District Health Department No. 4 provides high quality reproductive health care to women, men and teens at low or no cost. Services are based on your income and we accept most types of insurance. Parental consent is not required.
- Free Condoms
- Birth Control
- Pregnancy Testing
- Follow-up & Referrals
- Community & Patient Education
- Health Assessment
- Screening & Exams
- Emergency Contraception
- Sterilization Referrals
- Preconception Health
- Basic Infertility Screening
- Sexually Transmitted Infection Screening
- Achieving Pregnancy
- Tobacco Cesation
For a birth control or STI screening appointment offered in Alpena, Cheboygan, Montmorency and Presque Isle Counties, please call 1-800-221-0294.
Teen Pregnancy Prevention Initiative
Teen pregnancy is a widespread issue that is at the root of numerous social and health challenges.
District Health Department No. 4 works to prevent teenage pregnancy through education and awareness. Teens may also call or email District Health Department No. 4 for more information on preventing teenage pregnancy, or click on any of the resource links on the right.
Teens in Michigan have the right to the following confidential health services without their parent’s knowledge or permission:
- Drug use and abuse
- Sexually transmitted infections and HIV
- Pregnancy Testing and prenatal (pregnancy) care
- Birth control
If you are on a birth control method and if you are experiencing any of the following symptoms, contact your physician or go to the nearest emergency room right away:
- Arm, leg, chest or stomach pains
- Blurred vision
- Shortness of breath
- Sudden and severe headaches
Smoking Cessation Initiative
Smoking during pregnancy is linked to infant mortality, low birth weight and other infant complications. It is important to use evidence-based programming, like SCRIPT, to attack this major public health issue.
What is SCRIPT?
SCRIPT® is an award-winning, evidence-based program shown to be effective in helping thousands of pregnant women quit smoking. It is designed to be a component of a patient education program for prenatal care providers, and is cited by the Agency for Healthcare Research & Quality’s Smoking Cessation Clinical Practice Guidelines. SCRIPT® counseling is a reimbursable service under the Patient and Affordable Care Act.
The SCRIPT Program includes the following intervention components:
- A Pregnant Woman’s Guide to Quit Smoking
- Commit to Quit DVD. *Now Available in Spanish
- Comprehensive counseling using the 5 As
- Follow up counseling and encouragement to establish a non-smoking home