Cattaraugus County Health Department Clinic Machias

Street Address

9824 Route 16
Machias, NY - 14101

Online Contact

About Cattaraugus County Health Department Clinic Machias

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Cancer Screening Program

The Cancer Services Program (CSP) provides breast, cervical and colorectal cancer screenings and diagnostic services at NO COST to women and men who:
    Live in New York State
    Do not have health insurance
    Have health insurance with a cost share that may prevent a person from obtaining screening and/or diagnostic services
    Meet income eligibility requirements
    Meet age requirements
What cancer screening services does the CSP offer?
    Breast Cancer Screening (Mammogram and Clinical Breast Exam)
        Women ages 40 and older (some programs serve women ages 50 and older only)
        Women under age 40 at high risk for breast cancer*
    Cervical Cancer Screening (Pap Test, high-risk HPV test and Pelvic Exam)
        Women ages 40 and older
    Colorectal Cancer Screening (Fecal Occult Blood Test/Fecal Immunochemical Test Kit)
        Men and women ages 50 and older at average risk for colorectal cancer
    Colorectal Cancer Screening (Colonoscopy)
        Men and women at increased or high risk for colorectal cancer*
*Only as determined by a New York State-licensed health care provider per program guidelines.
Where are these screening services provided?
Services are provided in local clinics, health centers, doctors' offices and hospitals in every county and borough in New York State by health care providers who participate in the CSP.



HIV/AIDS Counseling & Testing
HIV Testing Procedure
    When you arrive in the clinic you first need to register with the secretary. All of your information is confidential. You decide who can see the information.
    A nurse will discuss HIV and ways to decrease your risk factors.
    If you decide you want to be tested you must give your written permission.
    The test is done with either an oral fluid sample (from the mouth) Oral Fluid Sample Collection for HIV Testing
    In 20 minutes the test is ready to be interpreted by the nurse.
    If the specimen contains antibodies against HIV, a reddish-purple line will appear and is considered a positive test. This test is 99.3% accurate.
    If the rapid test is positive, the nurse will obtain another sample to send to the state lab in Albany. This is to verify the results of the rapid test. The nurse will help you make arrangements to be evaluated by a physician. You will also be provided with information on how to prevent spreading HIV to others. Assistance is available to help notify any of your contacts who may also be at risk for HIV.

Since this is a sliding fee scale clinic, we have provided the Federal Poverty Guidelines below. Visit the Cattaraugus County Health Department Clinic Machias website listed above to see what the level is needed for free care.

Federal Poverty Guidelines for 2023

Persons In Family HouseholdPoverty Guideline Salary per year
1$14,580
2$19,720
3$24,860
4$30,000
5$35,140
6$40,280
7$45,420
8$50,560

For Households with more than 8 persons, add $4,480 for each additional person.
*Alaska and Hawaii have different rates for HUD federal poverty guidelines.
These numbers above represent 100% of the Federal Poverty Rate. In order to get reduced or free services from some clinics, they use a sliding fee scale based on your income.When they use a sliding fee scale, the 100% rate can be different than 100%. In those cases, using for example a 200% federal poverty level, you will only need double the 100% number listed above to 200%.

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