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As we age, the range of services that are needed to support health, well-being and quality of life can become more diverse and complex. Finding and accessing available services and support systems to meet these complex needs can sometimes be confusing. In the metro-Denver area there are several resources designed to make this process easier.
The Network of Care is a comprehensive, community-based website to provide current information on services available to older adults, their families and their caregivers. It is sponsored by the Denver Regional Council of Government’s Area Agency on Aging, it also has a medical library, information about assistive devices, and links to other organizations and services. You can also get assistance by email, or by phone at 303 480-6700, outside metro-Denver call toll-free at 866-959-3017.
Senior Source, is an easy-to-navigate website that provides current information on available services, activities, events and issues of importance to older adults. It is sponsored by 9News, the Colorado Department of Human Services and well-respected community partners.
If you have been around rodents and have symptoms of fever, deep muscle aches, and severe shortness of breath, see your doctor immediately. Be sure to tell your doctor that you have been around rodents.
Note: Other courses, upon notification by the Body Artist prior to taking the course, may be approved after review by TCHD; these courses must meet the definition of bloodborne pathogen course from BA-16, Section 1-103(f). Call your local TCHD Environmental Health office for more information.
Yes. On-site inspections will be conducted during the event to ensure compliance. Artists participating in temporary body art events must comply with all applicable sections of the Tri-County Health Department Rules and Regulations for Body Art Establishments Regulation No. BA-16. A Temporary Event License Application must be completed and submitted by the event coordinator to TCHD at least thirty (30) days prior to the proposed start date of the event. For more information, contact your local TCHD Environmental Health office.
Yes. Section 10-1001 of the Tri-County Health Department Rules and Regulations for Body Art Establishments requires mobile body art establishments to obtain a Body Art Establishment License. Mobile body art establishments must comply with all applicable sections of the Tri-County Health Department Rules and Regulations for Body Art Establishments Regulation No. BA-16 and must receive an annual licensing inspection from Tri-County Health Department. The Body Art Establishment License Application can be found here: Body Art License Application. For more information, contact your local TCHD Environmental Health office.
Renovators and contractors doing work that disturbs paint in child-occupied facilities and homes built before 1978 are required to work in “lead-safe” ways. The EPA lead web site tells about lead’s hazards, preventing lead exposure, living safely in pre-1978 buildings, and what “lead-safe” means. The page “Operators of Child Care Facilities” informs operators in older buildings that they either 1) get lead-safe certified if they are doing repairs/remodels themselves, or 2) that they advisedly hire a lead-safe certified firm. A concise EPA handout on providers’ responsibilities is available.
Visit the Colorado Department of Public Health and Environment for several examples of how risk can be reduced. Lead can be in everyday items in your home. Old or imported items are more likely to have lead based finishes and paint in them. If you would like any of your household items tested for lead, contact Kayla Lesperance at 303 363 3030.
When a child has a confirmed blood lead level greater than or equal to 5µg/dL, Tri-County Health department will conduct an investigation which could include a home visit. These services are free of charge, contact Kayla Lesperance at (720) 435-3490 for more information.
Iron - lean meats, fish, cereals high in iron, dried fruits such as raisins and prunes Calcium - milk, yogurt cheese, green leafy vegetables Vitamin C - citrus fruits and juices, tomatoes, tomato juice, green peppers
Go to the Colorado Department of Public Health and Environment Lead Page, to find a certified abatement professional and certified lead professional.
1. Select examination gloves. Use non-powdered gloves because some forms of talc used to powder gloves may have lead contamination.2. Wash the child’s hands thoroughly with soap and water, and then dry them with a clean, low-lint towel. Plain, unprinted, non-recycled towels are best.3. Grasp the finger that has been selected for puncture between your thumb and index finger with the palm of the child’s hand facing up.4. If not done during washing, massage the fleshy portion of the finger gently.5. Clean the ball or pad of the finger to be punctured with an alcohol swab. Dry the fingertip using sterile gauze or a cotton ball.
Contact Kayla Lesperance at (303) 363-3030. She will need to know the name of the child, date of birth, child's address, date of blood lead test, whether it was a venous or capillary sample, test result, and whether it was confirmed as being elevated. She will also need your name, clinic name, and clinic address. Feel free to leave this information on her confidential voice mail. Normally all blood lead test results are reported by the testing laboratory to the Colorado Department of Public Health and Environment (CDPHE). CDPHE then reports BLL's of 5 µg/dL or greater to the respective local health department for follow-up.
