Area Guide to Paris, Missouri, USA

Home Up

Health Dept.
Outreach & Extension

Monroe County Health Department
and Home Health Agency

"Home Town People Serving You"

310 North Market
Paris, Missouri  65275
660-327-4653 or 4259
Fax 660-327-4533

Business Hours:
Monday - Friday
8:00 a.m. - 4:30 p.m.

Serving Monroe County Since 1974

The Monroe County Health Department is responsible for assuring that the citizens of the County have the opportunity to receive the highest quality of health care through the development of programs that focus on its citizens needs.  It is a tax supported County Agency governed by a five-member Board of Trustees.

  • Immunizations

  • Lead Screening

  • STD/HIV Testing

  • Temporary Medicaid

  • Pregnancy Testing

  • Newborn Home Visits

  • School Health Nurse

  • Flu Vaccine

Family planning offers women of reproductive age a health screening, HIV/STD testing and options for birth control.  Monthly clinics are held by appointment only.

Breast & Cervical Cancer Control Project (BCCCP) is a program designed to reduce breast and cervical cancer mortality in older women by offering them a cervical screening and mammogram.  Eligibility requirements do apply and clinics are held by appointment only.

Daycare Nurse Consultant is provided at no cost to Day Care Center and Providers.  The services offered include: training for child care providers, assistance in developing and maintaining healthy child care environments, on-site health and safety consultation, and health promotion presentations to children in the child care settings.

WIC (Women, Infant, and Children Nutrition Education and Food Supplement Program) provides education for pregnant or breast-feeding women, infants and children to age five.  Eligibility requirements do apply.

Health Education is provided by our Health Educator to county residents and community groups.  A wide range of resources and classes are available on such topics as physical activity, teen and adult smoking cessation, Worksite Wellness, nutrition and tobacco.

Sanitation & Environmental Services include communicable disease control and reporting, private water supply testing, investigation of sanitation problems, sewage system evaluations/inspections, and routine inspections of day cares, restaurants, grocery stores and motels.

Parents as Teachers (P.A.T.) is a program designed to help parents get their children off to a better start in school through parent/child early education.  The program is available to children, birth to age five who reside in the Paris, Holliday, Middle Grove and Madison school districts.

Vital Records can be printed at the Health Department for a fee.  Birth and death certificates are available to those who were born or deceased in Missouri.  (Some regulations do apply to persons wishing to obtain a certificate.)

Other Public Services Offered:

  • Blood Pressure Screening

  • Glucose Screening

  • Tuberculosis Testing

  • Cholesterol Screening

  • PKU Testing

Loan Equipment  The Health Department/Home Health Agency has items that can be loaned out to the public at no charge.  These items include: walkers, canes, wheelchairs, crutches, bath benches, and commodes.  Call for availability.

Referral to appropriate agencies for health care is provided to residents whose special needs can not be met by the Monroe County Health Department and Home Health Agency.

Home Health Agency  The home health program provides intermittent or part time services in the home for the homebound patient.  The objective of this program is to enable patients who do not require full-time nursing care to remain in their homes.  Care is given under the direction of a physician.  Services include:

  • Skilled Nursing

  • Speech Therapy

  • Personal Care Services

  • Physical Therapy

  • Twenty-four Hour Care

These services are covered by Medicare/Medicaid as well as most private insurance.

All client information is kept confidential.
Refer to Privacy Statement below

General Health Clinics

Monroe City Nutrition Center
Monday 3:00 p.m. - 4:00 p.m.
Thursday 9:30 a.m. - 11:30 a.m.

Monroe County Health Department
Friday 8:00 a.m. - 10:00 a.m.

Blood Pressure Clinics

Paris Nutrition Center
2nd Friday 11:00 a.m. - 12:00 p.m.

Madison Public Library
3rd Friday 11:00 a.m. - 12:00 p.m.

Donations Gratefully Appreciated

All services provided on a nondiscriminatory basis.

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Notice of Privacy Practices


Use and Disclosure of Health Information

Monroe County Health Department and Home Health Agency, hereafter referred to as Agency may use your health information, information that constitutes protected health information as defined in the Privacy Rule of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, for purposes of providing you treatment, obtaining payment for your care and conducting health care operations.  The Agency has established policies to guard against unnecessary disclosure of your health information. 


To Provide Treatment:  The Agency may use your health information to coordinate care within the Agency and with others involved in your care, such as your attending physician and other health care professionals who have agreed to assist the Agency in coordinating care.  For example, physicians involved in your care will need information about your symptoms in order to prescribe appropriate medications.  The Agency also may disclose your health care information to individuals outside of the Agency involved in your care including family members, pharmacists, suppliers of medical equipment or other health care professionals.

 To Obtain Payment:  The Agency may include your health information in invoices to collect payment from third parties for the care you receive from the Agency.  For example, the Agency may be required by your health insurer to provide information regarding your health care status so that the insurer will reimburse you or the Agency.  The Agency also may need to obtain prior approval from your insurer and may need to explain to the insurer your need for home care and the services that will be provided to you.

