Local resources
Clinics, programs and hotlines for birth control, testing, pregnancy, parenting and safety, starting with what’s here on Orcas.
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The island’s primary care clinic: family medicine, pediatrics and women’s health, including obstetrics and gynecology. Appointments required, with same-day and next-day visits for urgent needs. An on-call provider answers after hours, seven days a week.
7 Deye Lane, Eastsound
Free, confidential help for anyone affected by domestic violence or sexual assault: safety planning, shelter, advocacy, legal help and support groups. An advocate can go with you to the hospital or to appointments. Free condoms and pregnancy tests, too.
The Airport Center, 1286 Mt Baker Rd, Suite B104, Eastsound · Office Mon–Thu 9–4
Free help signing up for Apple Health, a diaper bank for children under 3, low-cost counseling ($5 to $30 a session, up to 12 sessions), food, rent and utility help, and free emergency contraception, birth control and pregnancy tests.
374 North Beach Rd, Eastsound · Mon, Wed, Fri 9–4; Tue, Thu 10–4
The island’s pharmacy, inside Ray’s General Store. Emergency contraception pills are sold over the counter with no prescription and no age limit. Call ahead to check what’s in stock.
68 N Beach Rd, Eastsound · Mon–Fri 9:30–6, Sat 10–4
Outpatient counseling and substance use treatment for adults, children and families, with crisis services coordinated from Friday Harbor.
1286 Mt Baker Rd, Suite 209B, Eastsound
Students can talk with the school nurse, a counselor or a Student and Family Advocate. The nurse is in Monday to Thursday.
715 School Rd, Eastsound
A free, youth-run teen center. Its weekday Day Program, Monday to Friday from noon to 4:30, offers support for teens and young adults going through a hard time.
Free groceries once a week. No proof of citizenship, residency or Social Security number is needed. Home delivery on Thursdays if you call by 4 p.m. Wednesday.
116 Madrona St, Eastsound · Tue noon–6:30 (11–noon for ages 65+), Fri 11–6:30
Infant, toddler and preschool care for ages 1 month to 6 years, Monday to Friday 8:30 to 5. Financial aid is available.
36 Pea Patch Ln, Eastsound
Infant, toddler, preschool and school-age care, including Forest School, for ages 4 weeks to 12 years, Monday to Friday 8 to 5:30.
1292 North Beach Rd, Eastsound
Free or low-cost, confidential birth control and emergency contraception, pregnancy tests, free condoms, and STI testing and treatment. No one is turned away for inability to pay. The main clinic is in Friday Harbor, with an Orcas clinic in Eastsound by appointment.
145 Rhone St, Friday Harbor
Free nurse and community health worker visits at home from pregnancy until your child turns 2, regardless of insurance: feeding and lactation help, emotional support and care coordination.
Healthy food, breastfeeding support and nutrition help for pregnant people, new parents and children under 5, with offices in Friday Harbor, Lopez and Orcas. Based on income, and WIC does not affect immigration status.
Open Thursdays only, 8:30 a.m. to 3 p.m., inside the county health clinic. Birth control, emergency contraception (walk-ins welcome for EC), and STI and HIV testing and treatment. Insurance isn’t required; fees are based on income.
145 Rhone St, Friday Harbor
A licensed midwife serving Orcas and the other islands: in-home prenatal visits, home birth, postpartum care at home, and on-island care for families planning a mainland hospital birth. Works with most major insurers.
The nearest emergency department, open 24 hours in Friday Harbor. It doesn’t offer labor and delivery. In an emergency on Orcas, call 911.
1117 Spring St, Friday Harbor
24-hour crisis support for anyone in San Juan County.
Labor and delivery, open 24/7, with OB-GYNs, family doctors and midwives. Accepts Apple Health. San Juan County residents can get free round-trip taxi rides to Island Health appointments through Mert’s Taxi (360-708-6358, call the day before).
1211 24th Street, Anacortes
Labor and delivery in 21 private rooms, where you stay through labor, birth, recovery and postpartum.
300 Hospital Parkway, Mount Vernon
Labor and delivery, an obstetric emergency department for pregnancies of 20 weeks or more, and a special care nursery.
2901 Squalicum Pkwy, Bellingham
Birth control, emergency contraception, and STI and HIV testing and treatment, with fees based on income. Video visits are available too: 866-904-7721.
1805 E Division St, Mount Vernon · 1530 Ellis St, Bellingham
Free or low-cost health coverage for Washington residents who qualify by income. Pregnancy coverage is available regardless of immigration status and continues for 12 months after the pregnancy ends.
Apple Health coverage for birth control, emergency contraception, and STI testing and treatment for people who qualify by income, with a confidential option for insured people 26 or younger. Teens can apply on their own.
Free help finding food, WIC, health coverage, prenatal care, baby supplies and parenting support, with Spanish-speaking staff and interpreters.
Free HIV self-tests mailed to your home, for anyone 17 or older in the U.S.
Find places near you for HIV, STI and hepatitis testing, and for HPV and hepatitis vaccines.
Call or text 988, or chat online, any time, for suicide, mental health or substance use crisis support.
Confidential support 24/7. Text START to 88788, or chat online.
Confidential support 24/7 by phone or online chat.
Support for young people about dating and relationships, 24/7. Text LOVEIS to 22522.
Call or text 24/7 for support before, during and after pregnancy, in English and Spanish.
Call or text to talk with someone who understands the emotional side of pregnancy and parenting. Answered live weekdays 9 to 4:30.
Teens talking with teens about anything, every evening from 6 to 10 p.m.
24/7 support for LGBTQ+ young people. Text START to 678-678.
24/7 help with substance use and mental health.
Dial 211 to find local help with housing, food, utilities, health care and more.
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Details were checked in November 2026. Hours and services change, so it’s worth calling ahead. Something out of date or missing? Let us know.