Yes, our services are confidential. We will not give out your personal information without a signed consent.
Plan B One-Step® contains the hormone levonorgestrel. Plan B One-Step® contains a higher dose of levonorgestrel than regular birth control pills, but works in a similar way to prevent pregnancy, mainly by stopping the release of an egg from the ovary. Plan B One-Step® may also work by preventing fertilization of an egg or by preventing attachment (implantation) to the uterus (womb). You should use Plan B One-Step® within 72 hours (3 days) after you have had unprotected sex or experienced birth control failure. Plan B One-Step® is available without a prescription.
ella® works by decreasing progesterone in the body which can stop or delay ovulation and may also change the lining of the uterus preventing the egg from implanting after ovulation. ella® should be taken up to 120 hours (5 days) after unprotected sex or birth control failure. ella® is only available by prescription.
The sooner you take any emergency contraception, the better it works.Emergency contraception is a backup method of birth control you can use when: • Your regular birth control was used incorrectly or failed • You did not use any birth control method
A License issued by the City and County of Denver is valid only in the City and County of Denver. A State of Colorado Retail Food Establishment Mobile License is valid anywhere in the State of Colorado except in the City and County of Denver.
If you live in Adams, Arapahoe, Douglas, or Elbert Counties in Colorado, and you have a child or are a pregnant women on Medicaid or CHP+, you can call the Tri-County Health Department Healthy Communities Program for assistance with these items at 303-873-4404, We are open Monday through Thursday, from 7:30 a.m. through 5 p.m. and closed for lunch from noon - 12:30 and Friday 8 a.m. through 5 p.m. and closed for lunch noon - 1 p.m. We are closed on holidays.
Other Mold Resources: - A Brief Guide to Mold, Moisture and Your Home - Homeowner's Guide to Moisture Management - Mold Remediation in Schools and Commercial Buildings (Although it was written for schools and commercial buildings, the concepts apply to the home setting as well)
Note: Tri-County Health Department cannot provide legal services. For further legal questions you can contact Colorado Legal Services at 303-837-1313.
Other Radon Resources: - Citizens Guide to Radon - Dealing with Radon in Real Estate Transactions- Consumer’s Guide to Radon Reduction-- How to Fix Your Home
For more information see EPA's Asbestos website.
For more information on these and other health effects of asbestos exposure see the Agency for Toxic Substances and Disease Registry, the National Institute for Occupational Safety and Health and the National Cancer Institute.
Linkage to Care care coordinators are available to provide assistance with financial applications that may help you pay for medication and other medical care.
Care coordinators can meet you in a location that is convenient and comfortable for you.
You may make an appointment by calling 303-363-3018. All of our clinics also offer walk-in appointments. Clients are seen on a first come, first serve basis and wait times may vary. Walk-ins are not available on Fridays. Please see our clinic schedule for times and locations.
For those who meet the risk criteria, HIV and Hepatitis C testing are provided at no cost.
HIV and Hepatitis C tests are a rapid finger stick test.
Results are ready for the HIV Rapid test in 10 minutes, with the entire appointment taking 15 - 30 minutes. Results are ready for the Hepatitis C test in 20 minutes, with the entire appointment taking 20 - 30 minutes.
We offer the UniGold Antibody HIV Test which is a finger poke test with results available in 10 minutes.
Household Chemical Roundup events cannot accept waste from businesses, and are not able to accept radioactive waste, smoke detectors, electronic waste of any kind, oil drums, asbestos, sharps/medical waste or explosives.
Private insurance accepted at all Tri-County Immunization Clinics. Unable to bill Kaiser and select private insurances. Medicaid, Medicare, and CHP+ accepted. Out of pocket costs vary for non-contracted insurances or non-routine vaccines. Please see our price list.
There is no current human health risk at Lowry Landfill because nobody is being exposed to site-related contamination. The Lowry Landfill Superfund Site is a prescribed containment remedy. The U.S. Environmental Protection Agency conducts mandatory five-year reviews to ensure all containment activities are working as designed. The latest five-year review, completed in September 2017, confirmed that the remedy of Operable Units 2, 3, 4, and 5 are protective of human health and the environment. Operable Units 1 and 6 require continued monitoring and a protectiveness determination will be made by the U.S. Environmental Protection Agency after further information is obtained. Private non-community drinking water wells north of the site have been monitored and sampled since 2006 for 1,4-dioxane which has been detected north of the Lowry Landfill Site boundary and does not pose a threat to people living in the vicinity.
