Health Department

P.O. Box 220

21 Academy Street

Fincastle, VA 24090

Located next to the Fincastle Library

Monday - Friday

8:00 a.m. - 4:30 p.m.

Phone: (540) 473-8240

Fax: (540) 473-8242

The Botetourt County Health Department is a part of the Alleghany Health District of the Virginia Department of Health. The Department offers numerous programs and services that promote and protect the health of Botetourt's citizens and visitors. Public health nurses, environmental health specialists and office support staff are dedicated to the mission of promoting optimum health, preventing disease and protecting the health of the community.

Clinic services are provided based on family income and a sliding fee scale and/or at no cost to clients. Call for an appointment or clinic times.



  • 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)
  • BabyCare
  • Car Seat Education Classes
  • CASA Immunization Assessments for Schools and Day Care Centers
  • Environmental Health
    • (540) 473-8243

Other Resources



Did You Know...

Fpo Did You Know

The Jefferson National Forest and the George Washington National Forest have over 70,000 acres in three Ranger Districts in Botetourt County. The National Forests make up 22 percent of the county's land area and offer great environments for hunting, hiking, fishing and bird watching.