The immunization certification form (DHMH ) or a printed or a computer generated immunization record form and the required immunizations must be. DHMH , Rev. 4/ Center for Immunization: MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE IMMUNIZATION. About this Form. Form number: DHMH Audience: Students. Last revised: September Adobe PDF Maryland Department of Health Immunization.

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If the condition is temporary, the doctor must include when the child will be able to receive the vaccination. Parent notification letter, PS40will be used for this purpose. If you have the record from your previous state, that information will be transferred to a Maryland form by the school nurse and your child may start. If your child requires more immunizations than can be administered at one visit, you must continue to present proof of an appointment for subsequent immunizations.

Signature, title, and date of the physician, health official, school official, or regulated child care program providing the information on the form. What if my doctor is out of the vaccine? I am coming from out xhmh state, will the immunization record from 8966 state allow my child to start school?

The “exclusion” form should be distributed as follows: What if I cannot locate a copy of 89 child’s immunization record?

Washington County Public Schools

If the contraindication is temporary: The date of the appointment may not be later than 20 calendar days following the date the student was temporarily admitted or retained. When such a student has not followed the prescribed immunization schedule, the School Nurse will notify the principal.

If the student, parent, or guardian presents evidence of an appointment with a health care provider or health department to:. Dhjh form should be marked with the code Immunization.


Section | Immunization Requirements Procedure – GCBOE

Immunization records shall be made available to the Garrett County Health Officer or designee as needed for review when necessary. Foreign exchange students are required to meet Maryland Immunization requirements.

Your child cannot start school without a record of their immunizations. If the blood titer does not show immunity, the child must then still receive another immunization. A copy of this annual report should also be sent to the Garrett County Health Officer. This proof of the appointment must be given to the school on or prior to the first day your child starts.

The record may be able to be recreated, if you have some form of documentation, or blood titers may be drawn, or your child may need to receive additional immunizations.

The school nurse or designee will compile a list of students with medical and religious wavers. Immunizations violate our religious beliefs, can my child dhkh school?

The doctor must indicate if the condition is temporary or permanent. Signature, title, and date of the physician, health official, or school official.


A school principal or other individual in charge of a school shall exclude a student who has been temporarily admitted or retained on the next school day following the appointment date if a student, parent, or guardian, fails to provide evidence of required immunizations or if a student reaches the twenty 20 -calendar days limit without showing proof of being in compliance, the student may not be permitted to attend school.

This decision will be made by the County Health Officer. If your child is not immunized, they may be excluded from school if there is an outbreak of a vaccine preventable disease. In order to start school a child must have at least one of every type of immunization.


Receive a required immunization; b. Reconstruct a lost or destroyed record; or c. The school Nurses assigned to the schools will continually check the immunization records of all students who are not in compliance. A preschool or school, public or private, may count as valid, vaccine doses administered less than or equal to 4 days before the minimum interval or age.

If your child has at least one of each, they may begin school as long as the school has proof of an appointment within 20 days of the start of school or the earliest date the vaccine may be given. What if my child received their first MMR or Varicella prior to their first birthday? What if my child has had some of the immunizations, but not all, can they start school?

You must present proof of the immunizations to the school the next day after the appointment, or your child will be excluded from school until the school has verification of the immunizations.

Frequently Asked Questions about Immunizations

This document is updated each school year and is available at www. Policies and Procedures Handbook. The principal, school nurse, or designee shall be responsible for certifying that it contains the following information: Are foreign exchange students required to have proof of immunizations?

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