HeatherVroman, Public Health Director
Heather Vroman , MSEd.
Public Health Director

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1062 State Route 38
PO Box 120
Owego, NY 13827

Main Phone:

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Food Safety

So You Want to Prepare and Serve Food in Tioga County? CLICK HERE to go to our Food Safety Page! 

Tioga County Public Health’s mission is to protect and promote the health and well-being of our community through advocacy, education, enforcement, prevention and partnerships. In striving to provide the Ten Essential Services of Public Health, we aim to serve as the public health leader to ensure the needs of our community are met through an integrated and coordinated network of resources that empower people to make healthier choices. Tioga County Public Health supports the citizens of the County through Environmental Health, Dental Health, Disease Control, Nursing Services, Children's Services, Emergency Preparedness and Health Education programs. 

  Quick Click

You can find important information, frequently requested documents, and more here!

  Children's Services

Tioga County Public Health oversees the Child Passenger Safety Program for Tioga County. This program includes free car seat checks by a Certified Car Seat Technician. Free car seats are available to families meeting eligibility requirements. The car seat program includes an educational component to ensure that families receiving seats are able to reinstall seats on their own, and are able to keep their child safe in the car as they grow.

To be eligible for a free car seat, families must live in Tioga County, NY and be on one of the following forms of public assistance:

  • Medicaid
  • SNAP (Supplemental Nutritional Assistance Program – Food Stamps)
  • WIC (Woman, Infants, and Children)
  • SSI (Supplemental Security Income)
  • HEAP (Home Energy Assistance Program)
  • TANF (Temporary Assistance for Needy Families)    

Note: One car seat per child can be provided. Second car seats for families that already have at least one suitable seat for the child can not be provided.

Appointments are available at the Tioga County Public Health Department (Health and Human Services Building located at 1062 St Rt 38, Owego, NY 13827). To request an appointment call 607-687-8619 or fill out our online form!


To find upcoming Child Safety Seat Check Events in Tioga County like us on Facebook!

For more information check out the Ultimate Car Seat Guide!

This program is funded through Community Foundation of South Central New York.

Early Intervention Program

This program is for children from birth to age three who have developmental delays and disabilities. Its purpose is to provide the services needed to improve child and family development. Early intervention can be provided anywhere in the community, in the home, or at daycare providers location. The program is offered free for all Tioga County families.

Services include but are not limited to:

  • Full Developmental Evaluations
  • Nursing Services and Respite Care 
  • Physical, Occupational, Speech Therapy, Special Instruction, and other services
  • Vision Services
  • Audiological Evaluations
  • Medical/Diagnostic Evaluations
  • Service Coordination and many other support services 

NYS Early Intervention Program


Developmental Milestones


Child Find

Child Find is for children birth through age three. The purpose of Child Find is to screen children who are suspected or at risk for a developmental delay or disability. The parent/guardian is sent a developmental questionnaire starting at six months through 36 months to monitor the child's growth and development by completing the questionnaires and returning them to the Child Find Coordinator.

If a potentially qualifying disability or delay is identified, your child will be referred to our Early Intervention Program for evaluation. 


Tioga County’s Lead Poisoning Prevention Program (LPPP) is responsible for identifying children up to eighteen years of age with elevated blood lead levels. Tioga County’s LPPP staff provides case management to all children in the county with elevated blood lead levels of 5 mcg/dL or greater to ensure appropriate and timely follow-up. LPPP staff provides parent education and environmental services to help reduce the child's blood lead level.

For more information on lead poisoning prevention:

In New York State, all children must be tested for lead and ages 1 and 2!

  Clinic Services

Tioga Mobile Dental Services

The Tioga Mobile Dental Van travels throughout Tioga County providing dental care. Sites include Tioga County schools where children have easy access to receiving care during the school day. Adults can also receive care before or after-school and on school vacations. Services include dental cleanings, sealants, fluoride treatments, fillings and extractions. Must be a Tioga County resident. All dental insurances are accepted, plus a Sliding Fee Scale is available. To schedule an appointment, please call (607) 972-7552. 

When should I start brushing my baby's teeth and how?

Cleaning any child’s teeth can be difficult, but a squirmy baby’s can be extremely challenging.

It is best to start cleaning your baby’s mouth even before the first tooth comes in, around six months.  

Always start with washing your hands. There are many types of toothbrushes and gum cleaners in stores but we have found that a baby’s washcloth works best. Wrap the washcloth around your index finger and wet it. Gently wipe the baby’s gums and teeth with your covered finger. This is the time when your baby wiggles, squirms, and whines. Don’t give up! Hold the baby in a cradle-hold with one of their arms around your back and your arm cradling their head while holding their other arm - this should help!

