-8538
Email: [email protected]
Website: www.fanfreeclinic.org
Serving: Amelia, Chesterfield, Dinwiddie,
Goochland, Hanover, Henrico, Louisa, and
Prince George counties; Colonial Heights,
Petersburg, and Richmond cities
St. David’s Free Health Clinic
11241 West River
Aylett, VA 23009
Phone: (804) 769-2996
Email: [email protected]
Serving: King and Queen County and King
William County
Free Clinic of Culpeper
610 Laurel Street, Suite 3
Culpeper, VA 22701
Phone: (540) 825-2252
Fax: (540) 825-2257
Email: [email protected]
Serving: Culpeper County
35
Free Clinic of Central Virginia
1016 Main Street
Lynchburg, VA 24504
Phone: (434) 847-5866
Fax: (434) 528-2529
Email: [email protected]
Website: www.fccv.net
Serving: Amherst, Appomattox, Bedford,
Campbell, Nelson, and Pittsylvania counties;
Bedford and Lynchburg cities
Greene Care Clinic
Greene County Library Bldg.
222-C Main Street
Stanardsville, VA 22973
Phone: (434) 985-7000
Fax: (434) 985-2869
Email: [email protected]
Healing Hands Health Center
210 Memorial Drive
Bristol, TN 37620
Phone: 423-652-0260
Fax: (423) 652-0694
Email: [email protected]
Website: www.healinghandshealthcenter.org
Serving: Bristol city, Washington County
Free Clinic of Pulaski County
PO Box 1088, Pulaski, VA 24301
Clinic Location:
412 North Jefferson Avenue
Pulaski, VA 24301
Phone: (540) 980-0922
Fax: (540) 980-2931
Email: [email protected]
Serving: Pulaski County
Lloyd F. Moss Free Clinic
1301 Sam Perry Boulevard, Suite 100
Fredericksburg, VA 22401
Phone: (540) 741-1061
Fax: (540) 741-1096
Email: [email protected]
Website: www.mossfreeclinic.org
Serving: Caroline, King George, Spotsylvania,
and Stafford Counties; Fredericksburg city
Reddy Tri-County Health Clinic
PO Box 202
Richlands, VA 24641
Clinic Location:
6105 Governor George C. Peery Highway
Richlands, VA 24641
Phone: (276) 963-8505
Fax: (276) 963-4022
Email: [email protected]
Serving: Buchanan, Russell, and Tazewell
Counties
Madison Free Clinic
PO Box 914, Madison, VA 22727
Phone: (540) 948-3667
Fax: (540) 948-2209
Email: [email protected]
Serving: Madison County
VA Health Districts/Departments
Virginia is divided up into 35 health districts, some of which serve as an umbrella organization for
several local county health departments. If information is provided under the name of the health district,
services and prices are the same for all the county health departments in the district. Otherwise,
information specific to the county health departments is listed under each county. For more information
and a map of all of Virginia’s health districts, visit the Virginia Department of Health’s website at
http://www.vdh.state.va.us/.
Alexandria Health Department
Headquarters Office
4480 King Street,
Alexandria, VA, 22302
Phone: 703-838-4400
Fax: 703-838-4038
http://www.alexhealth.org/
Immunization Clinic ext. 208, 318
Adult immunizations are available on a walk-in
basis on Tuesdays, 8:00am-11:00am. There may
be a fee for some immunizations.
36
Alleghany Health District
http://www.vdh.virginia.gov/LHD/Alleghany/
Hepatitis A and B Adult Vaccination:
Hepatitis A: $20.76 per shot.
Hepatitis B: $27.36 per shot.
In addition, there is a $15.29 administration fee
per vaccination series, and a $17.71
administrative fee per shot.
For all county health departments in the district,
clinic services are provided based on family
income and a sliding fee scale and/or at no cost
to our customers. Call for an appointment or
clinic times.
Hepatitis B and C testing: Available at Roanoke
City Health Department with a doctor’s order.
Fees based on insurance and income.
