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Union County, North Carolina

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Clerk of Courts

Clerk of Superior Court

J.R. Rowell
Phone: 704-698-3100
Fax: 704-698-3101


Phone: 704-292-2746

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What clinical services do we provide?

  • Children’s Health
  • Women’s Health
  • General Health
  • WIC
  • Medical Records

What community services do we provide?

  • ABC (About Breast Cancer)
  • Breast Feeding Peer Counselor
  • Care Coordination for Children
  • Child Care Health Consultant Program
  • Community Health Education
  • Parenting with a Purpose
  • Pregnancy Care Management
  • Public Health Preparedness
  • Vital Records

What are Union County’s privacy practices?

All patient services are confidential as required by North Carolina and federal law.

Communicable Disease Control Program

Communicable disease is defined as "illness due to a specific infectious agent or its toxic products that arises through transmission of that agent or its products from an infected person, animal, or reservoir to a susceptible host, either directly or indirectly through an intermediate plant or animal host, vector, or the inanimate environment." Communicable disease pathogens include bacteria, viruses, fungi, parasites and prions.

Communicable diseases can have a significant impact on the population. The surveillance and control of such diseases is an important part of protecting the public's health. The Communicable Disease program primarily deals with infectious diseases that are reportable by law.

The program also deals with other communicable diseases of public health significance, such as:

  • Influenza
  • Norovirus infection
  • Certain healthcare-associated infections.

For additional information please visit the NC Communicable Disease website.

The program responsibilities include:

  • Monitoring disease outbreaks
  • Monitoring reportable disease rates
  • Providing education to the public and medical community to prevent the spread of disease
  • Implementation of and enforcement of control measures to prevent the spread of infection.
  • Control and prevention of rabies and other diseases of animal origin that can affect humans.

Rabies is a vaccine preventable disease in humans, dogs, cats and ferrets as well as some domestic livestock. All mammals are susceptible to rabies and it is nearly always fatal. Rabies can be prevented in humans with timely and appropriate treatment. In North Carolina the disease most often occurs in wild animals especially skunks, raccoons, bats and foxes. Raccoon rabies is present in the raccoon population in virtually every North Carolina county. For additional information on Rabies please visit:

STD Health Services

STD and HIV prevention and control services includes providing clinical services, education and awareness efforts and monitoring disease trends through surveillance and epidemiology. STD Clinic provides testing, treatment and education at no cost to the client for:

  • Syphilis
  • Gonorrhea
  • Chlamydia
  • HIV / AIDS
  • Other sexually transmitted infections

NC DHHS STD/ HIV Information for Individuals and Families


Our Immunization Clinic provides vaccines to people of all ages, including those traveling internationally. Public Health offers vaccines for preventable diseases to reduce the spread of vaccine-preventable diseases within Union County. The following vaccines are offered through our immunization clinic:

  • Gardasil
  • Hepatitis A (Adult) – 2 shot series
  • Hepatitis A (Pediatric)
  • Hepatitis B – 3 shot series
  • Meningococcal Vaccine
  • MMR
  • Twinrix – 3 shot series
  • Pentacel
  • Typhoid
  • Polio
  • Varicella
  • Tdap
  • Yellow Fever

In addition to vaccines, Blood Titer testing is available for the following:

Spanish Immunization Schedule (adults)

International Travel Immunizations

With the mission of public health to promote health, prevent disease and protect the community, International Travel Immunizations allow us to assist those traveling internationally the opportunity for disease protection. A Registered Nurse will review travel itinerary, provide immunization education and vaccination(s). A Vaccination record will be provided to you for your records.

Union County Lost and Found Pets

Online Search Instructions

Performance Guarantee Review Application

County Manager

County Manager

The County Manager is responsible for general administration of all county service areas and agencies under the guidance of the Board of Commissioners and for maintaining effective relationships with semi-autonomous and autonomous agencies. The County Manager implements commissioner goals and policies and advises the commissioners on financial matters, services and other issues.

County Manager, Cindy Coto

County Manager, Cindy Coto

Cynthia Coto has been the County Manager for the County of Union since November 15, 2010.

Prior to relocating to North Carolina, Ms. Coto was a resident of Central Florida from 1970 to 2010 and spent 36 years in local government service. Prior to being Union County’s Manager, Ms. Coto was the County Manager in Seminole County, FL for 3 ½ years and Volusia County, FL for 5 years.

Ms. Coto earned her undergraduate degree from the University of Central Florida in liberal studies with an emphasis in business administration, elementary education, social science and humanities. She has been a member of ICMA (International City/County Management Association) for 30 years and is a credentialed manager. Ms. Coto is a member of the North Carolina Association of County Commissioners, a Board Member of the United Way of Union County, and a member of the Monroe Rotary.

Contact Cindy

500 N. Main Street, Suite 918
Monroe, NC 28112
Phone: 704-283-3636
Fax: 704-282-0121

Assistant County Manager, Michelle Lancaster

Assistant County Manager, Michelle Lancaster

Michelle Lancaster has been Assistant County Manager since April 14, 2015.

Prior to Union County, Lancaster served as Assistant County Manager/Consolidated Human Services Agency Director for Mecklenburg County. Lancaster provided executive oversight of the Consolidated Human Services Agency, which includes the Department of Social Services, the Health Department, MeckLINK Behavioral Healthcare, Provided Services Organization, and Child Support Enforcement and Community Support Services. As a member of the Mecklenburg County Executive Team, she shared responsibility for overall county executive administration. Prior to her role as assistant county manager, she served for 11 years in numerous positions with Mecklenburg County.

Lancaster earned a bachelor of arts in English and a master of public administration degree from the University of North Carolina at Charlotte. She also holds an Executive Certificate in Juvenile Justice and Child Welfare multi-system integration from Georgetown University (2012). In 2010 Lancaster was named one of Charlotte's 40 under 40 by the Charlotte Business Journal. She served on the Board of the United Way of the Central Carolinas (2009-2015), as board member for the Institute for Social Capital at the University of North Carolina at Charlotte’s Urban Institute (2008-2015) and is a member of the University of North Carolina at Charlotte’s College of Human Services Board of Advisors. She is a member of the International City/County Manager’s Association and the North Carolina City/County Manager’s Association.

Contact Michelle

500 N. Main Street, Suite 920
Monroe, NC 28112
Phone: 704-283-3656
Fax: 704-282-0121

Assistant to the County Manager, Michael James

Assistant to the County Manager, Michael James

Michael James has been Assistant to the County Manager since June 8, 2015.

Before coming to Union County, James served as Town Manager for Rural Retreat, Virginia for 3 ½ years. He has also worked for Congresswoman Virginia Foxx and interned with Onslow County, N.C. and Clinton, N.C. James is a native of Jacksonville, N.C. and graduated from Southwest Onslow High School in 2005. He attended Appalachian State University where he received his for undergraduate degree in 2009 and Masters of Public Administration in 2011

Contact Michael

500 N. Main Street, Suite 918
Monroe, NC 28112
Phone: 704-283-3630
Fax: 704-282-0121