Alexander County Public Health
We are an accredited local health agency offering a wide range of services to the citizens of Alexander County.
**PUBLIC NOTICE**
UPDATED INFORMATION
Effective May 10th, 2026
In order to better serve the community and minimize wait times, Alexander County Health Department is moving to an appointment-based system for all services, including immunizations, TB skin tests, and outside labs, effective immediately.
Please call (828) 632 – 9704 to schedule an appointment. We appreciate all understanding and look forward to providing citizens with a smooth, efficient experience.
Thank you!
October 21st, 2025, Public Notice
The 2025 Community Health Assessment (CHA) process is complete, and Healthy Alexandrians, a collaborative group under ACHD, proudly announces two community-identified priority areas: Mental Health and Healthy Living.
This announcement follows an extensive, months-long assessment process involving more than 1,000 survey participants, community focus groups, and collaborative input from dozens of local organizations, community leaders and individuals who care about the future of Alexander County. Every four years, Healthy Alexandrians leads the assessment process to better understand the strengths and challenges across the county that impact health.
The final Community Health Assessment report will be published in 2026 and widely shared through community partners, local leaders, digital platforms and outreach efforts to ensure residents across Alexander County are informed and engaged. These two priorities will guide planning, funding, and collaborative action over the next four years.
The Alexander County Health Department would like to thank the members of Healthy Alexandrians and community partners for their commitment to this full-year process. These include:
EFFECTIVE JULY 1, 2025
Environmental Health Fees for the Alexander County Health Department will increase. This is necessary due to an increase in supply costs and the inflation in the economy. If you have questions regarding these changes, please call 828-632-1000 and we will be happy to assist you. Thank you!
**PUBLIC NOTICE**
UPCOMING NEW FEES
Effective January 1, 2025
Alexander County Health Department will begin offering a set fee for certain primary care services.
See below for the list of services and the cost of each. These are for the uninsured/underinsured and self-pay clients.
EFFECTIVE JULY 1, 2024
Environmental Health Fees for the Alexander County Health Department will increase. This is necessary due to an increase in supply costs and the inflation in the economy. If you have questions regarding these changes, please call 828-632-1000 and we will be happy to assist you. Thank you!
**PUBLIC NOTICE**
Proceed with caution. Construction Works Ongoing Effective March 4th, 2024
Alexander County Health Department wishes to advise the public that construction to the main entrance of the Health Department will be occurring beginning March 4th 2024.
• Please proceed with caution
• Observe all temporary directional signage provided at the site
• Comply with instructions issued by health department staff and/or construction staff
If you have questions regarding this issue, please call 828-632-9704.
We Thank You for your cooperation and regret any inconvenience that this may cause.