Botetourt County Health Department
(Headquarters Office)
21 Academy Street
P. O. Box 220
Fincastle, VA 24090
Phone: 540-473-8240
Fax: 540-473-8242
http://www.vdh.virginia.gov/LHD/Alleghany/B
otetourt/
Craig County Health Department
161 Main Street
P. O. Box 6
New Castle, VA 24127
Phone: 540-864-5136
Fax: 540-864-6454
http://www.vdh.virginia.gov/LHD/Alleghany/Cr
aigCounty/
Roanoke City Health Department
515 8th Street, SW
Roanoke, VA 24016
540- 857-7600
http://www.vdh.virginia.gov/lhd/alleghany/roan
oke/
Clifton Forge Health Department
322 Jefferson Avenue
P. O. Box 15
Clifton Forge, VA 24422
Phone: 540-862-4131
Fax: 540-862-2678
http://www.vdh.virginia.gov/LHD/Alleghany/Cl
iftonForge/
Salem Health Department
105 East Calhoun Street
P. O. Box 1144
Salem, VA 24153
Phone: 540-387-5530
Fax: 540-387-5524
http://www.vdh.virginia.gov/LHD/Alleghany/Sa
lem/
Covington Health Department
321 Beech Street
P.O. Box 747
Covington, VA 24426
Phone: 540-962-2173
Fax: 540-962-8353
http://www.vdh.virginia.gov/LHD/Alleghany/C
ovington/
Vinton Health Department
227 S. Pollard Street
Vinton, VA 24179
Phone: 540-857-7800
Fax: 540-857-6991
http://www.vdh.virginia.gov/LHD/Alleghany/Vi
nton/
37
Arlington Department of Human Services
3033 Wilson Blvd.
Suite 700-A
Arlington, Virginia 22201
TEL 703-228-1300
TTY 703-228-1788
EMAIL
[email protected]
http://www.arlingtonva.us/Departments/Human
Services/services/health/HumanServicesService
sHealthPublicHealth.aspx
Hepatitis B and C testing:
Available for $11 at the Clinic (703-228-1200).
Hepatitis A and B Adult Vaccination: None.
Central Shenandoah Health District
[email protected]
http://www.vdh.virginia.gov/lhd/CentralShenan
doah/index.htm
Hepatitis A and B Adult Vaccination:
Twinrix: $58.98 per shot (includes
administrative fee).
Hepatitis B and C testing: None.
Harrisonburg-Rockingham Health Department
110 North Mason Street, P.O. Box 26
Harrisonburg, VA 22801
Main Reception: 540-574-5100
FAX: (540) 574-5214
Augusta-Staunton Health Department
(District Headquarters)
1414 North Augusta Street, P.O. Box 2126
Staunton, VA 24402
Main Reception: 540-332-7830
FAX: 540-885-0149
TDD: 540-332-9300
Highland County Health Department
Fleisher Avenue, P.O. Box 558
Monterey, VA 24465
Main Reception: 540-468-2270
FAX: 540-468-2502
Bath County Health Department
Court House Square, P.O. Box 120
Warm Springs, VA 24482
Main Reception: 540-839-7246
FAX: 540-839-2964
Lexington-Rockbridge Health Department
300 White Street, P.O. Box 900
Lexington, VA 24450
Main Reception: 540-463-3185
FAX: 540-463-6677
Buena Vista Health Department
2270 Magnolia Avenue
Buena Vista, VA 24416
Main Reception: 540-261-2149
FAX: 540-261-1661
Central Virginia Health District
Waynesboro-Augusta Health Department
211 West 12th Street
Waynesboro, VA 22980
Main Reception: 540-949-0137
FAX: 540-943-1614
http://www.vdh.state.va.us/LHD/Cenva/#lynchburg
Lynchburg City Health Department
(Headquarters Office)
1900 Thomson Drive, P. O. Box 6036
Lynchburg, VA 24501
434-947-6785
FAX: 434-947-2338
Hepatitis B and C testing:
Not done without a doctor’s order.
Hepatitis A and B Adult Vaccination:
Hepatitis A or B vaccinations are approximately
$50-$60 per shot.
38
Amherst County Health Department
224 Second Street
P. O. Box 250
Amherst, VA 24521
434-946-9408
FAX: 434-946-9409
Hepatitis B and C testing:
Not done without a doctor’s order.
Appomattox County Health Department
401 Court Street
P. O. Box 355
Appomattox, VA 24522
434-352-2313
FAX: 434-352-0232
Hepatitis B and C testing:
Not done without a doctor’s order.
Bedford County Health Department
600 Bedford Avenue
P. O. Box 148
Bedford, VA 24523
540-586-7952
FAX: 540-
586-7950
Hepatitis A and B Adult Vaccination:
Hepatitis A: Approximately $50 per shot.
