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This PDF doc will require some specific information; to ensure accuracy, remember to take into account the guidelines listed below:
1. The ky commonwealth certificate immunization needs particular information to be typed in. Make certain the next blank fields are completed:
2. Immediately after the previous section is completed, go to enter the relevant details in these: Pneumococcal PCV, Polio, Influenza, MMR, Varicella, Hepatitis A, Meningococcal, Tdap, Rotavirus, HPV, Men B Pneumococcal PPSV, Had Chickenpox or Zoster Disease, Alternative two dose series of, This child is current for, and new certificate must be obtained.
Concerning Influenza and Meningococcal, make sure that you don't make any errors here. The two of these could be the most important ones in the file.
3. The third stage is usually simple - fill in every one of the form fields in If Medical Exemption can these, Religious Objection, I CERTIFY THAT THE ABOVE NAMED, Signature of physician APRN PA, Date, This certificate should be, and should be retained by the, and EPID Rev to conclude this part.
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