Health Department

Macon County Health Department
601 Highway 52 Bypass East
P.O. Box 26
Lafayette, TN 37083
Do not send mail to the Hwy. 52 address.  The post office will not deliver it. 
Please send all mail to the post office box.  Thank you!
(615) 666-2142 (Voice)

Normal Office Hours: 
    Monday through Friday: 8:00 a.m. to 4:30 p.m.
Vital Records Hours: Monday through Friday 9:00 a.m. to 3:00 p.m.
Closed on most federal holidays except Columbus Day.


Upper Cumberland TN Regional Medical Reserve Corps Volunteers Needed.

Application Form  


 Health Building Two

Macon County Health Department Building

County Director

JoNell McLerran
JoNell McLerran 
Office Supervisor

Kelly Ritter
Kelly Ritter 
Office Assistant

Lisa Dennis
Lisa Dennis 
Office Assistant

Stephanie Gore
Stephanie Gore 
Office Assistant, part-time

Sherry Jent
Sherry Jent 
Nursing Supervisor/Child Health/Development

Tammy Driver
Tammy Driver 
Public Health Nurse

Brande Pharris
Brande Pharris 
Public Health Nurse

Meadow Ruferner
Meadow Ruferner 

Tamara Cherry
Tamara Cherry 
Nurse Aide

Lenore Wix
Lenore Wix 
Nurse Practitioner

Anna Wilson
Anna Wilson 
Social Counselor

Celine Dickens
Celine Dickens 
Counseling Assistant

Kevin Dickerson
Kevin Dickerson 
Environmentalist – Ground Water

Donald Collins
Donald Collins 
Environmentalist – General Health



Vision Statement

Our vision for the Macon County Health Department is:

To constantly strive for a healthy community by adapting to its ever-changing health needs.

To readily identify and meet the individual needs of each customer in a prompt and courteous manner.

To ensure community utilization of the Health Department by offering the highest quality care.



The Macon County Health Department has a wide variety of services available.  Many services are available to the general public, and fees are based on the person's ability to pay.   No one will be denied service because of an inability to pay.

Some services are available only to low-income families, and certain eligibility requirements must be met.

For individuals with health insurance, the Health Department can bill the insurance company for services provided.

All services are by appointment.  Please call (615) 666-2142 to schedule an appointment or to ask questions about available services.


General Services

Women, Infants and Children (WIC)
Vouchers to buy nutritious foods (such as cheese, milk and cereals) are issued to women who are pregnant of breast feeding and to children under five years of age who are at risk for poor growth. Recipients must meet certain income guidelines.

Child Health
We are able to perform well-child checkups, physical exams, screening tests and immunizations (shots). The Health Department strongly recommends regular checkups and makes referrals for medical/dental services to make sure all children are as healthy as possible.

Immunizations (Shots) for Children
We provide childhood immunizations against polio, diphtheria, whooping cough, tetanus (lockjaw), measles, mumps, rubella (German Measles), meningitis, hepatitis B, and chicken pox.

Immunizations (Shots) for Adults
Adults may receive flu shots, pneumonia immunizations, tetanus boosters and diphtheria boosters.

Primary Care
A nurse practitioner is available to diagnose and treat minor illnesses. She can also provide diagnostic testing such as pap smears and blood pressure checks.  The nurse practitioner can write prescriptions and order tests such as x-rays at the local hospital. 

Physical Exams
Physical Exams are available for both children and adults. These could be regular, annual exams, pre-employment screening, yearly physicals as required by law for certain occupations, etc.

Family Planning
Physical exams for women who are pregnant or think they might be are available. Patients may request counseling about birth control and the different methods that are available. The Health Department will recommend/prescribe contraceptives. This is a confidential service; parental permission is not required.

STD Control
The Health Department provides confidential counseling, testing, treatment, referral and partner/spouse notification for sexually transmitted diseases (STDs). Confidential testing and counseling for HIV/AIDS is also available.

Services for Teens
Teenagers have special needs, and the Health Department can help.  Assistance is available with things such as: birth control, pregnancy testing, sexually transmitted diseases, etc.   All information is confidential.  Parental consent is not required.  Teens from rich families, middle-income families and poor families are welcome.

TB Control
Diagnosis, treatment and follow-up services are provided for patients with tuberculosis (TB) and their contacts. Skin testing is available. Medication is also available.

A nutritionist is on staff to teach individuals and groups about proper nutrition. This service is especially helpful for WIC recipients, people with diabetes, people with heart disease, etc.  The nutritionist is available on Tuesdays.