Hepatitis B: $57 per shot.
Vaccinations are done on Wednesdays between
8:30-10 am and 2-4 pm.
Hepatitis A and B Adult Vaccination:
Hepatitis A: Approximately $50 per shot.
Hepatitis B: Call for price.
Vaccinations are done on Wednesdays between
2-4 pm and on Thursdays between 8:30-11am.
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A or B vaccinations are approximately
$50-$60 per shot.
Campbell County Health Department
P.O. Box 160
116 Kabler Lane
Rustburg, VA 24588
434-592-9550
FAX: 434-332-5512
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: Approximately $30-$40 per shot.
Hepatitis B: Approximately $60 per shot.
Vaccinations are done on Wednesdays between
1:30-3:30 pm.
Chesapeake Health District
http://www.vdh.state.va.us/LHD/Chesapeake/in
dex.htm
Hepatitis A and B Adult Vaccination:
Hepatitis A: $34.12
Hepatitis B: $40.72
Hepatitis B and C testing: None.
South Norfolk Office
490 Liberty Steet
Chesapeake, VA 23324
Phone: 757-382-2600
Fax: 757-382-2607
Great Bridge Office
(Headquarters Office)
(Located behind Chesapeake General Hospital)
748 North Battlefield Blvd.
Chesapeake, VA 23320
757-382-8608
39
Chesterfield Health District
http://www.vdh.state.va.us/LHD/chesterfield/index.htm
Chesterfield Health Department
9501 Lucy Corr Circle
P.O. Box 100
Chesterfield, VA 23832
804-748-1691
Hepatitis B and C testing: Available only to
previous patients or by court order.
Colonial Heights Health Department
200 Highland Avenue
P.O. Box 3401
Colonial Heights, VA 23834
Telephone: 804-520-9380
FAX: 804-520-9222
Hepatitis A and B Adult Vaccination:
Hepatitis A: $20.76 per shot.
Hepatitis B: $27.36 per shot.
Twinrix: $42.68 per shot.
Prices subject to change. Prices do not include a
$13.31 visit fee or a $17.71 administration fee,
both of which are added on to the price of each
shot received.
Hepatitis A and B Adult Vaccination:
Hepatitis A and B vaccinations, including
Twinrix, are approximately $40-$45 per shot;
prices subject to change.
Hepatitis B and C testing: None.
Powhatan Health Department
3908 Old Buckingham Rd,
Suite #1
P.O. Box 12
Powhatan, VA 23139
Telephone: 804-598-5680
FAX: 804-598-5688
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: Approximately $52 per shot.
Hepatitis B: Approximately $58 per shot.
Twinrix: Approximately $74 per shot.
The walk-in immunization clinic is held
Tuesdays from 9:00-10:45am.
Chickahominy Health District
http://www.vdh.state.va.us/LHD/Chickahominy/
health department for prices and availability.
Administration and offices fees for the shots are
on a sliding scale.
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination: Both shots
are generally available. Prices vary; call local
Charles City Health Department
7501 Adkins Road
Charles City, VA 23030
Phone: 804-829-2490
Fax: 804-829-6702
Goochland Health Department
1800 Sandyhook Road , P.O. Box 178
Goochland, Virginia 23063
Phone: 804-556-5343
Fax: 804-556-3707
New Kent Health Department
12007 Courthouse Circle, P.O. Box 86
New Kent, Virginia 23124
Phone: 804-966-9640
Fax: 804-966-5210
Hanover Health Department
12312 Washington Highway
Ashland, Virginia 23005
Phone: 804-365-4313
Toll Free: 800-464-5506
Fax: 804-365-4355
40
Crater Health District
http://www.vdh.state.va.us/LHD/crater/
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $51.83 per shot.
Hepatitis B: $58.43 per shot.
Prices subject to change.
Free Twinrix shots are available for those who
are Hepatitis C positive on Tuesdays 9am-11am,
or by appointment on Tuesday afternoons.
Dinwiddie Health Department
14006 Boydton Plank Road, P.O. Box 185
Dinwiddie, Virginia 23841
Telephone: 804-469-3771
Fax: 804-469-9379
Prince George Health Department
6450 Administration Drive, P.O. Box 69
Prince George, VA 23875
Telephone: 804-733-2630
Fax: 804-862-6127
Greensville/Emporia Health Department
140 Uriah Branch Way, P.O. Box 1033
Emporia, Virginia 23847
Telephone: 434-348-4235
Fax: 434-348-4281
Surry Health Department
474 Colonial Trail West, P.O. Box 213
Surry, Virginia 23883
Telephone: 757-294-3185
Fax: 757-294-3756
Hopewell Health Department
220 Appomattox Street
Hopewell, Virginia 23860
Telephone: 804-458-1297
Fax: 804-541-3023
Sussex County Health Department
Newsome Human Services Building
20103 Princeton Road, P.O. Box 1345
Sussex, Virginia 23884
Telephone: 434-246-8611
Fax: 434-246-8610
Petersburg Health Department
(District Headquarters)
301 Halifax Street, P.O. Box 2081
Petersburg, Virginia 23803
Telephone: 804-863-1652
Fax: 804-862-6126
Cumberland Plateau Health District
http://www.vdh.state.va.us/LHD/cumbplat/
Hepatitis B: Approximately $43 per shot.
Prices do not include administrative/office fees.
Medicaid cannot be used to cover immunization
expenses.
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: Approximately $55 per shot.
Buchanan County Health Department
Slate Creek Road, P.O. Box 618
Grundy, VA 24614
276-935-4591
FAX: 276-935-4537
Russell County Health Department
(Headquarters Office)
75 Rogers Street
Lebanon, VA 24266
276-889-7621
FAX: 276-889-7625
Dickenson County Health Department
Brush Creek Road, P.O. Box 768
Clintwood, VA 24228
276-926-4979
FAX: 276-926-4426
Tazewell County Health Department
145 Ben Bolt Ave., P.O. Box 350
Tazewell, VA 24651
276-988-5585 or 276-988-0414
FAX: 276-988-5471
41
Eastern Shore Health District
http://www.vdh.state.va.us/LHD/EasternShore/
Accomack County Health Department
(Headquarters Office)
23191 Front Street, P.O. Box 177
Accomack, VA 23301-0177
757-787-5880
FAX:757-787-5841
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $36.63 per shot.
Hepatitis B: $49.66 per shot
Twinrix: $56.04 per shot.
All prices include administration fees.
Northampton County Health Department
7114 Lankford Highway, P.O. Box 248
Nassawadox, VA 23413
757-442-6228
FAX: 757-442-4307
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: Approximately $60 per shot.
Hepatitis B: $67.37 per shot.
Fairfax Health District
Administration Building
10777 Main Street
Fairfax, VA 22030
Patient Care Services
Phone: 703-246-2477
TTY: 703-591-6435
http://www.fairfaxcounty.gov/hd/
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $28 per shot.
Hepatitis B: $35 per shot.
Falls Church District Office
6245 Leesburg Pike, Suite 500
Falls Church,VA 22044
703-534-8343
Mount Vernon District Office
8350 Richmond Highway,Suite 233
Alexandria, VA 22309-2344
703-704-5203
Herndon-Reston District Office
1850 Cameron Glen Drive, Suite 100
Reston, VA 20190-3310
703-481-4242
Springfield District Office
Cary Building, First Floor, Suite A100
8136 Old Keene Mill Rd
Springfield, VA 22152
703-569-1031
Joseph Willard Health Center
3750 Old Lee Highway
Fairfax City, VA 22030-6903
703-246-7100
Hampton Health District
http://www.vdh.state.va.us/lhd/Hampton/index.
htm
Hepatitis A and B Adult Vaccination:
Hepatitis A: $33 per shot.
Hepatitis B: $45.07 per shot.
Twinrix: $46 per shot.
Hepatitis B and C testing: None.
42
Victoria Center
(Headquarters Office)
3130 Victoria Boulevard
Hampton, VA 23661-1588
Telephone: 757-727-1172
Immunizations: ext. 21717
Fax: 757-727-1185
LaSalle Center
1320 LaSalle Avenue
Hampton, VA 23669-3801
Telephone: 757-727-1140, Fax: 757-727-4881
Healthy Start
100 Old Hampton Lane, Suite 300
Hampton, VA 23669-4096
Telephone: 757-727-2601, Fax: 757-723-5593
Henrico Health District
http://www.vdh.state.va.us/LHD/henrico/
The Henrico Health District also maintains a list
of places in the Richmond area that offer
various kinds of immunizations:
http://www.vdh.state.va.us/LHD/Henrico/Immu
nization_Resources.pdf
Hepatitis B and C testing:
Available only to those who have been exposed.
Hepatitis A and B Adult Vaccination: None.
East Henrico Health Department
Glen Echo Building
3810 Nine Mile Road
Richmond, Virginia 23223
804-652-3190
West Henrico Health Department
Human Services Building
8600 Dixon Powers Drive, 2nd Floor
Richmond, Virginia 23228
804-501-4651
Lenowisco Health District
http://www.vdh.state.va.us/LHD/lenowisco/inde
x.htm
Hepatitis A and B Adult Vaccination:
Hepatitis A: Approximately $45 per shot.
Hepatitis B: Approximately $60-$70 per shot.
Prices subject to change.
Hepatitis B and C testing: None.
Wise County and the City of Norton Health
Department
District Office & Administrative Headquarters
134 Roberts Street, SW
Wise, Virginia 24293
276-328-8000, Fax: 276-376-1020
Scott County Health Department
112 Beech Street, Suite 1
Gate City, Virginia 24251
276-386-1312, Fax: 276-386-2116
Lee County Health Department
P.O. Box 763
Jonesville, Virginia 24263
276-346-2011, Fax: 276-346-0401
Lord Fairfax Health District
http://www.vdh.state.va.us/LHD/LordFairfax/
Hepatitis A and B Adult Vaccination:
Hepatitis A: Available only at the Clarke
County Overseas Travel Clinic. Call for more
information. Hepatitis B: $55-60 per shot.
Hepatitis B and C testing: None.
43
Page County Health Department
75 Court Lane
Luray, Virginia 22835
Phone: 540-743-6528
Fax: 540-743-3811
Lord Fairfax Health District
(Headquarters)
107 North Kent Street, Suite 201
Winchester, Virginia 22601
Administration: 540-722-3480
Medical Services: 540-722-3470
Fax: 540–722-3479
Shenandoah County Health Department
600 Main Street, #106
Woodstock, Virginia 22664
Phone: 540-459-3733
Fax: 540-459-8267
Community Health Services
Frederick County and Winchester City
150 Commercial Street
Winchester, Virginia 22601
Phone: 540-722-3470
Fax: 540-722-3475
Warren County Health Department
134 Peyton Street
Front Royal, Virginia 22630
Phone: 540-635-3159
Fax: 540-635-9698
Clarke County Health Department
100 North Buckmarsh Street
Berryville, Virginia 22611
Phone: 540-955-1033
Loudoun Health District
Community Health Center
102 Heritage Way, NE, Suite 100 and 101
Leesburg, VA 20176
703-777-0236
FAX: 703-771-5395
TDD: 703-771-5352
www.vdh.state.va.us/LHD/loudoun/index.htm
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination: None.
Mount Rogers Health District
www.vdh.state.va.us/LHD/mtrogers/index.htm
Hepatitis A and B Adult Vaccination:
Twinrix: Approximately $75 per shot.
Hepatitis B and C testing: None.
Administrative Headquarters
District Office, 2nd Floor
201 Francis Marion Lane
Marion, VA 24354
Phone: 276-781-7450
Fax: 276-781-7455
Carroll County Health Department
605-15 Pine Street
Hillsville, VA 24343
Phone: 276-728-2166
Fax: 276-728-9022
Galax City Health Department
703 South Main Street, PO Box 926
Galax, VA 24333
Phone: 276-236-6127
Fax: 276-236-5517
Bland County Health Department
Jackson Street, PO Box 176
Bland, VA 24315
Phone: 276-688-4651
Fax: 276-688-4514
Grayson County Health Department
186 West Main Street
PO Box 650
Independence, VA 24348
Phone: 276-773-2961
Fax: 276-773-2240
Bristol City Health Department
205 Piedmont Avenue
Bristol, VA 24201
Phone: 276-642-7335
Fax: 276-642-7347
44
Smyth County Health Department
(District Headquarters)
201 Francis Marion Lane, 1st Floor
Marion, VA 24354
276-781-7460
Fax: 276-781-7465
Washington County Health Department
15068 Lee Highway, Suite 1000
Bristol, VA 24202
276-676-5604, Fax: 276-645-1994
Wythe County Health Department
750 West Ridge Road
Wytheville, VA 24382
276-228-5507, Fax: 276-228-3392
New River Health District
http://www.vdh.state.va.us/LHD/newriver/IND
EX.HTM
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $51 per shot.
Hepatitis B: $48 per shot.
