Without a doubt, the most visible division of the Sheriff's Office is the Road Patrol. This division is under the direct supervision of the Chief Deputy. He currently has a command staff of 1 Lieutenant and 3 Sergeants, who supervise 14 patrol Deputies. The Chief Deputy also supervises 4 Criminal Investigators. The patrol has the task of enforcing state, county, and local laws throughout the county. They investigate both criminal and civil complaints and all types of domestic disputes. They respond to intrusion alarms and investigate all types of vehicle accidents. There are 739 miles of public roadways in Orleans County. 

Two Sergeants & two patrol deputies also serve as members of a countywide Special Weapons & Tactics (SWAT) Team. They report to the Chief Deputy. The team also includes select members from two municipal police agencies within the county (Albion & Medina). These dedicated individuals have received specialized training in a variety of topics such as deployment tactics, entry techniques, and specialized weaponry. The SWAT Team works in conjunction with the Major Felony Crimes Task Force to assist with warrant executions, building searches, etc. They can also be deployed to handle such incidents as hostage situations, barricaded gunmen, suicidal individuals, etc.

The Sheriff's K-9 Unit previously consisted of a male German shepherd that was imported from Europe and was acquired with private funding. "Cliff” was a criminal apprehension dog that specialized in drug detection. “Cliff" and his handler, Lieutenant Christopher Bourke, were not only a valuable asset to the Sheriff's Office and the citizens of Orleans County, they also assisted several other State, County, & Municipal law enforcement agencies throughout western New York. In May of 2011, "Cliff" was retired following nine years of dedicated & faithful service. The Sheriff's Office will soon acquire a new dog and the K-9 Unit will be back to full-strength. 

One patrol deputy is a certified S.C.U.B.A. diver, and two are certified in Commercial Vehicle Enforcement. Two deputies are certified as Child Safety Seat Technicians. One Sergeant & two patrol deputies also currently serve as Certified Crime Scene Photo & Evidence Technicians. Patrol Services is also responsible for the Marine Enforcement Unit, which operates annually during the boating season. (See "Marine Patrol").  One Sergeant & three Road Patrol Deputies also provide security for the Orleans County Courthouse on a daily basis Monday - Friday.

Patrol Services is also responsible for the service of Civil Process. This includes Summons' and Subpoenas, Family Court Orders, Income & Property Executions, Orders of Protection, Notices & Warrants of Eviction, etc. Civil Process Service is a constitutionally mandated responsibility of all Sheriff's Offices in New York State.

Patrol Deputies also handle juvenile transports to & from various facilities throughout the state and region and they occasionally assist jail personnel with inmate transports to & from various local courts, medical/dental appointments, or other state or county correctional facilities. The patrol is also responsible for the transportation of person(s) arrested under the Mental Hygiene Law.