Tom Thumb!

Health and
Immunization Forms

Tom Thumb Day Nursery
6907 Highbridge Road
Bowie, Maryland 20720
phone: 301-262-1987 fax: 301-352-3227
kellyvaleo@hotmail.com

Health Inventory Form
This five-page required form comes from the Maryland Department of Human Resources Child Care Administration. It includes a section that your physician must fill out, a section for the parent or guardian to fill out, and a space for the Child Care personnel to record signs of illness or accidents while under our care.
View Page 1 View Page 2 View Page 3 View Page 4 View Page 5

Maryland Immunization Certificate
This form from the Maryland Dept. of Health and Mental Hygiene is required and verifies that the child has had all of his or her shots.
View Page 1 View Page 2

Emergency Information Form
This required form is for contact information in the event of an emergency.
View Page 1 View Page 2

Getting the Forms
If you need copies of these forms, please feel free to stop by the Day Care or call us at 301-262-1987.