⚠️ Important Service Updates ⚠️
The Caroline County Health Department is now processing birth and death certificates by appointment only on Mondays, Tuesdays & Fridays from 8:30–11:30 AM and 1:00–3:00 PM. Walk-ins will be given the next available appointment and may need to wait or return later, depending on availability.
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Please be aware that we will be unable to process Birth & Death Certificates from September 4 through October 2.
Certificates may be ordered at nearby health departments or online. Learn more.

Xylazine “tranq”: What You Need to Know to Stay Safe

Xylazine, a very strong sedative used in veterinary medicine, is frequently being added to street drugs, often without the knowledge of people using the drugs. Known as “tranq” or “zombie drug,” xylazine is often found in combination with fentanyl and has been increasingly detected in overdose deaths.