District Health Department 4

Serving Alpena, Cheboygan, Montmorency
and Presque Isle counties.
District Health Department No. 4 has a wide range of services available for all ages.


Services are available to pregnant women currently receiving Medicaid benefits.

  • A team of health care workers including a registered nurse, dietician, and social worker who will teach and support mothers during their pregnancies so they have healthy pregnancies and positive birth outcomes.
  • Payment for childbirth/education classes when applicable.
  • Reimbursement for applicable transportation costs relating to prenatal/postpartum care appointments.


Services are available to infants receiving Medicaid beginning at birth.

·         A team of health care workers including a registered nurse, dietician, and social worker who will teach and support the family in providing healthy infant care and growth.

·         Payment to attend a parent education class when applicable.

·         Reimbursement for applicable transportation costs relating to medical/health care appointments.


WIC is available for pregnant moms, new moms, nursing moms, infants/children up to age 5 who meet the income guidelines.

  • Participants receive benefits to buy WIC approved food each month.
  • Nutrition education.
  • Breastfeeding support provided by a peer counselor.
  • Monitor child growth and development.
  • Access to a dietician if necessary.
  • Project fresh.

    WIC Income Guidelines (pdf)


Immunizations are offered to all ages (children as well as adults) to minimize and prevent the occurrence of vaccine preventable diseases.

  • Vaccines are available through the VFC (Vaccine for Children) program for eligible children.  Under the VFC program the vaccine is covered and the client pays a minimal administration fee if applicable.
  • Most private insurances are accepted.
  • Private pay vaccines are offered.
  • Flu and pneumonia shots are available.
TB skin testing is available.

Immunization Clinic Schedules (pdf)


CSHCS offers health care coverage for children and some adults with eligible medical conditions.  Families of all incomes are eligible to join, including those with other health insurance.

  • CSHCS pays for medical bills related to specified diagnoses and services.  There are 2600 diagnoses covered.
  • They assist in covering co-pays and deductibles from private insurance and in some cases assist in paying premiums for private insurance.
  • Assist with transportation and lodging needs for medical care.
  • Supports coordination of services and assists with locating resources.


Health screening is provided to Headstart recipients.  Services include vision, hearing, lead testing, hemoglobin (blood testing for anemia), and immunizations if indicated.   Referrals are initiated as needed.


Staff ensures proper investigation and follow-up of all reported cases of communicable disease, conducts disease surveillance, implements prevention strategy, educates residents, and manages TB and Perinatal Hepatitis B cases.


The hearing and vision program offers FREE screenings to all Michigan children in collaboration with local schools.  Early identification of hearing and vision increases each child’s opportunity for academic and school success.  Upon diagnosis, immediate treatment increases the likelihood of remediating temporary difficulties and preventing them from becoming permanent problems

·         Hearing and vision screenings as required by law and are provided for children prior to school entry.

·         Hearing and vision screening are offered at least once between the ages 3-5, in kindergarten, 2nd and 4th grades (hearing) and 1st. 3rd, 5th, 7th, & 9th grades (vision) at no cost to families.

·         Referrals are made to family physicians, ophthalmologist, optometrists and otology field clinics as needed.


Family planning services help women and men determine if and when they want to have a child.  The program keeps people healthy and protects their ability to have children in the future. 

Confidential services include:

  • Contraceptive services – A full range of birth control methods and education are provided.  No exam is necessary if you are under age 21.
  • Pregnancy testing, counseling and referrals are provided.
  • Screenings are provided for sexually transmitted infections, HIV/AIDS, breast and cervical cancer and other health issues.
  • Client education, counseling, referrals for social and medical issues.


A certified health care Navigator is available to assist in the insurance application process through MIBridges for children and adults who do not have health care coverage.  

  • We can answer questions and assist individuals and families who do not have health care coverage.
  • The Navigator assists in enrolling individuals and families into Michigan Health Care programs based on criteria.
  • They are available to answer questions and assist with enrollment into the Healthy Michigan Plan.


Health appraisals and individual health services are provided.



The BCCCNP program provides services to help you receive the care you need whether it is breast or cervical cancer screening, follow-up for abnormal test results and/or treatment if breast or cervical cancer is diagnosed.

  • If you are uninsured, we can enroll you in our program and arrange for you to receive these services.
  • If you have insurance but have a high deductible or your insurance doesn’t completely cover your follow-up care, we can provide help in paying for these follow-up exams:

·         Consultation with a Breast Surgeon or OB/GYN doctor.

·         Diagnostic mammogram, extra views, breast ultrasounds, MRI, breast biopsy or aspiration.

·         Colposcopy with cervical biopsy.


We are the fiduciary for the Abstinence Education Grant through the Michigan Abstinence Partnership on behalf of the Northeast Michigan Pregnancy Prevention Coalition.

  • Multiple strategies are implemented to delay onset of sexual activity and other risky behaviors such as the use of alcohol, tobacco and other drugs.
  • The target population is 9 to 14 year olds.
  • Included in the strategies are youth, parents and community campaigns.
  • Girls on the Run.


The day care center is available for adult individuals that need supervision or cannot be left alone. 

  • We provide respite care for family members who work or just need an occasional time out from care giving.
  • Services are provided in a home like atmosphere by a Nurse, Aides, Senior Companions & volunteers.
A special emphasis is placed on activities to enhance mental and physical skills.