The Trousdale County Health Department provides a variety of basic health services to prevent and treat illnesses. Most services are by appointment. Based on need and provider availability, work-ins may be accepted. Please call ahead (615-374-2112) to determine your eligibility. Press option 2 for all health department questions.

The Health Department serves as a “safety net” for the uninsured, providing a sliding-scale fee based on income. Please call for further information.

Clinical Services

Breast and Cervical Cancer Screenings (BCS Program)

The BCS Program provides clinical breast exams, pap smears, and mammograms for women 50-64 years of age, women 40-49 years with abnormal breast exams, and women under 40 with risks of abnormal breast symptoms who meet program guidelines.

CHANT (Community Health Access and Navigation in Tennessee)

CHANT (Community, Health, Access, and Navigation in TN) is a free, voluntary care coordination service that assists families in identifying resources in their community to meet medical or social needs.  Those eligible for CHANT are pregnant/postpartum, children ages 0-21 years, and children with special healthcare needs.

Dental (Wilson County Health Department)*

Basic dental services are available to adults and children including dental examinations, fillings, extractions, cleaning, fluoride treatment, dental sealants, preventive education, and emergency care.

Family Planning Services

Family Planning patients receive a complete physical exam, and all appropriate lab tests, including pap smear.  Reproductive health education focuses on different birth control methods, and provides birth control based on sliding fee scale, if desired.  In addition, referrals for vasectomies are provided for men.  ECP (Emergency Contraception) is also available.

Harm Reduction Navigation-Linkage to Care (Wilson County Health Department)*

Harm Reduction Navigation staff are based in some County Health Departments and receive referrals for those at high risk for overdose. Navigation staff provide education, brief intervention, and linkage to care services. Harm Reduction Navigation is a free program available to all community members.

Immunizations

Childhood and adult vaccinations are available to protect against many diseases.  

Primary Care (Wilson County Health Department)*

Primary care services including acute illness and chronic disease management are provided by licensed medical staff at some of Tennessee’s County Health Departments. Services include medical evaluation, laboratory testing, and limited support with prescribed medications.

WIC (Women, Infants, and Children)

The WIC program provides supplemental food, nutrition education, breastfeeding support, and more. WIC is for income eligible pregnant women, postpartum women, breastfeeding women, infants, and children up to age 5.

Communicable Disease Control

Hepatitis C

County Health Departments provide CDC-recommended universal hepatitis C testing for all adults age 18 years and older.  Risk reduction counseling is provided as well as results-based treatment or referral.

Infectious Disease Control 

Reportable infectious diseases are investigated and monitored by County Health Departments.  Appropriate intervention and follow up are provided as necessary.

Sexually Transmitted Disease

County Health Departments provide preventive education, confidential testing, treatment, and partner notification for sexually transmitted diseases, including HIV/AIDS.

Tuberculosis Control

Patients diagnosed with tuberculosis receive medication and followup care through County Health Departments.

Community Services

Birth and Death Certificates

Certified copies of birth certificates can be obtained for Tennessee births.  Certified copies of death certificates can also be obtained for deaths occurring in Tennessee.

Environmental Health Program

Environmental Health Program staff are responsible for inspecting and permitting restaurants, public swimming pools, hotels, bed and breakfasts, organized campgrounds, tattoo studios, and body piercing studios.  The Environmental Health Program also investigates animal exposures for rabies control and distributes state rabies tags to veterinarians.

Health Education and Promotion

Health educators work with individuals and groups to provide information on a variety of topics related to a healthy lifestyle.

Upcoming Community Events

Fight Flu '25

The Trousdale County Health Department of the Tennessee Department of Health will be providing free flu shots, from 8:00 a.m. to 4:00 p.m., on Tuesday, Oct. 21, 2025, participating in the statewide 2025 Fight Flu prevention effort.

‘’We want to protect people in our communities from the flu and receiving your annual flu shot is the best way to protect yourself and everyone around you,’’ said Adalberto Valdez, Trousdale County Health Director.‘’ No appointments will be needed to receive a free flu vaccine and flu vaccine will be free to anyone who wants to receive it at the Trousdale County Health Department and all other local health departments across the state on October 21st, 2025.

The flu virus is highly contagious and pregnant women, infants, the elderly, and people with certain medical conditions are at the highest risk of severe complications from the flu. The CDC estimates up to 7.5 million illnesses, 400,000 hospitalizations, and 22,000 deaths could be prevented every year if more people chose to get the flu vaccine.

To prevent the spread of the flu virus to others, follow precautions such as proper hygiene and handwashing, cover your coughs or sneezes with a tissue or your elbow, and stay at home if you are sick.

Participants that are interested in getting their free flu shot just need to park, walk into the health department, fill out some paperwork, and then a nurse will administer the shot. All participants will have to wait 15 minutes in case of an adverse reaction, and then they will be good to go.

For more information contact the Trousdale County Health Department. 615-374-2112

*Denotes services not in the Trousdale County Health Department, but available to the Trousdale County community at the Wilson County Health Department.

SEPTIC TANK PERMITS

NOTICE TO PUBLIC

DIVISION OF WATER RESOURCES 

SEPTIC PERMIT CUSTOMERS

Appointments for septic permits and other DWR services can be made directly with:

Cookeville Environmental Field Office 931-520-6688

or through their ONLINE SERVICE REQUEST

Apply online for Division of Water Resources services

including septic permits go to: https://tdec.tn.gov/septic

Septic files are available online at: https://tdec.tn.gov/filenetsearch

Helpful Links:

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