Contact:

Marsha Adamo
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(301) 863-4095 Ext: 


Table of contents

Immunization Requirements
School Physical
Lead Form
Medication Administration
Keeping Your Student Well
What to Do if Your Student is Ill
Cold or Flu
Parent Responsibilities
Chronic Health Condition Forms
Asthma Forms
Allergy Forms
Diabetic Forms
Seizure Forms
Additional Resources


Immunization Requirements

COVID & Childhood Vaccinations FAQs

The School Nurse reviews immunization records, per Maryland Immunization Laws. Students with incomplete immunizations must have proof of an appointment for required immunizations no later than 20 calendar days from the date of entrance. No student will be admitted to school unless they meet all requirements of the Maryland immunization laws. 

 Immunization requirements for the 2021-2022 school year are as follows:

Students Entering Pre-Kindergarten

  • 4 doses of Diphtheria, Tetanus, & Pertussis Vaccine
  • 3 doses of Polio Vaccine
  • Hib Vaccine (at least 1 dose must be given after 12 months of age)
  • 1 dose of Measles, Mumps, & Rubella (MMR) Vaccine (after 12 months of age), 2nd dose of MMR required before 5 years of age
  • 1 dose of Varicella (Chickenpox) Vaccine (after 12 months of age). Physician documented proof of disease is accepted
  • 3 doses of Hepatitis B Vaccine
  • 1 dose of Pneumococcal Conjugate

Students Entering Kindergarten through 5th Grade

  • 4 doses of Diphtheria, Tetanus, & Pertussis Vaccine
  • 3 doses of Polio Vaccine
  • 2 doses of Measles, Mumps, & Rubella (MMR) Vaccine (after 12 months of age)
  • 2 doses of Varicella (Chickenpox) Vaccine (after 12 months of age) Physician documented proof of disease is accepted
  • 3 doses of Hepatitis B Vaccine

School Physical

In order for your student to enter a Maryland public school for the first time, a physical examination by a physician or certified nurse practitioner must be completed either nine months prior to entering the public school or six months after entering the system.

Physical Examination Form

Lead Form

Maryland law required ALL public, prekindergarten, kindergarten, and first-grade students to have a DHMH 4620 Blood Lead Testing Certificate on file in the health record.

Maryland DHMH Blood Lead Testing Certificate

Medication Administration

If your child needs medication or medical procedures while in school please refer to the following forms.   

IMPORTANT NOTE: A separate order form is needed for each medication/procedure and a new order is needed for each school year. 

Guidelines for Parents Prescription Medication

Guidelines for Parents Over The Counter Medication

Parents, Legal Guardians, and Physician Prescriber Authorization - Medication Orders

Parents, Legal Guardians, and Physician Prescriber Authorization - Medical Procedures

Over The Counter Medication Authorization

Keeping Your Student Well

  • Hand washing is the number one way to stop the spread of disease. Twenty seconds of soap and water scrubbing before meals and after bathroom breaks is a great way to start this healthy habit. Encourage this practice at home. 
  • Ensure adequate exercise and rest periods.
  • Provide proper nutrition including a good breakfast.
  • Encourage good daily hygiene, including brushing teeth.
  • Review the rules of safe play.

What to Do if Your Student is Ill

While school attendance is vital to your student’s education, a sick child belongs at home. Please review the Sick Day Guidelines below to assist you in making that decision.

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Send me to school if...

  • I have a runny nose or just a little cough, but no other symptoms.
  • I haven't taken any fever-reducing medicine for 24 hours, and I haven't had a fever during that time.
  • I haven't thrown up or had any diarrhea for 24 hours.

Keep me home if...

  • I have a temperature higher than 100°F.
  • I'm throwing up or have diarrhea.
  • My eyes are pink and crusty.

Call the doctor if...

  • I have had a temperature higher than 100°F for more than 2 days.
  • I've been throwing up or having diarrhea for more than 2 days.
  • I've had the sniffles for more than a week and they aren't getting any better.
  • I still have asthma symptoms after using my asthma medicine (and call 911 if I'm having trouble breathing after using an inhaler).

Is it a Cold or the Flu?

