Medication Order Forms

• 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

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