This version of the form is not currently in use and is provided for reference only. Download this version of MDH Form 4850 for the current year.
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.
Q: What is MDH Form 4850?
A: MDH Form 4850 is the Maryland Prenatal Risk Assessment form.
Q: What is the purpose of MDH Form 4850?
A: The purpose of MDH Form 4850 is to assess the risks associated with a pregnant woman's health and lifestyle.
Q: Who uses MDH Form 4850?
A: MDH Form 4850 is used by healthcare providers in Maryland who are providing prenatal care.
Q: How is MDH Form 4850 completed?
A: MDH Form 4850 is completed by the pregnant woman, with assistance from her healthcare provider if needed.
Q: What information is included in MDH Form 4850?
A: MDH Form 4850 includes information about the pregnant woman's medical history, substance use, intimate partner violence, mental health, and social support.
Q: What happens after MDH Form 4850 is completed?
A: After MDH Form 4850 is completed, the healthcare provider can use the information to identify any potential risks to the woman's pregnancy and develop a care plan.
Q: Is MDH Form 4850 confidential?
A: Yes, the information provided on MDH Form 4850 is confidential and is protected by privacy laws.
Q: Can MDH Form 4850 be used for other purposes?
A: No, MDH Form 4850 is specifically for the assessment of prenatal risks and should not be used for any other purpose.
Q: Do I have to complete MDH Form 4850?
A: Completing MDH Form 4850 is voluntary, but it is recommended for pregnant women to assess their health and risks during pregnancy.
Form Details:
Download a printable version of MDH Form 4850 by clicking the link below or browse more documents and templates provided by the Maryland Department of Health.