You and your nurse decide who gets involved.
An OWTS permit is required for new installations, expansions, and repairs (with some exceptions). To obtain a permit, the following will be required for new systems/new soil treatment areas (STA’s): completed permit application, payment of permit fee, system design, soils information, test pit logs, percolation tests (if used), and a site plan. Tri-County Health Department (TCHD) will accept the applications at our Environmental Health Offices. TCHD staff will then review the information and make a site visit. If the application, design (if applicable) and site meet our requirements, TCHD will issue a permit to construct, expand or repair the OWTS.
A Colorado Licensed Professional Engineer must design a system if any of the following occur: (a) the following soil types are identified within 4 feet below the depth of the proposed soil treatment area (STA): 0, 3A, 4, 4A, 5, R-O, R-1, R-2; treatment levels TL2, TL2N, TL3, and TL3N as specified in tables 10 and 11 of Regulation O-17 (b) groundwater, bedrock, or other limiting layer is present within 4 feet below the depth of the proposed STA, (c) the ground slope at the area of the proposed STA is greater than 20%, or (d) the proposed system is a commercial system, (e) the proposed system utilizes pressure distribution.
Review our Use Permit Questions and Answers and visit our On-Site Waste Treatment System page for more information and related forms.
Use permit inspections must be done by a "third party" certified Use Permit Inspector. These inspectors do not work for Tri-County Health Department (TCHD). These inspectors are certified by the National Association of Wastewater Technicians (NAWT).
The seller of the property is required to obtain a use permit prior to the sale of the property (see question #3).
Tri-County Health Department (TCHD) does not have a minimum lot size requirement. Local planning agencies do have minimum lot sizes in their zoning codes. They typically recommend a minimum of one acre for lots supplied by central water and 2.5 acres for lots with wells.
Tri-County Health Department (TCHD) requires that septic tanks be inspected every four years and pumped when scum and sludge accumulate to greater than 25% of the effective volume of the tank. Dosing tanks shall be inspected and pumped if sludge accumulation is observed. If your OWTS receives higher than average use as determined by your TCHD licensed cleaner, you may want to consider a more frequent pumping interval. All pumping and evaluation of septic tanks should be done by a licensed cleaner. We also have a guide on septic care and maintenance.
Tri-County Health Department recommends that an STA be left largely untouched by homeowners. Irrigated landscaping is not recommended, since it has the possibility to saturate an STA causing the septic system to fail prematurely. You may consider planting buffalo grass or other natural grasses which do not require irrigation. Mow any grasses planted on the STA area regularly. Horses or other livestock should not be placed on an STA, because compaction of the soils may occur causing premature failure of your absorption area. We also have a guide on septic care and maintenance.
Tri-County Health Department (TCHD) generally allows connection to the existing septic system, provided the owner notifies TCHD in advance, and TCHD approves the connection. An inspection of the new plumbing and applicable fee(s) is required. Prior to final approval, the existing record drawing of the system must also be amended to show new buildings and plumbing. For more information, contact one of our four Environmental Health offices prior to starting your project.
Tri-County Health Department (TCHD) maintains online records for existing septic systems in Adams, Arapahoe, and Douglas Counties which contain record drawings identifying OWTS locations. Please keep in mind that TCHD may not have records of all septic systems due to age or permit status. In this case it may be necessary to contact a licensed installer or a certified Use Permit inspector or surveyor to locate your system.
In this situation it would be best to have the system evaluated by a licensed septic contractor. If the damage is relatively minor such as damage to a single pipe or chamber, it likely will not require a permit, but the repair will need be done by a licensed contractor, and all repairs will need to be inspected by Tri-County Health Department (TCHD) prior to being covered. Inspection fees may apply. If the damage is more extensive such as damage to the tank or extensive damage to the soil treatment area (STA), it may require a repair permit. Consult with your contractor and TCHD.
Yes, Tri-County Health Department (TCHD) requires that all on-site wastewater treatment system (OWTS) installers be licensed with our Department. In order to obtain a license, TCHD must receive a completed application, affidavit of citizenship, and license fee. In addition, the applicant must take and pass the system’s contractor exam. The exam covers various sections of the Onsite Wastewater Treatment System Regulations and you can take an exam at one of our four Environmental Health offices during business hours (8am-5pm M-F, closed from noon – 1:00pm). The license is valid from January 1 to December 31 and must be renewed every year. Starting October 1, 2019, all licensed installers will be required to attend a National Association of Wastewater Technicians (NAWT) Installer Course and obtain a certification prior to receiving a TCHD license.
