Maryland Immunization Requirements

Updated December 1993


Authority: Md. Code Ann., Educ. Sec. 7-402, Health-Gen. Sec. 18-401. Department of Health and Mental Hygiene, Md. Regs. Code tit. 10, Sec. 06.04.01 to .10.

General Rule: In cooperation with the State Board and the Medical and Chirugical Faculty of Maryland, the Department of Health and Mental Hygiene shall adopt rules and regulations regarding the immunizations required of children entering schools. MCA. E Sec. 7-402(a). In order for the immunization status of a student enrolled in kindergarten through 12th grade to be complete, the student shall provide proof of immunization against the designated diseases. MRC 10, Sec. 06.04.03.D(2).

Exceptions: There are two main exceptions:

1) If a doctor indicates that immunization against any of the designated diseases, “is considered contraindicated, detrimental to, or not in the best interest of the child’s health. If the contraindication is temporary, the statement shall provide assurance that the child will receive the immunizations and furnish evidence of their completion. MRC 10, Sec. 6.04.04.

2) A “child whose parent or guardian objects to immunization on the ground that it conflicts with their religious beliefs and practices may not be required to present a physician’s certification in order to be admitted to school. MCA, E Sec. 7-402(b). MRC 10, Sec. 06.04.05. Temporary Admission: A school principle shall temporarily admit a student if the parent or guardian presents evidence of an appointment with a health care provider or health department to: receive a required immunization, reconstruct a lost record, acquire evidence of age appropriate immunity. MRC 10, Sec. 06.04.06.

Epidemic: A health officer may require a student in kindergarten through twelfth grade to be excluded when a case of measles is diagnosed or suspected in a student, employee, or volunteer. MRC 10, Sec. 06.04.03.F.

Designated Diseases: "Diphtheria, tetanus, pertussis, polio, rubella, measles and mumps.

Immunity: A person lawfully administering a drug or vaccine is not liable for any adverse effect that arises from it, if: it is administered to immunize an individual, or it is approved by the US FDA for the purpose of which it is administered MCA, H-G Sec. 18-401.




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