Floyd County Health Department
PO Box 157, Rt. 221 South
Floyd, VA 24091
Phone: 540-745-2141
Fax: 540-745-4929
Pulaski County Health Department
170 4th Street NW
Pulaski, VA 24301
Phone: 540-994-5030
Fax: 540-994-5036
Giles County Health Department
120 North Main Street
Pearisburg VA 24134
Phone: 540-921-2891
Fax: 540-921-1335
Radford City Health Department
212 Third Avenue
Radford, VA 24141
Phone: 540-831-5774
Fax: 540-831-6109
Montgomery County Health Department
(District Headquarters)
210 South Pepper Street-Suite A
Christiansburg, VA 24073
Phone: 540-381-7100
Norfolk Health District
http://www.norfolk.gov/pub_health/
Hepatitis B: $45.07 per shot. Available at the
Headquarters, Park Place, and Little Creek
Clinics.
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: Not currently available.
Park Place Clinic
606 West 29th Street
Norfolk, VA 23508
757-683-9230
Norfolk Health District
(Headquarters Office)
830 Southampton Avenue, Suite 200
Norfolk, Virginia 23510
757-683-2756, Fax: 757-683-8878
Little Creek Clinic
207 E. Little Creek Road
Norfolk, VA 23505
757-531-2130
Berkley Clinic
925 South Main Street
Norfolk, VA 23523
757-494-2470
45
Peninsula Health District
http://www.vdh.state.va.us/LHD/peninsula/
Hepatitis A and B Adult Vaccination:
Hepatitis A: $32 per shot.
Hepatitis B: $38.36 per shot.
Hepatitis B and C testing: None.
Williamsburg Area Office
1126 Professional Drive
Williamsburg, VA 23185
757-253-4813, Fax: 757-253-4285
Peninsula Health Center
(Headquarters Office)
416 J. Clyde Morris Boulevard
Newport News, VA 23601
757-594-7305, Fax: 757-594-7714
Piedmont Health District
www.vdh.state.va.us/lhd/Piedmont/index.htm
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Both Hepatitis A and B are available but prices
frequently change. Call for more information.
Amelia County Health Department
P.O. Box 392, 16320 Church Street
Amelia, VA 23002
804-561-2711, Fax: 804-561-2712
Cumberland County Health Department
P.O. Box 107, 726 Foster Road
Cumberland, VA 23040
804-492-4661, Fax: 804-492-9463
Buckingham County Health Department
P.O. Box 198, Highway 60
Buckingham, VA 23921
434-969-4244, Fax: 434-969-1292
Lunenburg County Health Department
11387 Courthouse Road
Lunenburg, VA 23952
434-696-2346, Fax: 434-696-1271
Charlotte County Health Department
P.O. Box 670, Highway 40 West
Charlotte Court House, VA 23923
434-542-5251, Fax: 434-542-4354
Nottoway County Health Department
P.O. Box 27, Road 625
Nottoway, VA 23955
434-645-7595, Fax: 434-645-8197
Prince Edward County Health Department
111 South Street, Ground Floor
Farmville, VA 23901
434-392-8187, Fax: 434-392-1088
Pittsylvania/Danville Health District
http://www.vdh.state.va.us/LHD/pittsylvania/
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $51.83 per shot. Available at the
Danville Office only.
Hepatitis B: $58.43 per shot.
Danville City Health Department
(Headquarters Office)
326 Taylor Drive
Danville, VA 24541
434-799-5190, Fax: 434-799-5022
Pittsylvania County Health Department
P.O. Box 101159
200 H.G. McGhee Drive
Chatham, VA 24531
434-432-7232, Fax: 434-432-7235
46
Portsmouth Health District
http://www.vdh.state.va.us/LHD/portsmouth/ind
ex.htm
Hepatitis B and C testing: None.
Portsmouth Health Department
1701 High Street, 1st Floor
Portsmouth, VA 23704
Human Services Center
757-393-8585, Fax: 757-393-8027
Hepatitis A and B Adult Vaccination:
Hepatitis A: $20.76 per shot.
Hepatitis B: $27.36 per shot.
Fees above do not include a fee of $13.31 per
visit and a fee of $17.71 to administer each shot.
Prince William Health District
http://www.pwcgov.org/default.aspx?topic=040
028
Hepatitis A and B Adult Vaccination:
Hepatitis A: Approximately $95-100 per shot.
