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.

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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


Friday, May 7
8:00-5:00 pm COVID Immunization Clinic By Appointment Only
Monday, May 10
8:00-5:00 pm WIC Clinic By Appointment Only
Tuesday, May 11
8:00-5:00 pm TB Test Clinic By Appointment Only
8:00-5:00 pm WIC Clinic By Appointment Only
Wednesday, May 12
8:00-5:00 pm WIC Clinic By Appointment Only
Thursday, May 13
8:00-5:00 pm Adult Immunization Clinic By Appointment Only

We are offering COVID-19 vaccine clinics every Friday.  Please call 573-221-1166 for an appointment.


Please take this quick survey to help assess community needs


Marion County COVID-19 update of as 5-7-2021:

New:  1

Active: 16

Released:  3673

Deaths:  72

Total Cases:  3761

Reinfected:  14

Current Hospitalizations:  4

POSITIVITY RATE 4/21/21 – 4/27/21:  5.4%

**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 — April 26, 2021

The State of Missouri has re-issued standing orders to administer Janssen (J&J) COVID-19 vaccine.  Please see the links below for updated information for Missouri.

Standing Orders

DHSS Press Release

Janssen/J&J Vaccinator Resources

Janssen/J&J FAQs


General COVID Vaccine Information

Mass Vaccination Events



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