Before a child attends a Maryland licensed, registered or approved child care program or nursery school, the family must provide a physical examination on the state-designated form, immunization evidence and, for children under six, blood lead results. The Health Inventory carries the parent's history and the health care provider's Part II assessment that caregivers use to plan for the child.
The parent or guardian completes Part I and signs permission for the practitioner to complete Part II. A physician or nurse practitioner completes Part II, the child health assessment, or a copy of the child's physical exam is attached.
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Health Inventory
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Yes. The instructions say Part II must be completed by a physician or nurse practitioner, or a copy of the child's physical examination must be attached to the form. The parent still completes and signs Part I.
Children younger than six in child care must have blood lead tests at 12 and 24 months. Two tests are required if the first was before 24 months; if the first test was after 24 months, one is enough. Results go on MDH 4620 or another official document.
The form says exemptions from the physical exam, immunizations and blood lead testing are permitted for bona fide religious beliefs, with the lead certificate still signed by a practitioner after a questionnaire. Immunization exemptions are also allowed when a physician, nurse practitioner or health department official certifies a medical reason.