A Message from Toe River Health District


As of the end of last week, we have no scheduled days for administering the COVID-19 Moderna vaccine first dose.

We currently await an update from the state related to our next shipment. As soon as we know when that will be, we will schedule more clinics and keep vaccinating those in phase 1 who are eligible.

Please be patient and kind as we wait together. We greatly appreciate all the support and cooperation during this time. We will get you the vaccine, that is a promise.



COVID-19 Vaccination Paperwork Packet


Download Vaccination Paperwork Packet


Prevaccination Checklist

Download Prevaccination Checklist


Descargar la lista de verificación de prevacunación


Covid Vaccine Questionnaire

Download Covid Vaccine Questionnaire


Second Dose Consent Form

Download Second Dose Form


Descargar el formulario de segunda dosis




COVID-19 Vaccination

The COVID-19 vaccine will be distributed in phases. If you would like a general idea of the phase you would be in to receive the vaccine, click on the link below, enter your information and click submit. Once submitted the information you provide will tell us which phase you will likely be in. When the vaccine is available for your group, you will be contacted by phone or email.



Covid-19 Vaccine Phase Information Form










Healthy people, healthy environment, thriving communities

Our health clinics are committed to providing quality care for everyone, regardless of their ability to pay. We have a sliding fee scale for people who are uninsured or underinsured, whose incomes are below 200% of the federal poverty level. We consider your family size and your income when using the sliding fee scale. Fees for services will be reduced based on the sliding fee scale at all three health clinics.

To apply for our sliding fee scale, you will need to provide proof of income and family size. Eligibility is extended to all patients, regardless of other medical coverage.

Patients may be insured and still qualify for a sliding fee.





Substance Use and Mental Health Resource Guide for Mitchell and Yancey Counties

We have created this guide of substance use resources for Mitchell and Yancey County residents. We are working hard to address the issues of substance use in our community. Please contact us if you have suggestions about how we might improve our efforts to serve you and our community.



Welcome to The Toe River Health District. Serving Avery, Mitchell & Yancey Counties

Toe River Health District works to improve the quality of life among community members by promoting health lifestyles and preserving the environment in Avery, Mitchell, and Yancy Counties.



Our Mission

Awareness & Access to Care

To assure the conditions allowing the people of Avery, Mitchell, and Yancey counties to be healthy. Our mission is accomplished through an organized community effort focusing on: health promotion, disease prevention, education and awareness, access to and provision of care, and quality and value.

Our Goal

Protect & Improve Health

To protect and improve the health of the citizens of Avery, Mitchell, and Yancey counties and to maintain a healthy environment. We provide the services mandated by statutes or regulations of the Department of Health and Human Services, Department of Environment and Natural Resources and other services as approved by the Toe River Health District Board of Health.


Featured Resources

Toe River Health District

Healthy people, healthy environment, thriving communities

Toe River Health District is an equal opportunity provider. Services are available to all who may benefit and who meet regulatory requirements regardless of race, color, religion, national origin, sex, sexual preference, disability, age, socioeconomic level, marital status, source of payment, political affiliation, number of pregnancies, DNR/Advanced Directive status, or diagnostic status.

Copyright © Toe River Health District. All rights reserved.