Family, Community, and School Health

Provides Child Asthma, Lead Testing, Smoking Cessation and School Health services and administers the Healthy Women, Health Equity, and Maternal and Child Health programs.

Email (314) 657-1518 More contact info


Child Asthma Services

Information on home assessment assistance, school education program and outreach is available from the Department of Health. For more information, call (314) 657-1475.

Lead Screening

Find information on how to request and obtain lead testing services for children six and under. Services are provided by appointment from 9:00 a.m. - 4:00 p.m., with the exception of lunch hour (approximately 12:00 p.m.-1:00 p.m.). Screenings are done Monday through Friday, except on city holidays.

School Health

School Health Service provides professional nursing and supportive services to students in schools in the City of St. Louis. Services provided to Parochial, Lutheran, Christian, Charter and Public schools may include counseling, screenings, education, and referral to the community and other health promotion activities and care plans for special needs children. For more information, call (314) 657-1518.


The Department of Health works with community partners to offer vaccinations for people living in the City of St. Louis. Please visit the vaccination information website for information on school, COVID-19, Hepatitis A, travel, and influenza vaccinations.

Immunization Exemptions for Minors

The Department of Health offers immunization exemptions for minor children. Parent/Guardian Immunization Exemption documents and Immunization Exemption requests for religious reasons are available on a walk-in basis between 9:00 a.m.-12:00 p.m. Monday-Friday (except city holidays). All other encounters will be by appointment only. City residents may call 314-657-1475 to make an appointment.

Anyone seeking exemptions due to medical reasons or related to COVID-19 must contact their health care provider.

Note: A parent/guardian immunization exemption is usually secured for daycare aged children and must be renewed annually.

Birth Certificates

Birth Certificates in the City of St. Louis are managed by the City of St. Louis Recorder of Deeds. Please call (314) 622-4610 or visit the Recorder of Deeds website for additional information and to request a birth certificate.


Show Me Healthy Women Program

The Show Me Healthy Women program provides professional nursing case management services to ethnic minority, low-income women 35 years of age and older in the geographic areas of St. Louis City/County, St Charles, Jefferson and Franklin counties. Services include follow-up of abnormal Pap tests, mammograms and/or clinical breast exams. Call the Show Me Healthy Women (SMHW) Regional Program Coordinator at (314) 657-1509 for more information. Search for a SMHW provider here.

Health Equity Program

The Health Equity Program focuses on five health disparities: asthma, adolescent STD infection, cardiovascular disease, diabetes, and infant mortality. Efforts are concentrated in areas of high priority in an attempt to provide resources and education to the community. For more information, call (314) 657-1475.

Maternal/Child Health Program

The Maternal/Child Health Program provides professional and supportive services with community partners to identify families at greatest risk for child maltreatment. The program targets zip codes within the City of St. Louis identified as having the highest risk of reported abuse and socioeconomic factors. Services are provided by funding from the title V Maternal Child Block Grant. For more information, call (314) 657-1458.

Contact Information


Phone: (314) 657-1518
Lead Program: (314) 657-1515
Fax: (314) 612-5105

Additional Contacts: Health Department Contacts

1520 Market St , Rm 4051
Saint Louis, Missouri 63103

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