Dental Care
A dentist is available twice a week (Monday and Thursday) to provide dental screenings and treatment to TennCare children ages 0 to 21. For the most part, services to adults are limited to dental emergencies when the person does not have access to services elsewhere.

Children’s Special Services (CSS)
The CSS program assists with medial treatment for children up to age 21 who have special medical needs and the family is financially unable to provide the necessary care. This program may also include speech and vision care.


Tennessee Home Visiting Program

Prenatal Care
Pregnancy testing, eligibility screening for TennCare and referral for prenatal care are available.

Help Us Grow (HUG)
Home visits are made by a public health nurse to families whose infants are at risk for medical or developmental problems. Teen mothers and their infants are given highest priority.

Families First
When the Department of Human Services is planning to terminate benefits to a family, they will notify the Health Department. The Health Department will make a home visit to insure the health and safety of the family is not in jeopardy.

Child Health and Development (CHAD)
CHAD is a sister program to HUG. Emphasis is placed on children at risk for developmental delay. CHAD is more intensive and long-term than the HUG program.

Vital Records

Birth Certificates
Certified copies of birth certificates may be obtained at the Health Department from 9:00 a.m to 3:00 p.m. Monday through Friday. This service is available to persons born in Tennessee in 1949 or later.

Death Certificates

Certified copies of death certificates may be obtained at the Health Department from 9:00 a.m. to 3:00 p.m. Monday through Friday. Information is only available for people who died in Macon County during the last three years.

Vital Records Collection
The Health Department collects birth and death information and sends this information to the State of Tennessee, Office of Vital Records.

Health Education

Health Education Services
A health educator is available to provide educational services to individuals, schools and community groups upon request.

Environmental Services

Septic Tanks
A Health Department inspector will test ("perk") a proposed home site to determine if a septic tank is allowed, and if so, where it should be located and what size it needs to be.

Ground Water
The Health Department is responsible for ground water issues such as testing well water.  They are also responsible for making recommendations concerning sewer installations and problems.

Restaurant Inspections
A Health Department inspector regularly conducts inspections of restaurants, hotels, motels, public swimming pools, child care facilities, tattoo parlors, camps and schools.

Rabies Control
A Health Department inspector is responsible for planning and promoting the rabies vaccination clinic. He/she also investigates animal bites.

Infectious Disease Control

Infectious Diseases
The Health Department collects and provides information on diseases in the community, investigates serious diseases and monitors outbreaks (meningitis, e-coli, etc). The goal is to keep the community safe through early detection and control of the disease.


What information should I bring with me on my first visit to the Macon County Health Department?

In general this is what you'll need:

Proof of your identity (driver's license, etc).

Proof of income (your check stub or last year's tax return).  Note: this is usually not necessary for teenagers seeking help.

Proof of residency (a power bill, phone bill, etc.)  Note: this is usually not necessary for teenagers seeking help.

If you a bringing in a child, proof of the child's identity.

If you have health insurance, your insurance card.


For more information on State Health programs, please visit the 
State of Tennessee Department of Health web site.



Medical Reserve Corps

The Upper Cumberland TN Regional Medical Reserve Corps (MRC) was created in September 2007 to serve the counties in the Upper Cumberland Public Health Region. The unit recruits, maintains and trains volunteers to assist in responding to a public health emergency situation. 

The MRC’s main goal is to provide staffing for Tennessee Department of Health’s Point of Dispensing (POD) sites. POD sites have been established throughout the Upper Cumberland Region to respond to any type of public health disease and/or disaster that requires vaccinations or dispensing of medications. The Upper Cumberland Public Health Region covers Cannon, Clay, Cumberland, DeKalb, Fentress, Jackson, Macon, Overton, Pickett, Putnam, Smith, Van Buren, Warren, and White counties. 

In order to be able to operate these PODs successfully, volunteers with medical and non-medical backgrounds are needed to serve in various capacities. Volunteers with a medical background that are needed include physicians, nurses, pharmacists, dentists, veterinarians, and mental health professionals. Non-Medical volunteers needed include office workers, teachers, interpreters, pastors, and others that may assist with patient registration, clerical duties, and crowd control. 

Volunteers will receive newsletters updating them on the unit’s activities, training and exercise information. During a public health emergency, MRC members and their immediate household will receive the vaccination or medication prior to the POD being open to the general public.

If you are interested in joining the MRC, please complete the MRC Application and send it to Dawn Hickey, MRC Coordinator at the Upper Cumberland Regional Health Office at 200 West 10th Street, Cookeville, TN 38501.