In order to become licensed as a septic system pumper/cleaner with Tri-County Health Department (TCHD) contact one of our four Environmental Health offices. You will need to fill out an application, pay a fee, and complete an affidavit of citizenship. The license is valid from January 1 to December 31 and must be renewed every year. Starting October 1, 2019, all licensed cleaners will be required to attend a National Association of Wastewater Technicians (NAWT) Vacuum Truck Course or Operation and Maintenance I Course prior to receiving a TCHD license.
All on-site wastewater treatment system (OWTS) use permit inspectors must be certified by the National Association of Wastewater Technicians (NAWT). This can be accomplished by visiting the Colorado Professionals in Onsite Wastewater (CPOW) website and signing up for the two day NAWT Inspector course. You can also view NAWT’s website. Recertification must occur every two years by attending 8 credit hours of NAWT courses or attending 8 credit hours of other NAWT approved OWTS courses. Copies of the initial certification and/or subsequent re-certifications must be submitted to Tri-County Health Department (TCHD). NAWT maintains online lists of certified use permit inspectors.
TCHD cannot recommend a Septic System Professional. However, TCHD provides a document titled “Tri-County Health Department Guide to Selecting an Onsite Wastewater Treatment System Installation and Service Professional”, to assist you in selecting a professional.
You can either make an appointment or walk in to one of our clinics, however we recommend an appointment when possible to make sure you are seen more quickly. We offer next day appointment scheduling. This means you will need to call and make an appointment the day before you want to come in. Annual exams are by appointment only. 303-363-3018
STIs are tested for with a urine test, swab or pap.
Testing is on a sliding scale based on income and is low cost or no cost. If positive, treatment is free.
Our test can detect a penile or vaginal infection within 1 - 3 weeks from exposure.
Yes. Just because one partner tested negative for STIs does not mean that other partners are negative as well.
STI testing is available to anyone who is sexually active, regardless of age. If you are under 18, you do not need parent or guardian permission to be tested.
The Denver Health Tuberculosis Clinic provides low-cost diagnostic testing and treatment. If they diagnose you with TB, your treatment will be offered for free. Please call (303) 602-7240 to schedule an appointment with the Denver Health TB clinic. Denver Metro Tuberculosis Clinic at Denver Health
FREE Condoms, Birth Control Pills, Nuvaring, Depo injection, Nexplanon, IUDs, and Emergency Contraception (Plan B and Ella).
The Baby & Me - Tobacco Free Program provides support to help moms quit smoking during their pregnancy and to stay quit after delivery. After the birth of the baby, moms who continue to be smoke free receive a monthly voucher for free diapers or wipes for their baby's first year.
In-person payments can be made by cash, check, money order or credit cards. We accept MasterCard, Visa, Discover, and American Express. Certificates are issued same day if record is ready for issuance in our system. Certificates are typically issued within 5 to 15 minutes.
The Women, Infants and Children Program, also known as WIC is a federally funded program. WIC provides nutrition information, medical referrals, breastfeeding support, prenatal nutrition education classes, health screenings and nutritious foods to qualifying families. Learn more about WIC and WIC foods by watching the
You family may qualify if you are a pregnant, breastfeeding, or a postpartum woman, have infants / children up to 5 years old and you live in Colorado. To qualify, you must also meet household income guidelines.
WIC welcomes men and all caregivers of children. WIC recognizes the important roles fathers, and all caregivers play in caring for children. Fathers caregivers are encouraged to bring their family to appointments, attend nutrition and health education and use the eWIC in grocery stores.
The WIC Community Gardens provide fresh produce and physical activity opportunities to families that participate in the WIC Program. There are three locations in the Tri-County Health Department area:
Yes, TCHD charges a fee for this service. You will be provided a quote after an initial consultation. The air quality of office, manufacturing or medical occupations can be investigated and recommendations can then be administered for better air quality. Contact Kayla Lesperance at (720) 435-3490 to schedule a consultation.
Yes, TCHD charges a fee for this service. Fungal spores are present in the air indoors and outdoors naturally. Sampling the air for mold will always yield mold spores. Visual inspections for mold are more highly recommended than air sampling for mold. Tri-County Health Department does not provide visual inspections for mold. There are no enforcement standards for mold in Colorado at this point.