Forms
Visit Questionnaires and Info Sheets
For well visits, please download the form that best corresponds to your child's age. Please fill and return the form via email before your visit, or let us know if you will need a paper version.
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Vaccine Information Statements
These are information sheets provided by the CDC. If your child is expected to get a vaccine during their next visit, please review the information in the corresponding PDF.
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Permission Forms

Permission To Treat | |
File Size: | 507 kb |
File Type: |

Vaccine Abstention Form | |
File Size: | 13 kb |
File Type: | docx |
Lead Testing Forms

Maryland Guidelines For Lead Exposure | |
File Size: | 265 kb |
File Type: |
Food and Stool Forms

Bristol Stool Chart | |
File Size: | 1048 kb |
File Type: |

Stool Diary | |
File Size: | 52 kb |
File Type: |
Life-Threatening Management Plan (LAMP) and Directions

LAMP Physician Form for School | |
File Size: | 121 kb |
File Type: |

LAMP Carry Epinephrine Permission Form | |
File Size: | 102 kb |
File Type: |

How to Use Epinephrine | |
File Size: | 148 kb |
File Type: |
Maryland Department of Health and Mental Hygiene

Blood Lead Testing Certificate | |
File Size: | 55 kb |
File Type: |

Immunization Certification | |
File Size: | 168 kb |
File Type: |
School (Athlete) Physical Forms

Anne Arundel County Physical Form | |
File Size: | 19 kb |
File Type: |

Howard County Physical Form | |
File Size: | 90 kb |
File Type: |
School Health Forms

Anne Arundel County Health Inventory Form | |
File Size: | 151 kb |
File Type: |

Howard County Health Inventory Form | |
File Size: | 143 kb |
File Type: |