PDF
Word
MDH Form 4620 Maryland Blood Lead Testing Certificate - Maryland
What Is MDH Form 4620?
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 4620?
A: MDH Form 4620 is the Maryland Blood Lead Testing Certificate.
Q: What is the purpose of MDH Form 4620?
A: The purpose of MDH Form 4620 is to certify that a child has received a blood lead test.
Q: Who needs to complete MDH Form 4620?
A: Healthcare providers who perform blood lead testing on children in Maryland need to complete MDH Form 4620.
Q: What information is required on MDH Form 4620?
A: MDH Form 4620 requires information about the child's name, date of birth, test results, and healthcare provider information.
Q: Is there a fee for MDH Form 4620?
A: No, there is no fee for MDH Form 4620.
Form Details:
- Released on April 1, 2020;
- 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 fillable version of MDH Form 4620 by clicking the link below or browse more documents and templates provided by the Maryland Department of Health.
Download MDH Form 4620 Maryland Blood Lead Testing Certificate - Maryland
1
2
