Immunizations / Vaccinations


Immunizations are provided by appointment at both Orange County Health Department locations (Hillsborough and Chapel Hill). Call 919-245-2400 to schedule an appointment.

Childhood Vaccination: Understand the Risks and Responsibilities of Not Vaccinating

If you choose to delay or reject some vaccines, there can be risks. Please follow these CDC recommended steps to protect your child, your family, and others. Learn more about the risks and responsibilities (PDF).

North Carolina's Immunization Requirements

As of July 1, 2015, the State of North Carolina has new vaccination requirements that affect children between the ages of birth and 17. It is important to understand what these new requirements mean for your family. Contact your medical provider or the Orange County Health Department to learn more about the new laws and protect your family now and for a lifetime. View a poster (PDF) of North Carolina's vaccination requirements and recommendations.

School Vaccination Data for 2018/2019

View school vaccination data for Chapel Hill-Carrboro City Schools (PDF), Orange County Schools (PDF), and Non-Public Schools (PDF).

Available Immunizations

All required vaccines and many recommended vaccines are available at the Health Department. Some are free of charge for certain high-risk groups and others are available for a fee. Persons paying for a vaccine will be given a receipt that can be submitted to his/her health insurance provider.

Vaccine Spotlight - HPV

By getting your child (ages 9 to 26) vaccinated against the human papilloma virus (HPV), you will be protecting them from most of the cancers caused by this infection. HPV infection can also cause other specific types of cancer and genital warts in both men and women. Learn more about HPV and how you can protect your child (PDF).

Child Immunization Update

Immunizations required by North Carolina Immunization Law have been available free of charge to all children. Due to budget cuts at the state level, the availability of free childhood vaccines will be more limited. Children with Medicaid or who are uninsured will continue to be able to receive free vaccines.

Children with health insurance coverage that does not cover the entire cost of vaccines are those who are most likely to have to pay. We will make every effort to keep our vaccine availability and pricing information up to date. We will advise parents of charges before vaccines will be administered. View more information on North Carolina Required School Immunizations.

Vaccines for Children (VFC) Eligibility Criteria

Some vaccines are only free for persons who are eligible for the Vaccines for Children (VFC) Program. To be eligible, children must be 18 years of age or younger and meet at least one of the following requirements:

  • Medicaid eligible
  • Uninsured
  • American Indian
  • Alaskan Native
  • Underinsured (Private insurance coverage does not include vaccines)
  • Unaccompanied minor without proof of insurance presenting to local health department Title X clinics 

Travel Immunizations

The health department does not provide travel immunizations. For information on vaccines needed for travel, visit the Centers for Disease Control.