Sometimes it can be hard to tell the difference between illnesses with similar symptoms.  The following chart can be used to assist but is not an all-inclusive list nor meant to be used for diagnostic purposes:

SymptomsCoronavirus
(COVID-19)
ColdFluSeasonal AllergiesAsthma
Length of Symptoms 7-25 days Less than 14 days 7-14 days Several Weeks Can start quickly or last for hours or longer* 
Cough Common (usually dry) Common (mild) Common (usually dry)  Rare (usually dry unless it triggers asthma) Common (can be dry or wet/productive)
Wheezing No No** No** No**  Common 
Shortness of breath Sometimes No** No** No**  Common 
Chest tightness/pain Sometimes No** No** No** Common 
Rapid breathing Sometimes  No** No** No**  Common 
Sneezing No Common No Common  No*** 
Runny or stuffy nose Rare Common Sometimes Common No***
Sore throat Sometimes Common Sometimes Sometimes (usually mild)  No*** 
Fever Common Short fever period Common No  No 
Feeling tired and weak Sometimes  Sometimes  Common  Sometimes  Sometimes 
Headaches Sometimes  Rare Common Sometimes (related to sinus pain)  Rare 
Body aches and pains Sometimes  Common  Common  No  No 
Diarrhea, nausea, and vomiting Sometimes  Rare  Sometimes  No  No 
Chills Sometimes  No  Sometimes  No  No 
Loss of taste or smell Sometimes  Rare  Rare  Rare  No 

 

Your symptoms may vary. Information is still evolving. Many people may not have symptoms. *If your quick-relief medicine is not helping your asthma symptoms, or if you are in the Red Zone on your Asthma Action Plan, call your health care provider or seek medical attention immediately. **Allergies, colds and flues can all trigger asthma which can lead to shortness of breath, chest tightness/pain, and rapid breathing. COVID-19 is the only one associated with shortness of breath on its own. ***If you have allergic asthma, you may have symptoms of both asthma and allergies at the same time.

Sources: Asthma and Allergy Foundation of America, World Health Organization, Centers for Disease Control and Prevention.

Parent/Legal Guardian Responsibilities:

  • Report illnesses to the nurse or office. Taking the proper measures to prevent the spread of  Illnesses that are contagious is a vital part of keeping schools and students healthy. 
  • Alert your child’s teacher and the school nurse of any health conditions that may impact your child’s learning, daily activities, or safety at school. Medical documentation of conditions is encouraged and sometimes required. 
  • Inform the nurse of any health-related procedures, or changes in your child’s medication. 
  • Update the school with any change in the phone number(s) and emergency contact(s) so the nurse can reach you when needed. 

Chronic Health Condition Forms

If your child has a chronic health condition the school nurse may need the following forms related to the condition completed. Please contact your school nurse if the condition is not found on this list or if you have any questions.  

Asthma Forms

Asthma Procedure Information

Emergency Action Plan - Asthma

Asthma Medication Action Plan

Allergy Forms

Allergy Information

Insect Allergy Information

Food Allergy Information

Allergy Emergency Action Plan

Allergy Emergency Action Plan Parent(s)/Legal Guardian(s) and Physician/Prescriber Authorization - Medication Orders  

Diabetic Forms 

Diabetes: Parent(s)/Legal Guardian(s) Responsibilities Fact Sheet 

Diabetes: Student Responsibilities Fact Sheet

Maryland Diabetes Medical Management Plan-Health Care Provider Order Form 

Maryland Diabetes Medical Management Plan Guidance

Parent/Legal Guardian Diabetes Questionnaire

Emergency Action Plan - Hypoglycemia (Low Blood Sugar)

Emergency Action Plan – Hyperglycemia (High Blood Sugar)

Diabetes Emergency Action for Field Trips or School Sponsored Activities that Occur Outside of the Instructional Day

Individualized School Health Equipment and Supplies List For Management of Diabetes at School 

Assessment of Diabetes Self-Management Skills and Authorization 

Seizure Forms

Emergency Action Plan - Seizures 

Parents - Legal Guardians Questionnaire for Students with Seizures 

Additional Resources

St. Mary's County Health Department

Maryland State Department of Health and Mental Hygiene

Center for Disease Control and Prevention