Frequently Asked Questions

Review the Fee Schedule Document under Exhibit D for current prices.

Yes, Midland Health Services does accept private insurance as well as Medicaid and Medicare.

Yes we do provide Shingles vaccine for adults age 60 and older, by appointment only. 

Midland Health Services provides all DSHS recommended and required vaccinations from birth through adulthood. We accept private insurance and Medicaid.

Yes, Midland Health Services does file with Medicaid and Medicare for vaccinations.

Please make sure to bring the following when you come in for service at the Midland Health Department: Picture Identification Shot records (if applicable) Insurance or Medicaid card.

TB testing is available for $15, cash only. Insurance billing is not offered for this service.

We test by appointment, and results are available three (3) days after you get tested. For example, if you test on Monday, please check on Thursday for your results, or if you test on Friday, please check on Monday for results. 

Yes, the City of Midland Health Department is the local health entity for both the city and county. If you do not get a permit to sell food, a fine will be issued along with the confiscation of all food items.

If you believe you have become ill from eating at a restaurant or other food establishment, contact your local health department. The health department is an important part of the food safety system, call (432) 681-7613 or report online at environmentalservices@midlandtexas.gov.

First you must have access to a location that is zoned for that activity. Then, you must complete the City of Midland Certificate of Occupancy requirements. To complete this requirement, go to the City of Midland Development Service Department Code Administration Division at 300 N. Loraine Street Midland, TX 79702 and ask the clerks for assistance. Second, get in contact with the Fire Marshall Office to set up an inspection(fire) of your food establishment. Once you are a month away from opening you must apply for a Food Establishment Permit from the City of Midland Health Department. The application and fee must be submitted before any pre-inspections can be conducted. If you need more information on how to open a food establishment call the City of Midland Health Department at (432) 681-7613 or email at environmentalservices@midlandtexas.gov.

A PHF is a food that requires time and temperature control for safety (TCS) to limit pathogen growth or toxin production. Thus, preparing them at home would be a direct violation of State law, City health codes, and City zoning codes.

A cottage food producer may not sell to customers potentially hazardous foods (PHF). A cottage food production operation is exempt from the requirements of a food service establishment and does not have to comply with the Texas Food Establishment Rules. Health departments do not have regulatory authority to conduct inspections of a cottage food production operation. However, the Department of State Health Services, or local health authority, has the authority to act to prevent an immediate and serious threat to human life or health through emergency orders, recall orders, and delegation of powers or duties. Health departments are required to maintain records of all complaints against a cottage food production operation. For more information on Texas Cottage Food Production, click here.

You are required to obtain a health permit for the Mobile Food Vending Unit. The requirements for Mobile Food Vending Units are available as a handout in our offices or online. The mobile unit must be inspected, and pass inspection conducted by the Fire Marshal. The fire marshal’s checklist for mobile food vendors is available here. Please contact the Fire Marshal’s office for more information or to schedule an inspection. The health inspections for mobile units are conducted at the City of Midland Health Department and are appointment-based. The City of Midland Health Department is located at 3303 W Illinois Ave. Sp 22. To set up an inspection please call (432) 681-7613, or email environmentalservices@midlandtexas.gov. All the requirements on the checklist must be met, if they are not it will result in a failed health inspection and the mobile unit will not be granted a permit. The completed application and corresponding fee must be turned in to the Environmental Section of the health department at the time of inspection. A vendor permit is only required if you are vending within city limits. The vendor’s permit can be acquired through developmental services. For more information on the vendor permit please contact the City of Midland Code/Development department at (432) 685-7407. If you are providing seated dining options for your customers you must do so on commercial property, with a notarized letter of permission from the property owner that also gives you access to restrooms on the property.

🔗Mobile Food Vending Unit Checklist with Facilities to Prepare Food

🔗Mobile Unit Inspections

🔗Midland Health Department Environmental Health Permit Application

Permits are required for anyone preparing or selling food to the public. A temporary event permit is required for anyone who intends to sell at fairs, festivals, carnivals, and any other type of pop-up events. All cooking and food preparation must be done on-site at the event. The application and corresponding fee must be turned in to the Environmental Section of the health department NO LATER THAN 72 HOURS BEFORE THE EVENT. Permits are valid for up to 14 days at the same location. If you need more information on temporary events call the City of Midland Health Department at (432) 681-7613 or email at environmentalservices@midlandtexas.gov.

