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MDH Form 896 Immunization Certificate - Maryland
What Is MDH Form 896?
This is a legal form that was released by the Maryland Department of Health - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is MDH Form 896?
A: MDH Form 896 is an immunization certificate used in the state of Maryland.
Q: What is the purpose of MDH Form 896?
A: The purpose of MDH Form 896 is to document and track immunizations received by individuals in Maryland.
Q: Who needs to fill out MDH Form 896?
A: MDH Form 896 needs to be filled out by healthcare providers or other authorized personnel who administer immunizations.
Q: What information is included in MDH Form 896?
A: MDH Form 896 includes information about the individual receiving the immunization, the vaccines administered, and the dates of administration.
Form Details:
- Released on May 1, 2021;
- The latest edition provided by the Maryland Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of MDH Form 896 by clicking the link below or browse more documents and templates provided by the Maryland Department of Health.
Download MDH Form 896 Immunization Certificate - Maryland
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