Botetourt County Health Department

Street Address

21 Academy Street
Fincastle, VA - 24090

Online Contact

Botetourt County Health Department

About Botetourt County Health Department

This clinic operates under a SLIDING SCALE model.This means that it MAY NOT be free depending on your income.You will be required to prove financial need in order to receive free services or services at a reduced cost.Botetourt County Health Department is a Community Health Center.In order to get more information on this clinic, click on the icons below. You may be required to join for free in order to access full contact information.

    Vital Records
    Family Planning and Pregnancy Tests
    HIV and Sexually Transmitted Disease Testing
    Pediatric & Adult Immunizations
    Nursing Home Pre-Screening
    TB follow-up and Case Management
    Communicable Disease
    Public Health Liaison with School Nurses
    WIC (Women, Infant and Children nutrition program)
    Car Seat Education Classes
    CASA Immunization Assessments for Schools and Day Care Centers
    Environmental Health

Clinical services include family planning services, pregnancy testing and counseling, screening and treatment of sexually transmitted diseases.  The health department also offers an extensive immunization program which includes free routine child and adult immunizations (including flu vaccine).  Many of the services are offered free or fees are sliding scale according to income and family size.

Since this is a sliding fee scale clinic, we have provided the Federal Poverty Guidelines below. Visit the Botetourt County Health Department website listed above to see what the level is needed for free care.

Federal Poverty Guidelines for 2021

Persons In Family HouseholdPoverty Guideline Salary per year
1 $12,760
2 $17,240
3 $21,720
4 $26,200
5 $30,680
6 $35,160
7 $39,640
8 $44,120

For Households with more than 8 persons, add $4,480 for each additional person.
*Alaska and Hawaii have different rates for HUD federal poverty guidelines.
These numbers above represent 100% of the Federal Poverty Rate. In order to get reduced or free services from some clinics, they use a sliding fee scale based on your income.When they use a sliding fee scale, the 100% rate can be different than 100%. In those cases, using for example a 200% federal poverty level, you will only need double the 100% number listed above to 200%.

COVID-19 Information for Patients

Contact your healthcare provider by phone before coming to a clinic or hospital if you meet the following criteria:
  • Symptoms such as fever, cough or shortness of breath, fatigue, headache
  • Symptoms such as muscle or body aches, loss of taste or smell, sore throat, congestion or runny nose.
  • Contact with someone with confirmed COVID-19 within 14 days of onset of systems

Mild Covid Symptoms

  • Low-grade fever (approx 100 degrees Fahrenheit for adults)
  • Nasal congestion
  • Runny nose
  • Mild, dry cough
  • Mild body aches

Moderate Covid Symptoms

  • Fever above 100.4 F
  • Persistent cough
  • Temporary shortness of breath when you exert yourself
  • Exhaustion, need to stay in bed

Severe Covid Symptoms

  • Constant trouble breathing
  • Persistent chest pain or pressure
  • Confusion
  • Trouble staying awake
  • Blue lips or face

Health Care Center

Community Health
Botetourt County Health Department is a Community Health Center.

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Service Rates and Costs

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Botetourt County Health Department Service Rates

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