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MD State Required Forms

Click on blue box to access forms. Once forms are completed attach all forms to one email Subject: Child's Name Medical Forms/ Enrollment, make sure to check the enrollment checklist to include all other forms or if missing any please note that in the email.  Email to: risehybridkids@gmail.com

Please answer all questions – use N.A. or None if not applicable)

Must be completed by dentist

Must be filled out by your child’s Pediatrician

 Box A and B must be filled out by parent/guardian; Box C and D must be filled out by your child’s Pediatrician. 

Only fill out forms below that pertain to your child(ren)

If your child requires medication to be administered during the school day or during an emergency, download and complete this form

If your child has an Allergy,
download and complete this form

If your child has Asthma,
download and complete this form

If your child has Seizure/Convulsion/ Epilepsy Disorder,
download and complete this form

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