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Latest News
Click here to read our Vaccine Policy

Did You Know? MMR Clinical Trial Information

 
 

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


 

Five Things Physicians & Patients Should Question
Click here to read this publication from Choosing Wisely and the American Academy of Pediatrics.

 

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

Parent:  Please make sure to print ALL pages of school/daycare forms and complete the parent sections before submitting the form to us for completion.

Daycare Health Inventory Form
FCPS 2014-15 Football Packet
FCPS 2014-15 Special Olympics Unified Sports Packet
FCPS 2014-15 Student Athlete Packet
FCPS Med Auth Form
Maryland Blood Lead Testing Certificate Form
Maryland School Health Assessment 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
Administrative Fee List
Medical Release - Transfer In
Medical Release - Transfer Out
Protected Information Release (PHI)

Other
Cold Symptom Chart
Common Medication Dosages
HIPAA Update For Established Patients
Pt Registration Form Part 1
Pt Registration Form Part 2
 

 

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