The below referral forms and programs are available to assist health care providers. Please call the St. Mary’s County Health Department at (301) 475-4330 during business hours for more information or guidance.
For urgent public health situations after business hours, please call the St. Mary’s County Emergency Operations Center at (301) 475-8016 to be connected to a public health official on-call.
Referral Forms for Department Services
- Report a Possible Animal Bite or Exposure (Note: Health care providers are required by state law to report animal bites or scratches) – Call the Health Department at (301) 475-4330 and submit Maryland State Form #4206 to the St. Mary’s County Health Department
- Disease Reporting – Call the SMC Health Department at (301) 475-4330 and submit Maryland State Form #1140 to the St. Mary’s County Health Department
- Behavioral Health Care Coordination
- Prenatal Risk Assessment Form (For OB Providers to complete for pregnant women with active Medical Assistance. Fax to the SMCHD ACCU Program at 301-475-9431.)
- ACCU Local Health Services Request Form
- Maternal Health Program Referrals
- Asthma Control Program Home Visit (For children with asthma – free home visit for environmental trigger reduction and asthma education)