Clean your baby’s mouth every night before bed after their last feeding. This can also help to be a sign to your baby that it is time for sleep. Good luck and do not give up!

Why is it that some people never get cavities and others seem to get cavities overnight? 

To begin to understand this, it is important to understand how a cavity is made. First, you need to start with bacteria, those tiny germs that are everywhere but we cannot see them. There are several different kinds of bacteria, but the one that lives in the mouth and causes cavities is called Strep. mutans. The Strep. mutans bacteria needs food to live, as do all things, and Strep. mutans loves sugary, sticky carbohydrates. Things like gummy worms, soda, cookies, and cake are Strep. mutans foods of choice. When people eat these kinds of foods, this bacteria eat it too. When Strep. mutans chows down, it makes an acid-like substance and this acid eats away at the teeth. The more Strep. mutans and sugary foods equals more cavities. 

If you do not want cavities, your first step is to get rid of the bacteria. This is where a toothbrush and floss are handy. A toothbrush brushes away plaque, the sticky stuff which helps to hold Strep. mutans to your teeth. Floss gets in-between the teeth where food, plaque, and Strep. mutans hide out. Fluoride toothpaste makes a fluoride “shield” on the tooth, which makes it harder for the acid to form a cavity. By not eating sugary foods, the bacteria will not have a food source, so this will also help. 

People who do not get cavities do not have a lot of Strep. mutans living in their mouths. They could eat all the wrong things and still not get a cavity because they do not have the bacteria in their mouth to make the acid. 

People who have a lot of bacteria in their mouths need to be the best brushers and flossers and eat a very healthy diet. Plus, they have to be careful because they can share the bacteria with other people by sharing food, drinks, toothbrushes, etc. 

Remember, you cannot brush away a cavity. Only your dentist can clean out a cavity and fill in the hole so bacteria and food do not collect again. Everyone should have their teeth checked regularly, so cavities and other oral diseases can be detected early.

For more information, please call (607) 972-7552

The goal of Tioga County Public Health's Immunization Program is to increase immunization rates for child and adults in order to protect the community from vaccine preventable diseases. This aligns with our mission to prevent, promote, and protect the health of our community by making sure that children and adults receive the vaccines they need. We work closely with primary care providers, local hospitals, school nurses, day care providers, pharmacists, and other local partners to increase immunization rates.

We also work with providers to ensure their patients are up-to-date with vaccinations and provide assistance to help them increase their rates. We review vaccine storage and handling to preserve vaccine effectiveness.

Immunization Clinic:

Immunizations are provided for uninsured children less than 19 years of age through the Vaccines For Children (VFC) program. Find out if your child qualifies for VFC

School Vaccine Requirements:

2023 - 2024 School Vaccine Requirements

Immunization Schedules:

Additional Information:

  Communicable Disease

Self-Attestation for Isolation and Quarantine 

If you test positive for COVID-19 with an at-home test or a lab confirmed test, immediately isolate yourself and notify your close contacts and your workplace or school. You may complete a self-attestation form as legal documentation for your isolation or quarantine. These forms and additional information about isolation and quarantine are available at https://coronavirus.health.ny.gov/new-york-state-contact-tracing. 

Attestation Form for Isolation:


Attestation Form for Quarantine:


These forms are for your own use, DO NOT submit them to the Health Department. Forms may be printed after they are completed, or saved as PDF and emailed to your employer or school. If you do not have access to a computer, you may call 607-687-8600 (option 1).

If you tested positive using an at-home test, please complete the attestation form above for your own record. You do not need to report any additional information to the health department. 

If you have questions, please visit https://coronavirus.health.ny.gov/contact-tracing-frequently-asked-questions 


Isolation keeps someone who is infected with COVID-19 away from others. Anyone who tests positive for COVID-19 regardless of vaccination status must isolate.

  • Isolate for 5 days (where day 0 is the day symptoms started, or day you test positive if asymptomatic).
  • You can end isolation after 5 days if you have remained symptom-free OR if symptoms are resolving and you are fever-free for 24 hours without the use of fever-reducing medication. (Loss of taste and smell may persist for weeks or months after recovery and should not delay the end of isolation.)
  • If your symptoms have not improved after 5 days of isolation, you should wait to end your isolation until you are fever-free for 24 hours without the use of fever-reducing medication and your other symptoms have improved.
  • Wear a well-fitting mask around other people at home and in public for 10 days (where day 0 is the day symptoms started, or day you test positive if asymptomatic).
  • If you are moderately to severely immunocompromised, isolate for 10 days.
  • Individuals not able to wear mask should isolate for 10 days.
  • Avoid people who are immunocompromised or at high risk for severe disease, and nursing homes and other high-risk settings, until after at least 10 days.

