Nursing and Clinic Services
Medical Services provided by the Department of Health
Contact Information
Franklin County Health Department
414 E. Main St.
Union, MO 63084
Main Line - (636) 583-7300
Clinic Hours
Please call for an appointment.
Appointments are recommended and take precedence over walk-in requests.
Monday, Tuesday, Wednesday, Thursday, Friday
8:00 a.m. -12:00 p.m.
1:00 p.m. - 4:30 p.m.
We provide a variety of Nursing Services for all residents in Franklin County of all ages. We encourage appointments but we do accept walk-ins if scheduling permits.
Health information and other programs are at your disposal. Please take a few minutes to familiarize yourself with the services and programs we offer by selecting from any of the links on the left.
Nursing Services include immunization administration, blood pressure screenings, Tuberculosis (TB) testing, Hepatitis C testing and case management, lead testing and case management, STD testing and treatment and more.
Adult Immunizations
The Franklin County Health Department provides services to the uninsured, underinsured and to those with private insurance for a variety of services including immunizations. Please call the Health Department for service and pricing information.
**A physician’s order is NOT required for immunizations through the Health Department, with the exception of the RSV vaccine.
Childhood Immunizations
The Franklin County Health Department provides services to the uninsured, underinsured and to those with private insurance for a variety of services including immunizations. Please call the Health Department for service and pricing information.
**A physician’s order is NOT required for immunizations through the Health Department. Parental or guardian permission is needed for all children under the age of 18 to receive immunizations.
**To ensure your child receives the proper immunizations, it is important that you bring your child's most recent immunization record.
Blood Pressure Screenings
Blood pressure screenings are provided free of charge during regular clinic hours walk-ins are welcome.
Hepatitis C Testing
Hepatitis C testing is available through the Health Department by a special program sponsored by the Missouri Hepatitis C Alliance.
To qualify for this program, clients must have an identified risk factor and be uninsured. Please contact one of our nurses at (636) 583-7311 or (636) 583-6378 to see if you qualify.
Clients may be referred to an alternate lab site for testing. An appointment is required to complete the risk assessment and paperwork needed to obtain the testing. Please call 636-583-7300 to schedule an appointment.
Lead Testing
Lead-based paint and lead contaminated dust are the main sources of exposure for lead in U.S. children.
Lead-based paints were banned for use in housing in 1978. All houses built before 1978 are likely to contain some lead-based paint. However, it is the deterioration of this paint that causes a problem. All children under the age of 6 years old are at risk because they are growing so rapidly and because they tend to put their hands or other objects, which may be contaminated with lead dust, into their mouths.
Filter paper lead testing for children under the age of six years is available by appointment during regular clinic hours. Please call 636-583-7300 to schedule an appointment.
Billing is available for those children who are Medicaid eligible please call for pricing.
Sexually Transmitted Disease (STD) Testing
Confidential testing is available by appointment for the following STD’s only: Chlamydia, Gonorrhea, Syphilis, HIV, Trichomonas, Oral Herpes (HSV-1) and Genital Herpes (HSV-2). Please call 636-583-7300 for an appointment.
Blood and urine specimens are obtained for testing. No physical examinations or assessments are performed. If other testing is requested or indicated, referrals will be made as appropriate.
Treatment will be provided for clients with positive test results.
Cost for services is dependent on signs and symptoms, risk factors, and tests requested.
Tuberculosis (TB) Testing
TB skin testing is available by appointment on Mondays, Tuesdays, Wednesdays and Fridays during regular clinic hours.
TB testing is available for school or work requirements or if someone has been identified as a contact to TB disease. Basic Tuberculosis Facts can be found at CDC
TB is short for tuberculosis. TB disease is caused by a bacterium called Mycobacterium Tuberculosis. The bacteria usually attacks the lungs, but TB bacteria can attack any part of the body such as the kidney, spine, and brain. If not treated properly, TB disease can be fatal. Basic Tuberculosis Facts can be found at CDC.
HIPPA Privacy
To learn about your privacy under HIPPA, please see this document by the U.S. Department of Health and Human Services.
Home Guide for Proper Disposal of Needles and Lancets
The state of Missouri publishes a guide for the proper disposal of needles. Please follow this link to view the state's guidelines.