Clinical Services



You never outgrow the need for vaccines. The specific immunizations you need as an adult or for a child are determined by factors such as your age, lifestyle, high-risk conditions, type and locations of travel, and previous immunizations.  Immunizations can be obtained at our health centers for both children and adults.

Pediatric Services

Purchase District Health Department provides many pediatric services as part of its mission such as well child exams, fluoride varnishing, lead poisoning prevention, and child development.  However, ensuring that our children are properly vaccinated against diseases/illnesses is one of our largest goals as a health institution.

Vital Records

To obtain vital records (Birth, Death, Paternity Affidavits) please visit The Office of Vital Statistics – Cabinet for Health and Family Services ( for more information.

To Download the Application for a Certified Copy of a Birth Certificate: VS37BirthApp

To Download the Application for a Copy of a Death Certificate:VS31DeathApp

To Download the Application for Declaration of Paternity: VS8

If you have any questions regarding  vital records, please click here to contact one of our local health centers.

lead | purchase district health department


Lead is a common element that can harm our bodies.  Our bodies can’t distinguish lead from other minerals that it needs like calcium and iron so it is absorbed into the bloodstream if it is breathed in or swallowed.  Once absorbed into our bloodstream it is then deposited into our brain and bones where it can cause serious damage.  Lead is the number one preventable environmental hazard.

Oral Health

Oral health is multifaceted and includes the ability to speak, smile, smell, taste, touch, chew, swallow, and convey a range of emotions through facial expressions with confidence and without pain, discomfort, and disease of the craniofacial complex. Taking good care of your mouth, teeth and gums is a worthy goal in and of itself. Good oral and dental hygiene can help prevent bad breath, cavities and periodontal disease.  A healthy mouth may help you ward off medical disorders such as heart attack, stroke, poorly controlled diabetes and preterm labor.

Dental Medicaid Providers 08/14/2023

Dental Medicaid Providers

(Aug. 14th 2023)




Carlisle County

River County Family & Esthetic Dentistry

268 HWY 62

Bardwell, KY 42029


Accepting new patients!

Accepting Wellcare, Humana, United Healthcare, and Aetna!


Christian County

SKY Pediatric Dentistry

Dr. Mandy Ashley

280 Burley Ave.

Hopkinsville, KY 42240


Accepting new patients by REFERAL ONLY!

Contact us for REFERRAL!

Accept all MCO’s.

12 and UNDER ONLY!


Hopkins County

Brummer Pediatric Dentistry

1400 Pride Ave.

Madisonville, KY 42431


Accepts all MCO’s.

Ages 6 and under ONLY!


Marshall County

UK Clinic @ MCHD

267 Slickback Rd.

Benton, KY 42025


Accepts all MCO’s

Walk-in clinic for those in pain that will result in extraction (removal of tooth) ONLY!

Must call and listen to the message for days and hours of registration as they vary weekly.



McCracken County

Healthy Smiles Family Dental

1927 Irvin Cobb Drive

Suite 3

Paducah, K 42003


Accepts only Kentucky Spirit card!


Colgan Pediatric Dentistry

2850 Lone Oak Rd.

Paducah, KY 42003


Accepting new patients!

Accepts Aetna, Humana, WellCare, Molina

*only accepting new patients 8 and under*


University of Louisville Dental Practice- Paducah

4810 Alben Barkley Dr.

Paducah KY 42001

Phone 270-534-3437

Hours Monday- Friday

Accepts all MCO’s

12 and over ONLY!



*** Check with your child’s school FRYSC about seeing the Floss and Gloss Program at school!***

Press Release 08-08-22 Floss and Gloss expands to offer silver diamine fluoride (SDF)

(08/04/2022) Purchase District Health Department’s Floss and Gloss Program to Expand with Silver Diamine Fluoride

The Floss and Gloss Program provides dental services in 38 schools across Western Kentucky.  The program is expanding to include asynchronous exams and silver diamine fluoride (SDF) by utilizing teledentistry. This expansion is made possible by a partnership with local dentists, Dr. Whitney Deitz and Dr. Andrea Becker of Aspen Dental. This is in addition to our current program which provides a dental assessment, cleaning, fluoride varnish, and sealants (if applicable).

Silver Diamine Fluoride (SDF) is a topically applied liquid that controls active dental caries (cavities) and aids in preventing further progression of the caries process. It is now well recognized internationally that oral health among school-aged children should be a high priority since it can affect their quality of life and general health and nutrition. The US Food and Drug Administration (FDA) approved using 38% silver diamine fluoride (SDF) for treating dental sensitivity and for managing dental caries (cavities).  Silver diamine fluoride (SDF) was also granted a breakthrough therapy status by the FDA.

All the counties in the Purchase Area are either in full or in part a Health Provider Shortage Area and a medically underserved area. Nearly every county served by Floss and Gloss has a higher poverty rate than the state average. Additionally, Fulton County, KY is a persistent poverty county. Children living in poverty are 5x more likely to have untreated dental decay than children from higher-income families. Those that were poor or low-income minority children, or had special needs, were significantly more likely to have a toothache. Additionally, one study showed that tooth decay early in life has been related to “impaired development, low educational performance, poor behavior, family stress, diminished quality of life, and even disability and death” and children with poor oral health were 3x more likely to miss school.

