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10.06.04.00.htm 10.06.04.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 06 DISEASES Chapter 04 School Health Services and Required Immunizations Before Entry into School Authority: Education Article, §7-403 and Health-General Article, §18-102(a) Annotated Code of Maryland
10.06.04.01.htm 10.06.04.01. 01 School Health Services.. The local health department shall cooperate with the local school system in implementing the School Health Services regulations found in COMAR 13A.05.05.05―15.
10.06.04.02.htm 10.06.04.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Health officer" means the health officer in each of the 23 counties of Maryland and the Commissioner of Health in Baltimore City, the designated representative of the health officer, or both.2) "Preschool program" means a program that enrolls children in an educational program below the level of kindergarten.3) "Regulated child care program" means:.
10.06.04.03.htm 10.06.04.03. 03 Required Immunizations.. A. Except as provided in Regulations .04―06 of this chapter, a preschool or school principal or other person in charge of a preschool or school, public or private, may not knowingly admit a student to or retain a student in a:1) Preschool program unless the student's parent or guardian has furnished evidence of age-appropriate immunity against Haemophilus influenzae, type b, and pneumococcal disease;2) Preschool program or kindergarten through the s
10.06.04.04.htm 10.06.04.04. 04 Medical Contraindications.. A. The requirements of Regulation .03 of this chapter do not apply to a student who presents a licensed physician's or health officer's written statement that the student's immunization against a disease in Regulation .03 of this chapter is medically contraindicated.B. The physician or health officer shall indicate in the statement presented under §A of this regulation whether the contraindication is:C. If the contraindication is temporary:.
10.06.04.05.htm 10.06.04.05. 05 Religious Exemption.. A. Using the form provided by the Department of Health and Mental Hygiene, a student whose parent or guardian objects to immunization on the ground that the immunization conflicts with the parent's or guardian's bona fide religious beliefs and practices is exempt from the requirement to present a physician's certificate of immunization in order that the student be admitted to school.B. The exemption allowed under §A of this regulation does not apply when th
10.06.04.06.htm 10.06.04.06. 06 Temporary Admission or Retention.. A. Subject to the provisions of §B of this regulation, a preschool or school, public or private, shall temporarily admit a student to or retain a student in a preschool or school if:1) The student is homeless; or. 2) The student's parent or guardian is unable to provide proof of immunization pursuant to the requirements of Regulation .03 of this chapter.B. In order for a student to be temporarily admitted to or retained in a pr
10.06.04.07.htm 10.06.04.07. 07 Vaccine Provision.. A. A student may have an immunization administered by the student's personal physician.. B. If a parent or guardian cannot obtain the service of a private physician, the parent or guardian of the student may take the student to the local health department for the immunizations.C. A local health department shall provide the immunization referenced in §B of this regulation..
10.06.04.08.htm 10.06.04.08. 08 Record Review.. A preschool or school, public or private, shall make immunization records of students available for review by a health officer as needed to assure compliance with regulations or to ascertain the immunization status of students.
10.06.04.09.htm 10.06.04.09. 09 Report on New Students.. Annually, by November 15, on a form provided by the Department, a preschool or school, public or private, shall provide the health officer of the jurisdiction where the school is located with an immunization report of students in preschool through 12th grade who are new to the school.
10.06.04.10.htm 10.06.04.10. 10 Responsible Agencies.. The local superintendents of schools and the local health officers shall be responsible for carrying out the provisions of this chapter.
10.06.04.9999.htm 10.06.04.9999. Administrative History Effective date:. Regulation .01 amended as an emergency provision effective May 10, 1977 (4:11 Md. R. 865) emergency status extended at 4:22 Md. R. 1667 and 4:27 Md. R. 2095 (Emergency provisions are temporary and not printed in COMAR)Regulation .01 amended effective December 16, 1977 (4:26 Md. R. 2024) and May 18, 1979 (6:10 Md. R. 842)Regulation .01A amended and C adopted effective February 11, 1985 (12:3 Md. R. 245). Regulation .03 amended ef
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