Patrick County was established on 1 June 1791 from the western portion of Henry County. Like its parent county, it too was named for the patriot Patrick Henry. In November 1791, an additional part of the parent county was transferred to Patrick's jurisdiction. In 1848 a small portion of Patrick's land northeast of Smith's River was transferred to Franklin County; in 1856 another small part was transferred to Carroll County; and in 1858 thirty-four square miles of territory was added to Henry County from Patrick.
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