                  To Conduct Health Care Operations:  The Agency may use and disclose health information for its own operations in order to facilitate the function of the Agency and as necessary to provide quality care to all of the Agency s patients.  Health care operations includes such activities as: 

        Quality assessment and improvement activities. 

        Activities designed to improve health or reduce health care costs.

        Protocol development, case management and care coordination.

        Contacting health care providers and patients with information about treatment alternatives and other related functions that do not include treatment.

        Professional review and performance evaluation.

        Training programs including those in which students, trainees or practitioners in health care learn under supervision.

        Training of non-health care professionals.

        Accreditation, certification, licensing or credentialing activities.

        Review and auditing, including compliance reviews, medical reviews, legal services and compliance programs.

        Business planning and development including cost management and planning related analyses and formulary development.

        Business management and general administrative activities of the Agency.

        Fundraising for the benefit of the Agency.

 For example the Agency may use your health information to evaluate its staff performance, combine your health information with other Agency patients in evaluating how to more effectively serve all Agency patients, disclose your health information to Agency staff and contracted personnel for training purposes, use your health information to contact you as a reminder regarding a visit to you, or contact you as part of general fundraising and community information mailings (unless you tell us you do not want to be contacted).

 For Fundraising Activities:  The Agency may use information about you including your name, address, phone number and the dates you received care in order to contact you to raise money for the Agency.  The Agency may also release this information to a related Agency foundation.  If you do not want the Agency to contact you, notify the Privacy Official, Monroe County Health Department and Home Health Agency, 660-327-4653, and indicate that you do not wish to be contacted.

 For Appointment Reminders:  The Agency may use and disclose your health information to contact you as a reminder that you have an appointment for a home or office visit.

 For Treatment Alternatives:  The Agency may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you. 


 When Legally Required:  The Agency will disclose your health information when it is required to do so by any Federal, State or local law.

 When There Are Risks to Public Health:  The Agency may disclose your health information for public activities and purposes in order to:

        Prevent or control disease, injury or disability, report disease, injury, vital events such as birth or death and the conduct of public health surveillance, investigations and interventions.

        Report adverse events, product defects, to track products or enable product recalls, repairs and replacements and to conduct post-marketing surveillance and compliance with requirements of the Food and Drug Administration.

        Notify a person who has been exposed to a communicable disease or who may be at risk of contracting or spreading a disease.

        Notify an employer about an individual who is a member of the workforce as legally required.

        Notify public, private or parochial school personnel and physicians of immunizations, lead screenings, and hemoglobin screening results.

        Any calls to the Division of Family Services Hotline do not need to be put on the Accounting of Disclosures roster.

To Report Abuse, Neglect Or Domestic Violence:  The Agency is allowed to notify government authorities if the Agency believes a patient is the victim of abuse, neglect or domestic violence.  The Agency will make this disclosure only when specifically required or authorized by law or when the patient agrees to the disclosure.

To Conduct Health Oversight Activities:  The Agency may disclose your health information to a health oversight agency for activities including audits, civil administrative or criminal investigations, inspections, licensure or disciplinary action.  The Agency, however, may not disclose your health information if you are the subject of an investigation and your health information is not directly related to your receipt of health care or public benefits.

In Connection With Judicial And Administrative Proceedings:  The Agency may disclose your health information in the course of any judicial or administrative proceeding in response to an order of a court or administrative tribunal as expressly authorized by such order or in response to a subpoena, discovery request or other lawful process, but only when the Agency makes reasonable efforts to either notify you about the request or to obtain an order protecting your health information.

For Law Enforcement Purposes:  As permitted or required by State law, the Agency may disclose your health information to a law enforcement official for certain law enforcement purposes as follows:

        As required by law for reporting of certain types of wounds or other physical injuries pursuant to the court order, warrant, subpoena or summons or similar process.

        For the purpose of identifying or locating a suspect, fugitive, material witness or missing person.

        Under certain limited circumstances, when you are the victim of a crime.

        To law enforcement official if the Agency has a suspicion that your death was the result of criminal conduct including criminal conduct at the Agency.

        In an emergency in order to report a crime. 

To Coroners And Medical Examiners:  The Agency may disclose your health information to coroners and medical examiners for purposes of determining your cause of death or for other duties, as authorized by law.

To Funeral Directors:  The Agency may disclose your health information to funeral directors consistent with applicable law and if necessary, to carry out their duties with respect to your funeral arrangements.  If necessary to carry out their duties, the Agency may disclose your health information prior to and in reasonable anticipation of your death.

For Organ, Eye Or Tissue Donation:  The Agency may use or disclose your health information to organ procurement organizations or other entities engaged in the procurement, banking or transplantation of organs, eyes or tissue for the purpose of facilitating the donation and transplantation.

For Research Purposes:  The Agency may, under very select circumstances, use your health information for research.  Before the Agency discloses any of your health information for such research purposes, the project will be subject to approval of the Privacy Officer. 

