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Recent News
Our July Schedule is open. A goodbye from Joyce Hornberger.


 
 

Vaccine Study Information
Click here for information on our Vaccine Studies in conjunction with University of Md.


 

Seasonal Tips
Check out the newest Seasonal Information: Allergic Rhinitis.

 

Downloadable Forms

Please note, some documents are offered in PDF format and require Acrobat Reader. You may download a free copy of Acrobat Reader from Adobe.

School/Daycare Forms
Daycare Health Inventory Form
FCPS Med Form Epi Pen
FCPS Medication Form
FCPS School Form
FCPS Sports Participation Form
Maryland Blood Lead Testing Certificate Form

ADD/ADHD(Vanderbilt) Forms
Assess Scale Parent-Follow Up
Assess Scale Parent-Initial
Assess Scale Teacher-Follow Up
Assess Scale Teacher-Initial

Medical Records
Medical Records Release
Medical Records Transfer In
Protected Information Release (PHI)

Other
Cold Symptom Chart
Common Medication Dosages
New Patient Registration Form
Privacy Forms (HIPAA)
 

 

  1475 Taney Avenue | Frederick, MD 21702 | phone 301.662.0133 | fax 301.695.8604 | © 2007