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Immunizations | Franklin-Williamson Bi-County Health Department

403 East Park, Benton, IL 62812

Eligibility

Open to anyone

Required documents

Immunization records (if applicable) - Medicaid card (if applicable), insurance card(s) (if applicable) - Completed Immunization Contraindication Checklist form (available on website), completed Consent and Acknowledgement of Privacy Practices form (available on website), Completed Medical Records Release form (available on website), if requiring a copy of medical records
(618) 463-2447

Voice - Main Phone

(618) 439-0951

Voice - Main Phone

(618) 998-0507

Voice - Main Phone

Immunizations:_x000D_https://bicountyhealth.org/immunizations/_x000D__x000D_Immunization Contraindication Checklist Form:_x000D_https://bicountyhealth.org/wp-content/uploads/2018/10/CONTRAINDICATION_SHEET.pdf_x000D__x000D_Consent and Acknowledgement of Notice of Privacy Practices Form:_x000D_https://bicountyhealth.org/wp-content/uploads/2018/10/HIPAA_Consent_Acknowledgement.pdf_x000D__x000D_Medical Records Release Form:_x000D_https://bicountyhealth.org/wp-content/uploads/2019/03/Medical-Rlease-Form.pdf

Application process

Call or visit for information

Fees

Fixed fees. Contact for more information, Medicaid and Medicare accepted, Private/commercial insurance accepted. Contact for insurance verification, Private pay accepted, Those who qualify through the federal Vaccines for Children (VFC) program will have a reduced charge, Qualifications for the VFC program include Enrolled in Medicaid, does not have health insurance, is American Indian or Alaskan Native or is underinsured (health insurance does not pay for immunizations)

Service area

Williamson County, IL
Franklin County, IL

Description

Provides immunizations to children, adolescents, and adults.

Providing organization

Franklin-Williamson Bi-County Health Department

Provides the county health department.