Yes, you will need to apply for a septic permit through the City of Midland Health Department. The City of Midland Health Department is the local health entity for both the city and county. An application is required for all septic system installations or modifications to an existing septic system. For more questions, Contact the City of Midland Health Department at 432-681-7613 or at environmentalservices@midlandtexas.gov.

No, the City of Midland is not licensed to test for any type of mold.

Notifiable conditions are certain health conditions and diseases that are required by Texas law to be reported to the local health authorities for follow-up and investigation.

View our Notifiable Conditions page for more information.

Fill out the Initial Provider Disease Report Form and fax it to (432) 699-6290 or (432) 689-0814.

Please call our 24/7 disease reporting number at (432) 413-4603.

Texas laws (Health & Safety Code, Chapters 81, 84, and 87) require specific information regarding notifiable conditions be provided to local health departments. Healthcare providers, hospitals, laboratories, schools, and others are required to report patients who are suspected of having a notifiable condition (Chapter 97, Title 25, Texas Administrative Code).

We are trying to contact you to interview about a notifiable condition of public health significance, to gather more information in case of possible outbreaks.

If you fell ill after eating at a local restaurant, you can report this to us at environmentalservices@midlandtexas.gov.

We do not test food at the Health Department. In outbreak situations, we may collect food for the State Health Department to test.

The World Health Organization defines an outbreak as the occurrence of cases of disease more than what would normally be expected in a defined community, geographical area, or season.

You can call the Health Department epidemiologist at (432) 681-7631 with questions regarding a disease or condition.

Results typically take 7-10 days.

We do not test for Trich but can send you to a lab to get tested for Herpes if our physician orders it.

Yes, just call for an appointment and bring your test results with you.

For testing and treatment offered in-house it will stay on your account and you can come back and pay it when you can. Testing that is sent out or treatment that is called in for you must be paid for either upfront or at your pharmacy of choice.

Yes, our physician can sign your documentation only if the health department completed your treatment.

We will treat the STI with the recommended medication. We also offer testing and treatment for your partners. For a positive HIV result, we will refer you to a local program for HIV assistance or to an HIV physician of your choice.

We recommend that you contact your partners if you test positive for an STI. Let the nurse know if you do not feel safe contacting your partners and we will reach out to them anonymously. The Texas Department of State Services will reach out to your partners if you test positive with HIV.

Retesting for chlamydia and gonorrhea is recommended no sooner than 3 months. Retesting for syphilis varies and it is best to speak to a nurse/provider to confirm when retesting should be performed.

Midland Health Services does not currently offer HIV PrEP or HIV PEP.

Midland Health Services does not currently offer DoxyPEP.

One of the most important steps you can take to prepare for emergencies is to develop a household disaster plan. For the best steps and guidance on how to prepare for emergencies, click here.

If you have a disability or special need, you may have to take additional steps to protect yourself and your household in an emergency. If you know of friends or neighbors with special needs, you should help them with these extra precautions. For additional information, follow this link: Emergency Preparedness for People with Disabilities.

You should have enough materials to survive on your own for three days or more. This means having your own water, food, and emergency supplies.

• Keep a disaster supply kit with essential food, water, and supplies ready to "grab and go" in case you must leave your home quickly because of a disaster. 
• Use backpacks or duffel bags to keep the supplies together, and make sure all household members know where the kit is kept. 
• You also should have a similar disaster supply kit at work, as well as a car kit with emergency food, water, flares, jumper cables, and cold weather equipment.

The most important items are water, food, first‐aid supplies, tools and emergency supplies, clothing and bedding. Use the following checklists to create your disaster supply kit. These items must be non-perishable such as canned foods, dry mixes, and your water needs to be stored in clean plastic, fiberglass, or enamel-lined containers. Here is a link to an emergency preparedness cookbook, Recipes for Disaster.

It is important to be as personally prepared as possible after an emergency as essential services may be cut off. Local disaster relief and government responders may not be able to reach you right away.