Student Health Forms

All students need:

Health Inventory: STUDENT RECORD (marylandpublicschools.org)

Lead Testing Certificate: Maryland MDH Blood Lead Testing Certificate (marylandpublicschools.org)

Immunization Form: MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE IMMUNIZATION CERTIFICATE (marylandpublicschools.org)

Allergy, Asthma, Medication Forms

These forms need to be completed every 12 months.

For students who require medication at school except those for Asthma, Allergy or Anaphylaxis require this Medication Administration Release completed by their physician: https://earlychildhood.marylandpublicschools.org/system/files/filedepot/3/occ1216-medicationadministrationauthorization.pdf

Students diagnosed with as Asthma need the following form completed by their physician: occ1216a-seizuremedicationadministrationauthorizationform.pdf (marylandpublicschools.org)

Students diagnosed with an Allergy and/or Anaphylaxis need the following form completed by their physician: occ_1216b-medicationincidentreportingform.pdf (marylandpublicschools.org)