<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.06.04.04" title_num="10" subtitle_num="06" chapter_num="04" heading="Medical Contraindications.">
  <paragraph num="A.">
    <text>The requirements of Regulation .03 of this chapter do not apply to a student who presents a licensed physician's or health officer's written statement that the student's immunization against a disease in Regulation .03 of this chapter is medically contraindicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The physician or health officer shall indicate in the statement presented under §A of this regulation whether the contraindication is:</text>
    <paragraph num="(1)">
      <text>Permanent; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Temporary.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If the contraindication is temporary:</text>
    <paragraph num="(1)">
      <text>The physician or health officer shall provide in the statement presented under §A of this regulation an estimate of when the immunization may be obtained by the student; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The student's parent or guardian shall furnish to the preschool or school evidence of the completion of the immunization in accordance with the estimate.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A preschool or school, public or private, shall maintain a current list of all students enrolled who have an exemption to immunizations on medical grounds.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Annually, by November 15, a preschool or school, public or private, shall report to the Secretary of Health the number of students with a medical exemption enrolled in all grades.</text>
  </paragraph>
</regulation>