Family & Community Health Services

Health Insurance and Access to Care
Provide assistance with health insurance enrollment for adults and children, including enrollment in Medicaid/Apple Health Program. Provide referrals to health care providers.  

First Steps Maternity Support Services and Infant Case Management

Provide nursing, mental health and nutritional services to Medicaid-enrolled pregnant women and their infants, via in-office and home visits.  Learn more about First Steps Maternity Support Services and Case Management program

Newborn Outreach


Home visiting program providing parenting education and support to all families with newborns in San Juan County.  Provide information and referral, parenting support, breastfeeding counseling and support

Breastfeeding and Lactation Services


Provide in home and phone consultation and support for breastfeeding mothers.  24-hour, on-call support is available.

    Breastfeeding Support - San Juan Island: 360-298-5141
    Breastfeeding Support - Orcas Island: 360-298-5827
    Breastfeeding Support – Lopez Island:  360-298-5140

Early Support for Infants and Toddlers (ESIT)


Provide home visits, assessment, information, support and referrals for families of children from birth to age three years who have known or suspected developmental delays or disabilities. Learn more about the ESIT program 

SafeCare Parenting Education Program


Home visiting program for families of children ages six years and under to provide intensive parenting and health education and support.

Oral Health & Access to Baby and Child Dentistry (ABCD) Program

Provide oral health education and support, referrals to Medicaid dentistry services; provide fluoride varnishes to pediatric clients.  Learn more about the ABCD dental program.

TB & Pregnancy Testing


Provide confidential tuberculosis and pregnancy testing, and referrals to providers for follow up care.

Communicable Disease Surveillance

San Juan County Health & Community Services relies on healthcare providers, laboratories, hospitals and the general public to report certain communicable diseases to us.  Reporting communicable diseases helps protect our community, and assists our efforts around disease prevention, surveillance, and outbreak investigation.  Learn more about required notifiable/reportable conditions. 

Community and Professional Education & Wellness Programs


Provide periodic community education on topics including: childhood adversity and building resilience, vaccination education, nutrition and wellness education and support

Case Management and Referrals


Child care consulting, recognition and referral for family violence services, mental health services, financial support and law and justice referrals.