• Clinic

    Top Dog Clinic
    School Based Health Center

    Who Are We?
    The School Based Health Center, Top Dog Clinic, is a full-service medical office that provides services to the 7th and 8th grade students at ACMS.  We pride ourselves on making sure your child and their health is our number one priority.

    We offer a range of services for your child to participate in including:  medical care, behavioral health care, nutrition services, sports physicals, immunizations, individual student counseling and family counseling services, and referrals for specialized care when needed.  Most often, we recommend a visit with your primary provider to evaluate major issues to see if they recommend specialty care.

    We are committed to.....

    • Providing high quality comprehensive adolescent care
    • Providing care for the whole person, including medical, social, and behavioral needs
    • Maintaining a confidential relationship with students, and 
    • Providing services in a comfortable, pleasant, and courteous environment
    ​​Frequently Asked Questions

    Q:  Will my child have to pay for services?
    A:  Your insurance WILL BE BILLED for any services we provide.  You will receive a statement from Appalachian District Health Department (ADHD) for any amount not covered by your insurance, including co-pays and deductibles.  If you are uninsured or have a financial hardship, you are encouraged to contact Cindy Walker, our billing coordinator, to express concerns.  She may be reached at 246-9449, ext 2104.  NO CHILD WILL BE DENIED SERVICES DUE TO INABILITY TO PAY.

    Q:  If my child needs a prescription, can that be cone through the clinic?
    A:  YES!  Margaret Mullins, PNP, has full prescribing privileges.  She can write prescriptions for any medicine your child may require, with the exception of mental health medication needs.  Margaret is in the clinic on Monday, Tuesday, and Thursday.  On Wednesday and Friday, Emily Moseley, RN, BSN, provides services to children as a Registered Nurse with specialized training in child health (CHERRN).  She has limited prescribing privileges.

    Q:  Do I have to change doctors to use the clinic?
    A:  Absolutely NOT.  We provide services to your child in addition to your primary provider.  We also send a copy of anything we do to your doctor so there is always continuity of care.  We also utilize the North Carolina Immunization Registry.  Any immunizations we give are updated to this database immediately.  This is a way to ensure your doctor has updated immunization information.

    Q:  Why am I getting a bill?  I thought this service was free.
    A:  Due to our government funding, ADHD is required to send patient responsibility billing three times.  You will not receive more than three bills for a particular date of service.

    Q:  What happens after three bills?  Will you send me to a collection agency?
    A:  It is ADHD's policy NOT to use a debt collection service.



  • New Immunization Requirements for 7th grade students

    Effective July 1, 2015, the state of North Carolina will REQUIRE all 7th grade students to have one dose of the Menactra vaccine. This is a vaccine that protects your student against meningitis. Your student can receive the vaccine at the SBHC.

    The Vaccine Information Statement (VIS) for the Menactra vaccine is below:


    If you have questions …

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    Business:  336-384-1625
    Email:  topdogclinic@ashe.k12.nc.us
    Address:  PO Box 178
    Warrensville, NC 28693