We offer all childhood immunizations based on the recommendations of the Advisory Committee on Immunization Practices, the American Academy of Pediatrics and the American Academy of Family Physicians.

DTaP (Diphtheria, Tetanus, Pertussis)
Td  (Tetanus, Diphtheria – age 7 and older)
Tdap  (Tetanus, Diptheria, Pertussis – age 11-18)
Hib  (Haemophilus Influenza Type B)
Hepatitis A
Hepatitis B
MMR  (Measles, Mumps, Rubella)
Varicella   (Chickenpox)
Menactra (Meningococcal – age 11-18)
Gardasil  (Human Papillomavirus (HPV) – age 11-18) VFC Eligible*

*Explanation of VFC Eligibility. Below is a link to the CDC Immunization web site where you can obtain a current chart of recommended vaccinations for your child.

Recommended Childhood and Adolescent Immunization Schedule

Missouri’s Immunization Requirements for School Attendance Missouri’s Immunization

Requirements for Child Care Attendance

Immunization Exemption Request

Families can obtain Exemption for Immunization cards for their child/children at the Warren County Health Department Monday-Friday 8-4:30.  Medical Exemption cards require the signature of a physician, In Progress cards require the signature of the office you have the appointment with for the child for upcoming vaccinations.  Forms are available online from Missouri Department of Health & Senior Services.

Consent for Vaccinations

While we prefer that a parent/guardian accompany children to our office for vaccinations, we understand that it is not always possible. When this occurs we will need the parent’s/guardian’s written consent to allow another adult (18 years or older) to sign the immunization permit. Please click on the link below to obtain a form to be filled out by the parent/guardian giving the person bringing the child, the authority to sign for the parent/guardian.

Please download our Medical Information Privacy Policy, fill out the attached form and send it, along with current immunization records, with the the person being vaccinated. Parent Consent Authorization Form (pdf format) Medical Information Privacy Policy (pdf format)


Immunization records are very important. In most states, it is the responsibility of the parents of school-aged children, not family doctors, to provide vaccination records to the health department and to schools.

Today we move, travel, and change health providers more than we did in previous generations. Also, doctor’s offices and clinics store records of children’s vaccinations and the dates they were received only for a few years. If you keep an accurate record, you will be more likely to remember when to bring your children in for the next visit. These records also can prove that your children are up to date with their immunizations. In most states, children are not allowed to enter school or childcare unless they can prove that they meet all school immunization requirements.

Your doctor or clinic will be happy to give you an immunization record form for your use. Bring this record with you whenever you take your child to the doctor or clinic, and ask the doctor to sign and date the form each time a vaccination is given. That way, you can be sure that the immunization information is current and correct.

County Purchased Vaccine Program

Warren County Health Department now accepts most private insurance for the following vaccines for adults: Tdap, Td, Hep A, Hep B, Twinrix, PCV 20 (Prevnar 20 -Pneumonia), Zoster (Shingrix- Shingles), RSV (Abrysvo), Flu and COVID (Pfizer only). There is no office fee for this service. Additional vaccines may be available in the future. Call to make an appointment at 636-456-7474