In the Event of A Serious Threat To Health Or Safety:  The Agency may, consistent with applicable law and ethical standards of conduct, disclose your health information if the Agency, in good faith, believes that such disclosure is necessary to prevent or lessen a serious and imminent threat to your health or safety or to the health and safety of the public.

For Specified Government Functions:  In certain circumstances, the Federal regulations authorize the Agency to use or disclose your health information to facilitate specified government functions relating to military and veterans, national security and intelligence activities, protective services for the President and others, medical suitability determinations and inmates and law enforcement custody.

For Worker's Compensation:  The Agency may release your health information for worker's compensation or similar programs.

Authorization to use or Disclose Health Information

Other than is stated above, the Agency will not disclose your health information other than with your written authorization.  If you or your representative authorizes the Agency to use or disclose your health information, you may revoke that authorization in writing at any time.  Minors (under age 18 years) health information regarding pregnancy testing or sexually transmitted disease testing will not be released without authorization of the minor. 

Your Rights with Respect to Your Health Information

You have the following rights regarding your health information that the Agency maintains:

Right to request restrictions:  You may request restrictions on certain uses and disclosures of your health information.  You have the right to request a limit on the Agency s disclosure of your health information to someone who is involved in your care or the payment of your care.  However, the Agency is not required to agree to your request.  If you wish to make a request for restrictions, please contact the Privacy Officer. 

Right to receive confidential communications:  You have the right to request that the Agency communicate with you in a certain way.  For example, you may ask that the Agency only conduct communications pertaining to your health information with you privately with no other family members present.  If you wish to receive confidential communications, please contact the Privacy Official, Administrator, 660-327-4653.  The Agency will not request that you provide any reasons for your request and will attempt to honor your reasonable requests for confidential communications. 

Right to inspect and copy your health information:  You have the right to inspect and copy your health information, including billing records.  A request to inspect and copy records containing your health information may be made to Privacy Official, Administrator, 660-327-4653.  If you request a copy of your health information, the Agency may charge a reasonable fee for copying and assembling costs associated with your request. 

Right to amend health care information:  You or your representative have the right to request that the Agency amend your records, if you believe that your health information is incorrect or incomplete.  That request may be made as long as the information is maintained by the Agency.  A request for an amendment of records must be made in writing to Privacy Official, Monroe County Health Department and Home Health Agency, 310 N. Market Street, Paris, MO  65275.  The Agency may deny the request if it is not in writing or does not include a reason for the amendment.  The request also may be denied if your health information records were not created by the Agency, if the records you are requesting are not part of the Agencys records, if the health information you wish to amend is not part of the health information you or your representative are permitted to inspect and copy, or if, in the opinion of the Agency, the records containing your health information are accurate and complete. 

Right to an accounting:  You or your representative have the right to request an accounting of disclosures of your health information made by the Agency for certain reasons, including reasons related to public purposes authorized by law and certain research. The request for an accounting must be made in writing to Privacy Official, Monroe County Health Department and Home Health Agency, 310 N. Market Street, Paris, MO  65275.  The request should specify the time period for the accounting starting on or after April 14, 2003.  Accounting requests may not be made for periods of time in excess of six (6) years.  The Agency would provide the first accounting you request during any 12-month period without charge.  Subsequent accounting requests may be subject to a reasonable cost-based fee.

Right to a paper copy of this notice:  You or your representative, have a right to a separate paper copy of this Notice at any time even if you or your representative have received this Notice previously.  To obtain a separate paper copy, please contact the Privacy Official, 660-327-4653.   The patient or a patients representative may also obtain a copy of the current version of the Agencys Notice of Privacy Practices at its website, 

Duties of the Agency

                The Agency is required by law to maintain the privacy of your health information and to provide to you and your representative this Notice of its duties and privacy practices.  The Agency is required to abide by the terms of this Notice as may be amended from time to time.  The Agency reserves the right to change the terms of its Notice and to make the new Notice provisions effective for all health information that it maintains.  If the Agency changes its Notice, the Agency will provide a copy of the revised Notice to you or your appointed representative.  You or your personal representative, have the right to express complaints to the Agency and to the Secretary of DHHS if you or your representative believe that your privacy rights have been violated.  Any complaints to the Agency should be made in writing to Privacy Official, Monroe County Health Department and Home Health Agency, 310 N. Market Street, Paris, MO  65275.  The Agency encourages you to express any concerns you may have regarding the privacy of your information.  You will not be retaliated against in any way for filing a complaint. 

Contact Person

                The Agency has designated the Privacy Officer, as its contact person for all issues regarding patient privacy and your rights under the Federal privacy standards.  You may contact this person at the Monroe County Health Department and Home Health Agency, 310 N. Market Street, Paris, MO  65275, 660-327-4653. 

Effective Date:                                         This Notice is effective April 14, 2003. 

IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE CONTACT the Privacy Official, Monroe County Health Department and Home Health Agency, 310 N. Market Street, Paris, MO  65275, 660-327-4653.


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Revised  Monday, July 21, 2008   Visitor Hit Counter