Within 5 work days after arrival, the Department of Public Health must be contacted in order to schedule an initial health screening.  The screening includes immunizations, a blood test, and physical test. The caseworker will make the appointments and notify the clients. They are given a tb test, vaccines, and blood drawn.

MAKING THE APPOINTMENT

FORSYTH COUNTY

1. Children and adult appointments may be scheduled together.  
2. World Relief will submit paperwork and notify volunteers of the appointment dates and times.
3. The Forsyth County Department of Public Health is at 799 North Highland Ave. Winston-Salem, NC 27102 - (336) 703-3100
4. Clients should go to Clinic 3 for intial appointments. This clinic also offers vaccines for clients.

GUILFORD COUNTY

1. Children and adult appointments are scheduled separately.
2. World Relief will submit paperwork and notify volunteers of the appointment dates and times.

BEFORE THE APPOINTMENT

1. If someone in the refugee family does not speak English, the Health Department can utilize the "Language Line" if an interpreter is not able to be secured.   
2. If bringing a child to an initial screening at least one parent must come along.
3. Make sure refugee partners have their big white or blue I.O.M. bag and their documents are inside (I-94 cards, vaccination records, medical records, Medicaid Cards, Social Security Cards, PRM letter, and State ID (if they have them), and any other medical documents.
4. Make sure you have appropriate car seats unless you are aware that the refugee family has them. Contact World Relief if you need to borrow car seats.

AT THE APPOINTMENT

1. Check in at the front desk and fill out any paperwork that is requested
2. Wait in waiting room until you are called
3. Before leaving, make sure the refugees remember to bring their I.O.M. bag home

AFTER THE APPOINTMENT

1. Notify World Relief case manager that the appointment was completed
2. The refugees will need to schedule follow up appointments with the Health Department for further immunization shots
3. If necessary the Health Department will mail the refugee referrals to see a specialist

FORSYTH COUNTY

1. The initial screening for adults and children will not include their physical exam, so they will need to be scheduled to have a physical exam with their primary care doctor (primary care doctor is assigned by the Medicaid worker at DSS).
2. 3 days after appointment, refugees will need to return to Health Department to have TB skin test read