As is common in Colorado, many government services are provided by special districts, both inside the corporate limits of the town of Mancos and outside in the county. Among these are the Mancos Library District, Mancos Water Conservancy District and Mancos Fire Protection District (which also provides emergency medical services). The nearest hospitals are Southwest Memorial Hospital in Cortez (approximately west) and Mercy Regional Hospital in Durango, approximately east. The town does have a medical clinic, funded through a variety of private and public sources.