Hepatitis B: Approximately $95-100 per shot.
Prices include administration and visit fees.
Hepatitis B and C testing: None.
Manassas Clinic
9301 Lee Avenue
Manassas, VA 20110
703-792-6300, Fax: 703-792-6338
Smoketown Clinic
13792 Smoketown Road
Woodbridge, VA 22192
703-792-7300, Fax: 703-792-7311
Rappahannock Health District
www.vdh.state.va.us/LHD/rappahan/index.htm
Hepatitis A and B Adult Vaccination:
Both Hepatitis A and B are available; call your
local health department for current prices and
clinic schedules.
Hepatitis B and C testing: None.
Caroline County
17202 Richmond Turnpike
Milford, VA 22514
804-633-5465, Fax: 804-633-5128
Spotsylvania County Health Department
9104 Courthouse Road
Holbart Building, P.O. Box 126
Spotsylvania, VA 22553
540-507-7400, Fax: 540-582-2572
City of Fredericksburg
608 Jackson Street
Fredericksburg, VA 22401
540-899-4142, Fax: 540-899-4480
Stafford County Health Department
Courthouse Complex
1300 Courthouse Road, P.O. Box 27
Stafford, VA 22554
540-659-3101, Fax: 540-659-7176
King George County Health Department
Village Center
10079 King's Highway, P.O.Box 92
King George, VA 22485
540-775-3111, Fax: 540-775-3109
Rappahannock/Rapidan Health District
http://www.vdh.state.va.us/LHD/Rappahannock
Rapidan/index.htm
Hepatitis A and B Adult Vaccination:
Hepatitis A: Approximately $35 per shot.
Hepatitis B: Approximately $45 per shot.
Hepatitis B and C testing: None.
47
Culpeper County Health Department
640 Laurel Street
Culpeper, VA 22701-3993
Phone: 540-829-7350
Fax: 540-829-7345
Phone: 540-948-5481
Fax: 540-948-3841
Orange County Health Department
450 N. Madison Road
Orange, VA 22960
Phone: 540-672-1291
Fax: 540-672-3109
Fauquier County Health Department
330 Hospital Drive
Warrenton, VA 20186
Phone: 540-347-6400
Fax: 540-347-6405
Rappahannock County Health Department
491A Main Street
P. O. Box 5
Washington, VA 22747
Phone: 540-675-3516
Fax: 540-675-1021
Madison County Health Department
410 North Main Street
Madison, VA 22727
Richmond Health District
Tenth Street Clinic
Public Health Clinic Building
500 N. 10th Street
Richmond, VA 23219
Main Number: 804-646-6850
Communicable Disease: 804-646-6855
Immunization Program: 804-646-6850
http://www.vdh.state.va.us/lhd/richmondcity
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $38.47 per shot.
Hepatitis B: $45.07 per shot.
Twinrix: $60.39 per shot.
Southside Health District
http://www.vdh.state.va.us/LHD/Southside/
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis A: $53.76 per shot.
Hepatitis B: $61.74 per shot.
Prices subject to change.
Southside Health Department
(District Office)
P.O. Box 560, 434 Washington Street
Boydton, VA 23917
434-738-6815, Fax: 434-738-6295
Halifax County Health Department
P.O. Box 845
Halifax, VA 24558
434-476-4863, Fax: 434-476-4869
Mecklenburg County Health Department
P.O. Box 370, 478 Washington Street
Boydton, VA 23917
434-738-6545, Fax: 434-738-6542
Brunswick County Health Department
1632 Lawrenceville Plank Road
Lawrenceville, VA 23868
434-848-2525, Fax: 804-848-3032
Thomas Jefferson Health District
http://www.vdh.state.va.us/LHD/ThomasJeffers
on/
Hepatitis A and B Adult Vaccination:
Hepatitis A: $39 per shot.
Hepatitis B: $46 per shot.
Hepatitis B and C testing: None.
