Macon County Health Dept.

503 N Missouri St.
Macon, MO 63552
(660) 395-4711

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You are here: Home / Forms

Forms

This section of our website provides patients or potential patients an opportunity to search and retrieve forms from the Macon County Health Department. Click on any of the links below to open and print or save a PDF of each form.

Application for Employment

Breastfeeding Peer Counselor Application for Employment

Application for Vital Record (Birth and Death Certificate)

Community Volunteer Corps Application

Cert Training

COVID-19 Vaccine Consent Form

Flu Clinic Screening and Consent Form

Food Establishment and Mobile Food Establishment Permit Application

School Health Inventory Questionnaire

School Influenza Vaccine Consent

School Dental Varnish Consent

Temporary Food Stand Sanitation Checklist

WIC-27 (special formula medical certification form)

WIC-40 (WIC vendor complaint form)

Grocery Store Guide forms

  • Grocery Store Guide – Final
  • Grocery Store Guide – shopping list
  • Grocery Store Guide -weekly meal plan
  • Grocery Store Guide – kids scavenger hunt

Macon County Health Department

503 N Missouri St   |   Macon, MO 63552
Primary Phone Number (660) 395-4711
After Hours Number (660) 651-5737

Our Mission

To protect, promote and improve the health and quality of life in Macon County

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