Maryland Code § HG-18-4A-03

Section HG-18-4A-03
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(a) Subject to the provisions of this section, the following individuals, not in
order of priority, may consent to the immunization of a minor if a parent is not
reasonably available and the authority to consent is not denied under subsection (b)
or (c) of this section:
(1) A grandparent;
(2) An adult brother or sister;
(3) An adult aunt or uncle;
(4) A stepparent;
(5) Any other adult who has care and control of the minor;
(6) A court that has jurisdiction of a suit affecting the parent-child
relationship of which the minor is the subject;
(7) An adult who has care and control of the minor under an order of
a court or by commitment by a court to the care of an agency of the State or county if
the adult reasonably believes the minor needs immunization; or
(8) For minors in its care and custody, the Department of Juvenile
Services.
(b) A person may not consent to the immunization of a minor under
subsection (a) of this section if:
(1) The person has actual knowledge that the parent has expressly
refused to give consent to the immunization; or

(2) The parent has told the person that the person may not consent
to the immunization of the minor or, in the case of a written authorization, has
withdrawn the authorization in writing.
(c) When a parent has been contacted and requested to consent to the
immunization of a minor, the Department of Juvenile Services may consent to the
immunization of a minor in its care and custody if the parent:
(1) Has not acted on the request; and
(2) Has not expressly denied to the Department of Juvenile Services
the authority to consent to the immunization of the minor.
(d) For purposes of this section, a person is not reasonably available if:
(1) The location of the person is unknown;
(2) (i) A reasonable effort made by a person listed in subsection
(a) of this section to locate and communicate with the parent for the purpose of
obtaining consent has failed; and
(ii) Not more than 90 days have passed since the date that the
effort was made; or
(3) The parent has been contacted by a person listed in subsection (a)
of this section and requested to consent to the immunization of the minor, and the
parent:
(i) Has not acted on the request; and
(ii) Has not expressly denied authority to the person listed in
subsection (a) of this section to consent to immunization of the minor.
(e) A person authorized to consent to the immunization of a minor under
this section shall confirm that the parent is not reasonably available in writing and
the written confirmation shall be included in the minor's medical record.

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