Anyone who has been exposed to COVID-19 should:

  • Wear a well-fitting mask around other people at home and in public for 10 days (where day 0 is the last day of exposure).
  • If possible, get tested at day 5. If you test positive, isolate according to the guidance above.
  • If symptoms appear, quarantine and seek testing. In this situation, quarantine would end when the test is negative. If testing is not done, isolate according to the guidance above.
  • Avoid people who are immunocompromised or at high risk for severe disease, and nursing homes and other high-risk settings, until after at least 10 days.

Vaccination Definitions:

Fully Vaccinated

  • You are considered fully vaccinated two weeks after your second dose of Pfizer or Moderna vaccine, or two weeks after a single dose of the Johnson & Johnson vaccine, and
  • You are not yet eligible for a booster

Fully Vaccinated and Boosted

  • You are fully vaccinated as defined above, and
  • Two weeks have passed since you received the booster dose

Additional Dose for Some Immunocompromised People
Some moderately or severely immunocompromised people ages 5+ should get a third dose of vaccine to be considered fully vaccinated. If you are eligible, you should get this additional dose 28 days after your second dose of Pfizer or Moderna vaccine and before you get a booster shot. Consult with your healthcare provider for further guidance.


For information on COVID-19 Testing, please speak with your Health Care Provider or visit: https://coronavirus.health.ny.gov/covid-19-testing 

Find a COVID-19 Vaccination Site near you at: https://www.vaccines.gov/ 

Looking for more information on the COVID-19 Vaccine? Visit CDC Key Things to Know About COVID-19 Vaccines

Vaccine Recommendations: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html?s_cid=11747:covid%20vaccine%20schedule:sem.ga:p:RG:GM:gen:PTN:FY22


Click Below for the:


The Environmental Health Division is responsible for rabies control in Tioga County. They investigate exposures and offer preventative vaccinations to pets through rabies vaccination clinics scheduled throughout the year.

Tioga County Rabies Clinic Registration Link

Rabies Clinics
PDF, 2718 KB


  Permits, Inspections, and Enforcement

Food Safety

Staff monitor and inspect food service establishments that include restaurants, commissaries, mobile food units, school cafeterias, and food stands at fairs and carnivals in order to protect the community from foodborne illnesses. For more information on New York State Regulations and Permit Requirements: NYS Regulations and Permit Requirements

To File a Complaint with Tioga County Public Health Department:

If you are or are looking to operate a food establishment please CLICK HERE or visit https://www.tiogacountyny.com/programs-agencies/food-safety/ for information on the required permits and the Food Safety Course.

Wastewater Systems - Septic systems

We work to prevent the spread of disease by ensuring proper design, construction, and operation of septic systems. A permit for new construction and repair of existing septic systems is required and must meet the standards set forth in NYSDOH Residential Wastewater

Enforces regulations to assure safe drinking water for residents of Tioga County through water quality analyses of public and private water supplies. Regulations may be downloaded by clicking on the links below:

Tioga County Public Health is also responsible for:

1. Inspecting children's camps, public swimming pools, spray grounds, and recreational beaches. 

2. Permitting and inspecting commercial tanning facilities, as well as increase the public's knowledge of the hazards of indoor tanning, minimize user injuries and limit tanning access by minors.

3. Investigating complaints concerning mobile home parks and provides routine inspections of permitted parks.

4. Preventing the sale of tobacco products to minors, minimize exposure to excessive levels of second-hand smoke and enforcement of New York Clean Indoor Air Act.

5. Providing certification and inspection services to ensure that all equipment, such as scales and pumps, provides correct and accurate readings for commercial transactions through The Bureau of Weights and Measures. 

  Substance Use

Narcan is available in Tioga County through the following agencies:

Tioga County Public Health

  • 1062 State Route 38, Owego, NY 13827
  • 607-687-8612

Tioga County Mental Hygiene

  • 1062 State Route 38, Owego, NY 13827
  • 607-687-0200


  • 72 North Avenue, Owego, NY 13827
  • 607-223-4066

Order Narcan and other harm reduction supplies to be delivered directly to your home at https://forms.ny.gov/s3/harm-reduction-delivered 

Narcan may also be available through your pharmacy. To find additional locations in New York State where Narcan may be accessed, please visit https://providerdirectory.aidsinstituteny.org/.

For more information on the Free Narcan program, to request educational material, or for other substance use related questions, please contact Kylie Holochak at (607) 687-8612 or [email protected].

