The Garrett County Health Department specializes in providing emergency response and disease prevention, detection and treatment services. The department offers a range of educational programs for health and environmental promotion purposes. It provides adult evaluation, substance abuse prevention, and breast and cervical cancer screening programs. The Garrett County Health Department offers surveillance services for cancer and communicable diseases. The department provides assistance to issue birth certificates and burning permits. It offers physical, speech and occupational therapies. The Garrett County Health Department provides pregnancy testing, lactation consultation and skilled nursing care services. In addition, the department offers immunization programs for children, adults and overseas travelers. The Garrett County Health Department provides Continuum of Personal Adjustment, which is a school-based program for children with developmental disabilities. It operates behavioral health, substance abuse, and health education and outreach departments. The Garrett County Health Department additionally operates family planning and dental clinics. The department is administered by the city government of Oakland in Maryland.