“It doesn’t matter if you are 4 years old or 104 years old, it matters how you feel about yourself when you smile in the mirror.  Oral health is part of overall health and children deserve the ability to learn without worrying about an abscessed and painful tooth.” -Dr. Whitney Deitz


The lack of access to providers able and willing to see these children is compounded by the fact that transportation is a barrier to our residents when seeking any sort of medical care. The ability to arrest dental caries (cavities) while families navigate various barriers in seeking dental care will not only improve dental outcomes for our children but have positive lifelong impacts by addressing health inequities and disparities.

The purpose of adding SDF to the program is to manage dental caries (cavities) among school-aged children. Children in the Floss and Gloss Program are referred to local dentists to help establish a dental home. For children with moderate and urgent needs on Medicaid, the Floss and Gloss Program will administer SDF treatment as prescribed by our partner dentists utilizing General Supervision and teledentistry exams. These children will receive a treatment plan from our partnering dentists. The treatment plan will include intra-oral photos, proposed treatment, and notes provided by the examining dentist. The treatment record and treatment plan will be sent in a packet to the guardian following the asynchronous exam.



To register online for Floss and Gloss at your child’s school please click or scan the QR code. 


school physical | purchase district health department

School Health Requirements

Each school district has requirements that are unique to their schools however there are some requirements that apply to all Kentucky schools. Those requirements include school physicals upon entering a Kentucky school, at preschool or Kindergarten and then again at 6th grade entry and up to date immunization certificates.  These services can be obtained at your local health department. Click here to contact your local health center to make an appointment or if you have questions.  The following website may also be able to answer questions you may have

Requirements for School-Age Children


The WIC program (Special Supplemental Nutrition Program for Women, Infants and Children) is a federal grant program which operates as part of FNS (Food and Nutrition Service).  The WIC program is available at all health centers in the Purchase District.  The main goal of the WIC program is to protect or improve the health and nutritional status of pregnant, postpartum, and breastfeeding women, infants, and children up to age 5.  WIC provides nutrition education and services, breastfeeding promotion and education, a monthly food prescription of nutritious foods, and access to maternal, prenatal, and pediatric health care services.

breastfeeding | purchase district health department


Breastfeeding has many benefits for both baby and mother.  Breastfeeding helps protect baby against ear and gastrointestinal infections.  Reduces baby’s risk of allergies and colic and provides for better brain development.  Breast milk digests easily so there is less constipation.  Breastfeeding reduces mother’s risk of breast and ovarian cancer and the uterus will return to normal size more quickly.  It also helps the mother burn more calories.


Medical Nutrition Therapy or MNT is offered in our local health centers. MNT can only be provided by a registered dietitian, licensed dietitian, or certified nutritionist. MNT is comprised of an assessment of your current nutritional status.  The nutritionist or dietitian will then work with you to make a plan to improve your nutritional health.

hands program | purchase district health department

HANDS Program

The Health Access Nurturing Development Services (HANDS) program is a voluntary home visitation program for moms, dads, and families.  HANDS provides information on prenatal care, nutrition, safety and child development, all to help you on your journey to be a successful parent.  Through the program you will receive support, information and activities that will help you and your baby navigate early parenthood together.  The goal is to support healthy child growth and development, ensure safe homes and help parents reach the goals they have for their children and their family!

family planning | purchase district health department

Family Planning

Family Planning is a program here to help you by offering services that help you to have children when you want them, not have to worry about unwanted pregnancy, help to make your own decisions about birth control, and to be healthier before and during pregnancy. 

There are many services provided through Family Planning for Women, men, and Adolescents:

Breast Cancer Screening Program

A breast exam and mammograms check for signs of cancer in the breast.  Women should have regular clinical breast exams performed by their health care provider.  The American Cancer Society recommends women have a mammogram once a year starting at age 40.  Some women should start receiving mammograms sooner based on health or family history.

colon cancer prevention program | purchase district health department

Colon Cancer Screening

Colon cancer is cancer that occurs in the colon also known as the large intestine.  Men and women 50 and older and African Americans 45 and older are at higher risk of developing colon cancer.  Every year nearly 2,500 Kentuckians are diagnosed with colon cancer and almost 900 die.  

Colon Cancer often has no symptoms this is why it’s important to begin screening at age 50 even if you feel healthy.  You may be at increased risk of colon cancer if you answer YES to any of the following questions:  Are you 50 years of age or older?  Have you had a family member (parent, brother, sister, or child) diagnosed with colon cancer?  Have you previously had polyps or growths in your colon?  Have you had colon cancer in the past?  Were you diagnosed with ulcerative colitis, Crohn’s disease, or inflammatory bowl disease in the past?


Purchase District Health Department supports World TB Day on March 24. The theme of this day is TB Elimination: Together We Can!.  To learn more about World TB Day efforts, please click on the following linktuberculosis

In 2014, 9.6 million people around the world became sick with TB disease. There were 1.5 million TB-related deaths worldwide. TB is a leading killer of people who are HIV infected. A total of 9,421 TB cases (a rate of 2.96 cases per 100,000 persons) were reported in the United States in 2014.

std testing | hiv testing | purchase district health department

STD/HIV Testing

STDs are diseases that are passed during vaginal, anal, or oral sex and sometimes through genital touching.  STD’s can lead to serious health problems.  STDs are common.  Anyone who is sexually active can get an STD, however people age 25 and under are at higher risk of infection.  

People often have no signs or symptoms with STDs, but this does not mean they can’t still cause harm to the body or spread to others.  Many STDs can be cured while others cannot, but all STDs can be treated.

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