PO Box 1378 3105 Route W Hannibal, MO


The Marion County Health Department is responsible for protecting and promoting the health of Marion County residents, assessing health status and needs, developing policies and priorities, and assuring the communities that public health needs are met.

At Marion County Health Department, we offer a number of services to our visitors. To find out more about what we have available please click the button below.

learn more


On-Site Wastewater - Soil Scientists download
On-Site Wastewater - Certification of Installation download
On-Site Wastewater - Permit Application download
On-Site Wastewater - Permit Application 2 download
On-Site Wastewater - Procedure download
Marion County Lodging Ordinance download
Lodging Establishment Permit Application download
Lodging Establishment Permit Fee Structure download
Temporary Food Stand Permit Application download
Temporary Food Pamphlet download
Temporary Food Policy download
Farmers Market Permit Application download
Farmers Market Requirements download
Jams and Jelly Requirements download
Class One Maintenance Agreement download
Food Establishment Permit Application download


Tuesday, April 13
8:00-5:00 pm TB Test Clinic By Appointment Only
8:00-5:00 pm WIC Clinic By Appointment Only
Wednesday, April 14
8:00-5:00 pm WIC Clinic By Appointment Only
Thursday, April 15
8:00-5:00 pm Adult Immunization Clinic By Appointment Only
8:00-3:00 pm STI Testing Clinic By Appointment Only
Friday, April 16
8:00-5:00 pm COVID Immunization Clinic By Appointment Only
Monday, April 19
8:00-5:00 pm WIC Clinic By Appointment Only

General COVID Vaccine Information


Mass Vaccination Events


Marion County COVID-19 update of as 4-12-2021:

New:  4

Active: 24

Released:  3621

Deaths:  65

Total Cases:  3710

Reinfected:  12

Current Hospitalizations:  0

POSITIVITY RATE 3/28/21 – 4/3/21:  5.6%

**Occasionally total case numbers and total recovered/released numbers are adjusted to correct reporting and/or count errors.

For more information, visit the DHSS website  or the CDC website

Missouri COVID-19 hotline:  877-435-8411.



Administrator Update — March 10, 2021

There are now three COVID 19 vaccines:

Pfizer – 2 shots, 21 days apart

Moderna – 2 shots, 28 days apart

Johnson and Johnson – 1 shot

Our vaccine supply in Missouri is improving, but not all vaccines are available in all areas. The state continues to set the tiers for vaccine availability.

On March 15th Phase 1B – Tier 3: Critical Infrastructure opens.  Those who qualify are listed HERE.

Persons from previous approved tiers, that have not gotten their vaccination, continue to be eligible.

It is strongly recommended to take whichever vaccine is being offered and stay with that vaccine to complete the series.  DO NOT MIX them. After receiving the final dose, you need to continue with COVID precautions to protect others. You are not considered fully vaccinated until 2 weeks after the final dose.

Update:  We now have a limited supply of COVID vaccine.  We are holding Friday clinics only.  Please call 573-221-1166 for eligibility and to schedule an appointment.


Jean McBride


  • This field is for validation purposes and should be left unchanged.