In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

Mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
Fax: (202) 690-7442; or

This institution is an equal opportunity provider.

Douglas County Health Department

Ava, Missouri

The ultimate goal of the health department is that every man, woman, and child receive all recommended vaccines.  The following immunizations are available by appointment.


  • Tetanus is available for residents (with an injury) over the age of 18 with an order from their physician. Hepatitis A/B vaccines are provided based on availability of funds and vaccine.  Please call for more information.

  • Seasonal Flu shots are provided based on availability of funds and vaccine.


  • Required immunizations are provided to preschool and school age children who are uninsured, underinsured, or have Missouri HealthNet (MC+).  To receive immunizations, children under the age of 18 must have a parent or guardian present and have appropriate records available.

Calling ahead to ensure that the appropriate nursing staff are available is recommended.