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Facchina

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University of Virginia Medical Center in Charlottesville. Children with chronic diseases such as cystic fibrosis and muscular dystrophy can get free medicine and medical care, referred through the Rappahannock Health Department to that same hospital. The Health Department’s Well Child Clinics offer developmental screening and free immunizations. There’s WIC which provides pregnant women, infants and children up to five years with vouchers that may be redeemed for milk, formula, cheese, fruit juices and other nutritious foods.

At family planning clinics, the public health nurse and the visiting doctor dispense birth control information and birth control devices. “If patients choose to be confidential, we honor that, no matter their age,” the nurse noted. “We encourage abstinence, but we are realistic.”

And young women who have waited too long to learn about birth control can also get assistance from the Health Department. “If they’re pregnant, there’s so much support we can give them,” Marion noted. The support includes, but is not limited to, referral to an adoption agency and help in keeping the child, if the mother-to-be chooses that option.

The Health Department has a chronic illness program aimed at those who do not qualify for Medicare Home Health but need help if they are to stay in their homes. “I follow older people who might otherwise fall through the cracks,” Marion said, explaining that she makes home visits to teach a family how to

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