REQUEST SCHOOL FORMS AND RECORDS
If form requested is not the State of Maryland, send form to: www.pediatricmedicine06@gmail.com
Physical exam form
Immunization Record
Lead report (only for pre-school and kindergarten)
If form requested is not the State of Maryland, send form to: www.pediatricmedicine06@gmail.com
Physical exam form for sports participation.
(Must have had a physical exam within the calendar year)
If form requested is not the State of Maryland, send form to: www.pediatricmedicine06@gmail.com
Must have college forms brought to the office with child.
Form or information may be sent to: www.pediatricmedicine06@gmail.com
If form requested is not the State of Maryland, send form to: www.pediatricmedicine06@gmail.com
Current record of vaccines
If form requested is not the State of Maryland, send form to: www.pediatricmedicine06@gmail.com
Form will reflect the most recent exam.
If form requested is not the State of Maryland, send form to: www.pediatricmedicine06@gmail.com
Must have facility approved form. Send form to: www.pediatricmedicine06@gmail.com
Requires a lab test after the age of 9 months. If form requested is not the State of Maryland, send form to: www.pediatricmedicine06@gmail.com
College Form or Information Request
Must have college forms brought to the office with child.
Form or information may be sent to: www.pediatricmedicine06@gmail.com
Some forms may require a recent physical exam and/or lab work. Please arrange for an appointment or necessary lab work. If form requested is not the State of Maryland, send form to: www.pediatricmedicine06@gmail.com
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