Learn more about San Mateo County Health.
The Health Executive Council includes San Mateo County Health’s chief, deputy chief, health officer and other division and team leaders.
Stay informed on upcoming events from San Mateo County Health.
Learn how San Mateo County Health’s Health Coverage Unit can help you apply for Medi-Cal, get enrollment assistance and find low-cost health care options.
Find key phone numbers, department contacts and media inquiries at San Mateo County Health.
Find health services, programs and resources we offer. Get connected to care, support and information that can help you and your family stay healthy.
Through our divisions’ work, we protect San Mateo County by reducing environmental health risks, preventing disease, and promoting the physical and mental well-being of our entire community.
Protection, support and advocacy for older adults and persons with disabilities.
Regulatory oversight of public and private emergency medical services.
Protects the health of everyone in San Mateo County.
Provides mental health and substance use services.
Environmental Health Services is the local authority on environmental health and safety policy and enforcement.
Provides integrated medical, dental, mental health and chemical dependency treatment to the incarcerated adult population.
Focuses on early intervention with San Mateo County parents and children who are low-income and have faced health inequities
We are a public hospital and clinic system that serves all San Mateo County residents by providing accessible, high-quality care with a focus on prevention and community partnership.
Get more information about how to create or log in to your MyChart.
We offer comprehensive preventative care, diagnostics and treatment for adults.
We provide comprehensive care for women's reproductive, hormonal and general health across all life stages.
We have expertise in specialized medical care.
We provide care for teeth and gum conditions.
We provide other services including rehabilitation, lab, imaging and therapy.
Available 24/7, we provide Immediate medical care for urgent, life-threatening conditions and injuries.
We provide full hospital care and comfort, including pain and symptom relief for serious illnesses.
San Mateo County Health partners with community members through boards, commissions and initiatives that guide programs, shape policies and promote equity
Environmental Health Services
The County Board of Supervisors approves the fees charged by Environmental Health Services (EHS). Fees are established to cover program costs for conducting inspections, responding to complaints and ensuring programs comply with State laws that mandate monitoring and enforcement by EHS. You can view and download a list of fees posted at the bottom of this page.
Important Notice: On December 10, 2024, the Board of Supervisors approved a new fee schedule that took effect on January 9, 2025. See the FAQs section for more information.
Payments cannot be made to or accepted by inspectors. Payments must be made in person at the Environmental Health Services office, by mail, by phone at (650) 372-6200, or online through the MyEHS Portal.
To pay your invoice online, you will need to enter the invoice number found on your invoice when prompted.
For online payment issues, please call 650-372-6200 Monday – Friday, 8:00 AM – 5:00 PM.
NOTICE IS HEREBY GIVEN that the San Mateo County Board of Supervisors, during their regularly scheduled meeting, will hold a public hearing to consider adoption of a resolution amending the Environmental Health Services Division’s fee schedule to establish a permit fee of one thousand seven hundred six dollars ($1,706) for farm labor housing water systems under San Mateo County Ordinance Code Chapter 4.64, in order to cover the administrative and enforcement costs of the Board’s adoption of a comprehensive overhaul of the County’s domestic water systems ordinance, including establishment of a regulatory program for farm labor housing water systems.
The proposed fee is necessary to reflect the estimated reasonable costs of providing the associated services. The Division’s proposed amended fee schedule is available by visiting smchealth.org/ehfees, emailing envhealth@smcgov.org, or calling Environmental Health Services at (650) 372-6200.
The hearing will be held as follows: Date: Tuesday, October 20, 2026 – Proposed Time: 10:00 a.m. Location: HYBRID MEETING – IN-PERSON AND BY VIDEO CONFERENCE
Board Chambers Room 500 County Center Redwood City, CA, 94063
See the Board of Supervisors’ agenda for instructions on remote participation via Zoom.
The Board of Supervisors’ agenda is published the Wednesday before the meeting at: https://sanmateocounty.legistar.com/Calendar.aspx
The meeting will be open to the public and anyone interested may appear in-person or via Zoom video conference. If you plan to attend in-person, please allow adequate time for parking and security processing. All inquiries should be directed to Charles Ice at cice@smcgov.org.
On December 10, 2024, the Board of Supervisors approved the new fee package that took effect on January 9, 2025.
No.
County’s policy on exemptions from annual fees is limited to:
EHS can’t provide extensions to businesses to pay fees or delay implementing fee increases. There are business resources that may be available to assist with business costs (see question below).
Call EHS at 650-372-6200. Language/interpreter assistance is available upon request.
The following may be exempt from payment of annual fees:
View the PDF below to find fees categorized by program.