All household members or employees of the individual or couple seeking foster parent certification or recertification shall have: An initial medical examination at the time of application for foster parent certification by a qualified Maryland physician which includes: An analysis of a tuberculosis test or x-ray, and Testing for any other communicable disease; and Reexaminations at least every 2 years after the initial examination. Household Health and Mental Health Issues. If any household member or employee of the household has symptoms or a history of health or mental health problems which might impair the foster parent's proper care of the foster child or which might be communicable or injurious to the foster child, the agency shall require that individual to: Have an additional medical or psychological examination for the problem; and Provide a signed, written statement by the examining physician or licensed mental health professional that the problem poses no threat to the foster child.