or C) on form.
box(es)
K-12
are complete for 7
and to the best of my knowledge, the above named child has adequately been immunized for school attendance, as documented above.
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Type in the details in the Hepatitis B Varicella Varicella, PneumoConju, J K L, Year, Select appropriate boxes, Part AComplete, DOE Code Immunizations are, DOE Code Immunizations are, I have reviewed the records, Temporary Medical Exemption, Expiration date, Part BTemporary, Part B For children in daycare, Permanent Medical Exemption, and Part CPermanent area.
The software will require for further details to be able to quickly fill out the part Physician or Clinic Name, Physician or Authorized Signature, and DH Jul Stock Number.
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