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Serves as a public cooling/warming center during periods of extreme heat or cold.

Provides transportation medical appointments, shopping, banking, social events, and more.

Clinical services providing HIV testing.

Utility Assistance - Provides electric payment assistance to individuals in need.

• Accepting applications for disabled and elderly starting November 1st, (no pledges will be made until funding is available)
• Accepting applications for the general public starting December 1st until funds are depleted, (no pledges will be made until funds are available)

Assists persons in learning new skills and work behaviors that will lead to success in training and keeping a job. Also, provide opportunities to develop employment interests.

City Union Mission Family Shelter houses single women, women with children, men with children, complete families and married couples. Residents of the shelter are provided with 3 meals daily, 24 hour security and case management.

Offers a variety of health care services and programs to area residents. Includes a HPV vaccination for females ages 9-26 years.

Assistance in preparing state and federal income tax returns, includes electronic filing of federal income tax returns.

Provide comprehensive education through Head Start and Early Head Start programs

Provides bus fare assistance while funds are available. (Limit 5 per person)

Provides general legal aid, legal representation and legal counseling for active duty veterans and current active duty military in the areas of criminial misdemeanor cases as well as criminal traffic matters (DUI, suspended license, etc.)

Responsible for the control and extinction of fires in urban or wilderness areas.

Provides developmental screening, educational evaluations and programming for residents of the School District of Clayton.

Handyman Program: Provides light home repairs and maintenance services to senior citizens.

Provides a lunch program for children during the summer.

Our Health Insurance Navigators are Certified Application Counselors trained to assist individuals with understanding the Affordable Care Act; applying for Marketplace Health Insurance, Medicaid, and Medicare; and increasing health insurance literacy. Services are available year-round. Some of our Navigators are also trained to assist clients with Small Business Health Options Program (SHOP).

Program provides reproductive health care to women of child-bearing age. Services include: birth control methods, pregnancy testing, complete physical exams, Pap smears, breast exams, screening for anemia, cholesterol, diabetes and bladder infections, screening and treatment for sexually transmitted diseases and vaginal infections, education and referral for HIV testing, and sexuality education. Service is provided at the Madison County Health Department at 806 West College in Fredericktown. (573) 783-2747

Oversees elections held in the county.

Occupational Health Services: Offers clinical services, physical medicine and rehabilitation, laboratory services, employee assistance program, on-site services including staffing, physical exams, injury treatment, respiratory fit test, pulmonary function testing, flu vaccinations, OSHA compliance training, 24-hour drug testing and enzyme testing.

Provides telehealth support services for Missouri Medicaid coverage.

Immunizations are given for the following diseases: Diphtheria, Pertussis/Tetanus, Td, Polio, Measles, Mumps/Rubella, HIB, Hep B, Varicella, Prevnar, Hep A, Influenza, and Meningococcal.

Treats alcohol dependency including individual and group therapy.

Program is dedicated to the crucial task of reuniting children in the foster care system with their biological families. Offering essential support to these families, addressing the underlying factors that led to children entering care.

Provides necessary and required services to the court, including secure detention for juveniles.

Providing a variety of services that address problems students may be having at home or in the community that are negatively affecting their performance in school.