48
Charlottesville/Albemarle Health Department
(District Headquarters Office)
1138 Rose Hill Drive, PO Box 7546
Charlottesville, VA 22906
Administration: 434-972-6219
Communicable Disease: 434-972-6220
STD clinic: 434-972-6217
Immunizations: 434-972-6269
Greene County Health Department
50 Stanard Street, PO Box 38
Stanardsville, VA 22973
434-985-2262, Fax: 434-985-4822
Louisa County Health Department
101 Ashley Street, PO Box 336
Louisa, VA 23093
Health Services: 540-967-3703
Fax: 540-967-3706
Fluvanna County Health Department
Route 15, County Office Building
PO Box 136
Palmyra, VA 22963
Health Services: 434-591-1960
Fax: 434-591-1961
Nelson County Health Department
63 Courthouse Square, P.O. Box 98
Lovingston, VA 22949
Health Services: 434-263-8315 or 4839
Fax: 434-263-4304
Three Rivers Health District
http://www.vdh.state.va.us/LHD/threeriv/
Hepatitis A and B Adult Vaccination:
Hepatitis A: Approximately $50 per shot.
Hepatitis B: Approximately $50 per shot.
Hepatitis B and C testing: None.
Essex County Health Department
423 North Church Lane, P.O. Box 206
Tappahannock, VA 22560
804-443-3396, Fax: 804-443-2377
Mathews County Health Department
Courthouse Rd., P.O. Box 26
Mathews, VA 23109
804-725-7131
Gloucester County Health Department
7384 Carriage Ct., P.O. Box 663
Gloucester Court House
Gloucester, VA 23061
804-693-2445, Fax: 804-693-1398
Middlesex County Health Department
Headquarters Office, P.O. Box 415 VSH 33
Saluda, VA 23149
804-758-2381, Fax: 804-758-4828
King & Queen County Health Department
P.O. Box 8, 167 Courthouse Landing Rd.
King & Queen Courthouse, VA 23085
804-785-6154, Fax: 804-785-2601
Northumberland County Health Department
6373 Northumberland Hwy - Suite B
P.O. Box 69
Heathsville, VA 22473
804-580-3731, Fax: 804-580-2913
King William County Health Department
167 Courthouse Landing Road, P.O. Box 155
King Willliam Courthouse, VA 23086
804-769-4988, 804-843-3422
Fax: 804-769-2155
Richmond County Health Department
5591 W. Richmond Rd., P.O. Box 700
Warsaw, VA 22572
804-333-4043, Fax: 804-333-3447
Lancaster County Health Department
9049 Mary Ball Road
Health & Social Services Building
P.O. Box 158
Lancaster, VA 22503
804-462-5197
Westmoreland County Health Department
18849 King's Hwy, P.O. Box 303
Montross, VA 22520
804-493-1124, Fax: 804-493-9352
49
Virginia Beach Health District
Pembroke Corporate Center III
4452 Corporation Lane
Virginia Beach VA 23462
Administration: 757-518-2646
Clinic Services/Immunizations: 757-518-2700
Hepatitis B and C testing: None.
Hepatitis A and B Adult Vaccination:
Hepatitis B available. Call for price.
West Piedmont Health District
www.vdh.state.va.us/LHD/westpied/index.htm
Hepatitis A and B Adult Vaccination:
Hepatitis A and B are both available but prices
vary by individual and insurance. Call for your
local health department for more information.
Hepatitis B and C testing:
Hepatitis B testing available for free in the
Henry/Martinsville STD clinic.
Franklin County Health Department
365 Pell Ave., P.O. Box 249
Rocky Mount, VA 24151
540-484-0292
Henry/Martinsdale Health Department
(Headquarters Office)
295 Commonwealth Boulevard
P.O. Box 1032
Martinsville, VA 24114
276-638-2311
Patrick County Health Department
106 Rucker Street, P.O. Box 428
Stuart, VA 24171
276-694-3188
Western Tidewater Health District
http://www.vdh.state.va.us/LHD/WestTide/
Hepatitis A and B Adult Vaccination:
Hepatitis A: $32.73 per shot.
Hepatitis B: $45.07 per shot.
Twinrix: $60.39 per shot.
Prices subject to change.
Hepatitis B and C testing: None.
Franklin City Health Department
110 Fairview Drive, P.O. Box 595
Franklin, VA 23851
757-562-6109, Fax: 757-562-2630
Suffolk Health Department
(District Headquarters)
1217 N. Main St., P.O. Box 11587
Suffolk, VA 23434
757-686-4900
District Headquarters: 757-686-4901
Fax: 757-925-2243
South Hampton County Health Department
26022 Administration Center Drive
P.O. Box 09
Courtland, VA 23837
757-653-3040, Fax: 757-653-0834
Isle of Wight County Health Department
402 Grace St., P.O. Box 309
Smithfield, VA 23430
757-357-4177, Fax: 757-357-2838
50