Access to Health Care

Columbia County Public Health partners with Columbia Health Services, a 501(C)3 non-profit organization, to provide primary care services. CHS can provide access to a variety of resources and clinical information, and can also provide information on immunizations, STD testing, and tuberculosis screening.

Columbia Health Services clinics, health centers, and services list →

Learn more about Columbia Health Services →


If you're over 65 (or turning 65 in the next 3 months) and not already getting benefits from Social Security, you need to sign up to get Medicare Part A (Hospital Insurance) → and Part B (Medical Insurance) →. You won't get Medicare automatically.

Sign up for Medicare online → or contact Social Security. Social Security will review your records to see if you qualify for Medicare.


Guide to Medicare Benefits →

Reproductive Health

For general questions about reproductive health and local resources, call 2-1-1 or visit 211info →

Clients can find a reproductive health clinic in our network by calling 211 or texting HEALTH to 898211, as well as visiting our list of clinics online. Spanish speakers can text SALUD to 898211. 211info also has a lot of other resources for clients when they contact them, such as info on housing, food assistance, finding childcare, and energy and water assistance.

Northwest Abortion Access Fund →

NWAAF helps people pay for their abortion care by sending funding directly to the clinic. They also help people get to and from the clinic and make sure people traveling for care have a safe place to stay. Visit their website or call for more information: 1-866-NWAAF10 (1-866-692-2310).

Oregon Health Plan Application Assistance

Clients can get help enrolling in OHP including children who are covered through OHP Now Covers Me and clients who are eligible for prenatal care and 60-day postpartum care through CAWEM Plus. To find an OHP-certified community partner for help applying, the client can go here →, enter their zip code and choose "Community Partner" under "Organization Type" to find one.

Transportation Assistance

For clients enrolled in OHP or CAWEM Plus who need help getting to their appointments, they can go here → to find the organization that provides transportation for their county and contact the organization to make an appointment.

Other State Programs available in Oregon related to reproductive health and pregnancy

  • Oregon MothersCare → offers free pregnancy testing, unbiased options counseling, and resources for connecting clients to prenatal care.
  • CAWEM Plus provides temporary OHP coverage to pregnant and postpartum clients who are not eligible for Medicaid.
  • WIC clinics → provide breastfeeding support, resources for healthy food, and nutrition education.
  • ScreenWise Program → offers a variety of breast cancer, cervical cancer, and genetics services for uninsured and underinsured clients.
  • Oregon Immunization Program → has resources and information on vaccines, including the HPV vaccine. The Vaccines for Children Program can help with costs for clients under 19 years of age, and other programs are available for insured and uninsured adults.

Oregon Health Authority's Accessing Care page of the Reproductive Health Program →

Public Health Quick Links
General Information
Phone Numbers
503-397-7247 24-hour Reporting 503-397-7247
Fax: 888-204-8568
Emergencies: Dial 911
230 Strand St.
Columbia County Courthouse Annex
St. Helens,

Monday - Friday
8:30 a.m. to 4:30


Columbia County Public Health is committed to improving the quality of life and protecting the health and well-being of all residents by addressing social, economic, and environmental conditions. Our goal is to ensure that all people in Columbia County have the opportunity for a healthy life.