Medication Drop Box Locations:

Owego Police Department
90 Temple St, Owego, NY
(607) 687- 2233
Mon-Fri 8:00am – 4:00pm

Tioga County Sheriff
103 Corporate Dr. Owego, NY
(607) 687- 1010
Mon-Fri 8:00am – 4:00pm

Waverly Police Department
32 Ithaca Street, Waverly, NY
(607) 565-2836
Mon-Fri 8:30am – 4:00pm

For immediate assistance with substance use issues, please contact Tioga County Mental Hygiene at 607-687-0200 or after hours at 607-687-1010, or visit https://tiogacountyny.gov/departments/mental-hygiene/.  

If you think someone might be having a drug overdose, call 911 immediately.

Signs of an Overdose:

  • Cold, clammy skin  
  • Difficulty waking or speaking
  • Slow or no heart rate
  • Slow or no breathing
  • Limp body
  • Pinpoint pupils  
  • Gurgling or choking sounds
  • Blue or purplish lips or fingernails 

Call 911 if these symptoms of an overdose are present! 

How to use Narcan Nasal Spray training video: https://narcan.com/#how-to-administer  



  • CHECK for a suspected overdose: the person will not wake up or is very sleepy or not breathing well.
  • Yell “Wake up!”
  • Shake the person gently.
  • If the person is not awake, go to Step 2.


  • HOLD the nasal spray device with your thumb on the bottom of the plunger.
  • INSERT the nozzle into either NOSTRIL.
  • PRESS the plunger firmly to give the 1st dose.
  • 1 nasal spray device contains 1 dose.


  • CALL 911 immediately after giving the 1st dose.


  • WAIT 2-3 minutes after the 1st dose to give the medicine time to work.
  • If the person wakes up: go to Step 5.
  • If the person does not wake up:
    • CONTINUE TO GIVE doses every 2-3 minutes until the person wakes up.
    • It is safe to keep giving doses.


  • STAY until ambulance arrives: even if the person wakes up.
  • GIVE another dose if the person becomes very sleepy again.
  • You may need to give all the doses in the pack.

Narcan Fact Sheet
PDF, 530 KB

Storage & Replacement of Narcan

  • Store Narcan at room temperature.
    • Avoid extremes of temperature: keep between 60 – 85 degrees F.
  • Note expiration date.
  • Get a replacement supply from Tioga County Public Health or your pharmacy when nearing the expiration date.
  • If Narcan is used to revive someone, fill out the NYS reporting form at CommunityNaloxoneUsageForm.pdf (nyoverdose.org) and return it to Tioga County Public Health

Narcan Usage Form
PDF, 231 KB


Additional information on Narcan may be found at Resources for Using NARCAN® (naloxone HCl) Nasal Spray 

  Health & Community Resources

Tioga County Public Health is committed to preparing the community to plan for, respond to, and recover from emergencies and disasters. Our team consists of employees, volunteers, and community partners. 

Tioga County Public Health develops and maintains preparedness plans for a variety of hazards, and is an active member on the Local Emergency Planning Committee (LEPC), where all-hazards planning discussion take place with a variety of stakeholders.

The following links may be helpful in preparing for emergency situations:


Medical Reserve Corps 

Tioga County Public Health Medical Reserve Corps (MRC) is a group of volunteers, medical professionals, and paraprofessionals that are called upon during an emergency to assist with response efforts. To enroll as a volunteer, please visit apps.health.ny.gov/pub/servny. If you need assistance with the enrollment process, or have questions, please call 607-687-8600.

Please note that this guide may be missing or have outdated information at times. We hope to release an updated guide in 2024! 

Serving Broome, Chenango, Delaware, Otsego and Tioga Counties, 211 Susquehanna River Region provides free and confidential information 24/7/365 and referral for health and human services. For addition help simply dial 211 or 1-800-901-2180. For more information, visit Find Help | 211 Susquehanna River Region (helpme211.org)

Tioga County Food
PDF, 710 KB

Tioga County Food
PDF, 111 KB

  Important Documents

The Prevention Agenda 2019-2024 is New York State’s health improvement plan, the blueprint for state and local action to improve the health and well-being of all New Yorkers and to promote health equity in all populations who experience disparities. In partnership with more than 100 organizations across the state, the Prevention Agenda is updated by the New York State Public Health and Health Planning Council at the request of the Department of Health. This is the third cycle for this statewide initiative that started in 2008. New to this 2019-2024 cycle is the incorporation of a Health Across All Policies approach, initiated in 2017, which calls on all State agencies to identify and strengthen the ways that their policies and programs can have a positive impact on health. It embraces Healthy Aging to support New York's commitment as the first age-friendly state.

