The Madison County Health Department was established by the vote of the people in 1949 under Missouri Statute Chapter 205.

The department is supported through a realestate and personal property tax at a ceiling of 10 cents per one hundred dollars that was passed by the vote of the people in 1949.

The department is governed by elected persons of a 5 member Board of Trustees. The trustees are elected for 4 year terms.

Board of Trustees

Joe Brewen, Chairman,
term expires in April 2015

Cherilyn Stephens, Vice-Chairman,
term expires in April 2017

Angela Souden, Secretary
and Treasurer, term expires
in April 2015

Joalyn McKenney, Board Trustee
term expires in April 2017

Nancy Hall, Board Trustee
term expires in April 2017

The departmental programs are provided through funding from State and Federal contracts and from fee for services and insurance reimbursements.

The office hours are Monday through Friday 7:00 a.m. to 5:30 p.m.
Phone: 573-783-2747
Fax: 573-783-8039
Afterhours: 573-783-1131

  • Becky Hunt, Administrator, Email
  • Teresa Clark, R.N., Assistant Administrator, Email
  • Becky McFarland, Health Program Representative, VICP Program Manager
  • Tissy Ramsey, Receptionist
  • Blair Reagan, Breastfeeding Peer Counselor
  • Amy Koester, R.N., Immunizations
  • Betha Mattingly, R.N., Maternal Child Health Programs
  • Patty McDaniel, Clerical, Accounts Receivable/Payable
  • Velma Osborne, Nutritionist, WIC Coordinator
  • Alica White, WIC, Chronic Disease Self-Management Program Leader, Web Master/Social Media
  • Janell Rehkop, Special Health Care Needs Service Care Coordinator
  • Jenny Sikes, Environmental Services
  • Carolyn Amelunke, RN

Annual Operating Budget

2011_Budget.xlsx Right click and choose to save or download file

Fee for Service

Fee_Schedule_42012 to 32013.xlsx Right click to save or download the Excel spreadsheet
Fee_Schedule_42012 to 32013.pdf Right click to save or download the pdf

MCHD_FEE_FOR_SEVICE_SLIDING_SCALE_FY_2014.pdf Right click to save or download the pdf
MCHD_FEE_FOR_SEVICE_SLIDING_SCALE_FY_2014.docx Right click to save or download the Word document


Madison County is a historical community of people who strive to live, work and play in a safe, healthy, environment.


7:00 am - 5:30 pm

Quick Contacts

Madison County Health Department
806 West College
Fredericktown, MO 63645
573-783-1131 24/7
FAX 573-783-8039

We also have a Facebook page for Peer Breastfeeding Support!