Skip to Main Content
Menu
Menu
You must have Javascript enabled to see this menu.
Maryland.gov Home
Search
Facebook
Twitter
YouTube
eNewsletter
Social Media Directory
Home
ABOUT US
Blueprint
Strategic Plan
State Board
Offices/Divisions
News
Notice:
JavaScript is not available in your browser. Some enhanced features will not be available until JavaScript is enabled.
ABOUT US
Left_Content
Division of Student Support, Academic Enrichment and Educational Policy
Student Support, Academic Enrichment and Educational Policy
Student Services & Strategic Planning
Medication Order Forms
Main_Content
Statewide Medication Administration Form
Diabetes Medical Management Plan/Health Care Provider Order Form (DMMP)
Contact Information
Alicia Mezu
, Health Services Specialist
Maryland State Department of Education
200 West Baltimore Street
Baltimore, MD 21201
Phone: 410-767-0353
Fax: 410-333-8148
Email:
alicia.mezu@maryland.gov
Center_Content
Right_Content
School Health Services
School Health Services Homepage
Related Sites
CDC- Healthy Youth
Center for Health Care in Schools
Center for School Mental Health Assistance
Healthy Schools, Healthy Kids
Immunization Links
Maryland Board of Nursing
Maryland Department of Health (MDH)
Maryland State School Health Council (MSSHC)
National Association of School Nurses (NASN)
Reportable Diseases
Specialized Health Needs Interagency Collaboration (SHNIC)
World Health Organization
Publications
Maryland Student Records Manual 2020
SHS Guidelines
Table of Contents
Medication Technician Training
Medication Technician Training Overview
Hot Topics for School Nurses
Hot Topics for School Nurses
Forms
Authorization Forms for the Administration of Medical Cannabis in Schools
Medical Cannabis: Parent/Legal Guardian Authorization Form
Model Notification of Rights Under the Protection of Pupil Rights Amendment (PPRA)
Medication Forms
Record of Physical Exam
Immunization Form (DHMH 896)
Blood Lead Testing Certificate
Health Screening Form (SR5)
MSDE Report of Anaphylactic Reaction/Epinephrine Administration
Naloxone Administration Report Form
Rt_bottom_Content