Childhood immunizations and limited adult immunizations are available.  For an immunization schedule for children see the link below.

Vital Records

Certified copies of birth and death certificates can be obtained at Tri-County Health Department.  The birth/death must have occurred in the state of Missouri.  Information is also available on how to obtain an out of state vital record.

Health Education

Presentations on a variety of health topics are available.

Disease Surveillance

Disease Surveillance is a combined effort with local physicians.  Communicable diseases are reported on a CD-1. 

For a list of reportable Communicable Diseases and a CD-1 see the following link.


An Environmental Specialist is on staff to answer questions, give out information and conduct inspections of restaurants and lodging facilities.

Emergency Planning

Community plans for natural/man-made disasters and disease epidemics are in place.