Our team worked hard to pull together our Community Health Assessment for Tioga County, as well as to decide which areas to focus on for our Community Health Improvement Plan. Our three main focus areas are:

  • Promote Healthy Women, Infants, and Children
  • Promote Well-Bring and Prevent Mental and Substance Use Disorders
  • Prevent Chronic Diseases


2022 Tioga County CHA
PDF, 17142 KB

Public Health is something we think about year-round, but each month we focus on and provide education on aspects of health that are particularly relevant for that month. Check out our "What the Health!?" monthly educational flyers to learn more! 

January 2023
PDF, 1124 KB

February 2023
PDF, 665 KB

March 2023
PDF, 1645 KB

April 2023
PDF, 4610 KB

May 2023
PDF, 11503 KB

June 2023
PDF, 3717 KB

July 2023
PDF, 3505 KB

August 2023
PDF, 2121 KB

September 2023
PDF, 5244 KB

October 2023
PDF, 9609 KB

January 2022
PDF, 1173 KB

February 2022
PDF, 1268 KB

March 2022
PDF, 1443 KB

April 2022
PDF, 1195 KB

May 2022
PDF, 1268 KB

June 2022
PDF, 1999 KB

July 2022
PDF, 1022 KB

August 2022
PDF, 700 KB

September 2022
PDF, 1347 KB

October 2022
PDF, 2382 KB

November 2022
PDF, 853 KB

December 2022
PDF, 798 KB

January 2021
PDF, 771 KB

February 2021
PDF, 2146 KB

March 2021
PDF, 1874 KB

April 2021
PDF, 1600 KB

May 2021
PDF, 1523 KB

June 2021
PDF, 1520 KB

July 2021
PDF, 1814 KB

August 2021
PDF, 1366 KB

September 2021
PDF, 1153 KB

October 2021
PDF, 1247 KB

November 2021
PDF, 1408 KB

December 2021
PDF, 987 KB

  Tioga County Board of Health

TC Board of Health meeting agendas are posted below.

TC Board of Health meeting minutes are posted below. 

BOH 1.19.23
PDF, 793 KB

BOH 2.16.23
PDF, 596 KB

BOH 3.16.23
PDF, 1145 KB

BOH 5.18.23
PDF, 1835 KB

BOH 6.15.23
PDF, 1800 KB

BOH 7.20.23
PDF, 1221 KB

BOH 1.20.22
PDF, 1310 KB

BOH 2.17.22
PDF, 1671 KB

BOH 3.17.22
PDF, 2360 KB

BOH Minutes 4.21.22
PDF, 1647 KB

BOH 5.19.22
PDF, 2124 KB

BOH 6.16.22
PDF, 1696 KB

BOH 7.21.22
PDF, 1631 KB

BOH 9.15.22
PDF, 1355 KB

BOH 10.20.22
PDF, 832 KB

BOH 11.17.22
PDF, 1418 KB

BOH 1.21.21
PDF, 1426 KB

BOH 2.18.21
PDF, 1734 KB

BOH 3.18.21.pdf
PDF, 1071 KB

BOH 4.15.21.pdf
PDF, 1048 KB

BOH 5.20.21.pdf
PDF, 1339 KB

BOH 6.17.21.pdf
PDF, 701 KB

BOH 7.15.21
PDF, 1046 KB

BOH 9.16.21
PDF, 916 KB

BOH 10.21.21
PDF, 837 KB

BOH 11.18.21
PDF, 892 KB

BOH 11.19.20.pdf
PDF, 1426 KB

BOH 9.17.20.pdf
PDF, 1024 KB

BOH 071620.pdf
PDF, 1010 KB

BOH 061820.pdf
PDF, 1204 KB

BOH 22020.pdf
PDF, 458 KB

BOH 011620.pdf
PDF, 479 KB

BOH 112119.pdf
PDF, 434 KB

BOH 101719.pdf
PDF, 513 KB

BOH 091919.pdf
PDF, 253 KB

BOH 071819.pdf
PDF, 209 KB

BOH 011719.pdf
PDF, 67 KB

BOH 111518 app.pdf
PDF, 58 KB

BOH 101818 app.pdf
PDF, 57 KB

BOH 092018 app.pdf
PDF, 59 KB

BOH 081618 app.pdf
PDF, 63 KB

BOH 062118 app.pdf
PDF, 58 KB

BOH 051718 app.pdf
PDF, 70 KB

BOH 041918 app.pdf
PDF, 67 KB

BOH 031518 app.pdf
PDF, 64 KB