School Based Health Centers
School Based Health Centers are open at the following schools:
Church Hill Elementary (667) 361-4001 Monday, Wednesday & Friday from 12:00 – 3:30pm,
Sudlersville Elementary (667) 727-8093 Monday, Wednesday & Friday from 7:30 – 11:30am, and
Sudlersville Middle (667) 727-8092 Tuesday and Thursday from 7:30am – 3:30pm.
Below are the forms to fill out for students and staff:
Student Form in English
Student Form in Spanish
Staff Form
Back To School Clinics
All Department of Health clinics are Wednesdays and run from 8:30am to 4:00pm each day. They are first come, first served.
They are primarily designed for incoming K and 7th graders to receive the Varicella, MCV4, Tdap and HPV vaccines. Insurance status does not matter, but we will ask if they have private, public or no insurance.
6/21/23
7/19/23
8/16/23
8/23/23
9/20/23
Queen Anne’s County Department of Health
206 N. Commerce Street
Centreville, MD 21617-1049
Office: 410-758-0720, ext.4432
School Health Program
Every QACPS school is staffed by a Registered Nurse (RN) or Licensed Practical Nurse (LPN). If you’d like additional information about School Health, please contact the Board of Education office at 410-758-2403.
Immunization Requirements
According to Maryland School Immunization Regulations (COMAR 10.06.04) all students must be immunized according to the Maryland Recommended Childhood Immunization Schedule in order to attend school.
Vaccine Requirements:
- All students entering kindergarten must show proof of two varicella shots.
- All students entering 7th grade must show proof of one Tdap vaccination and one meningitis vaccination.
Vaccine Reporting:
Please keep your child’s school up-to-date on their immunization records, including:
- COVID-19
- Influenza
- HPV
Current Information
Dial 211 Information Sheet
Dial 211 Information Sheet in Spanish
Covid Information Click Here: https://www.qacps.org/covid-19/
RSV Prevention Image from Md Dept. of Health
Other Health Requirements for Entry to School
A physical examination by a physician or certified nurse practitioner must be completed within nine months prior to entering the public school system or within six months after entering the system. A Physical Examination form designated by the Maryland State Department of Education and the Department of Health and Mental Hygiene shall be used to meet this requirement.
Evidence of blood testing for lead exposure is required for all students who reside in a designated at-risk area when first entering Pre-kindergarten, Kindergarten, and 1st grade. The
blood-lead testing certificate (DHMH 4620) (or another written document signed by a
Health Care Practitioner) shall be used to meet this requirement.
School Health Forms
Allergy Forms in English and Spanish
MD State Medication Administration Authorization Form
Maryland Schools Record of Physical Examination/Health Assessment
MDMH Blood Lead Testing Certificate
Maryland Department of Health Immunization Certificate
MD Diabetes Medical Management Plan/Health Care Provider Order Form
Guidance Document: MD Diabetes Medical Management Plan/Health Care Provider Order Form
Supplemental Form for Students with Insulin Pumps
Student Discretionary Medication Form
Concussion Protocol & Assessment Form
Authorization to Release Information
Resources
Drugs, Brains, and Behavior: The Science of Addiction
Contacts

Ms. Michele Morrissette, MSN, RN
QACPS Health Services Supervisor
(410) 758-2403 Ext. 134
202 Chesterfield Avenue
Centreville, Maryland 21617
michele.morrissette@qacps.org