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  • St. John's Parish Day School

    Camper Health History Form
  • Immunization Information
  • You will need to provide the School with a Health Department form DHMH-896 (Record of Vaccination or Immunity) completed by a medical provider before your Camper's registration can be completed.

    Forms are available here: Maryland Department of Health DHMH-896

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  • Clear
  • Information collected by this form satisfies the requirements of Maryland Department of Health and Mental Hygiene (DHMH) Form 4768, current version published January, 2015.

  • Should be Empty: