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florida immunization form

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Sign and date appropriate certificate A B or C on form. See DH Form 150-615 Immunization Guidelines - Florida Schools Childcare Facilities and Family Daycare Homes July 2010 for information and instructions on form completion. Guidelines are available at www. Permanent Medical Exemption Part C-Permanent Part C For medically contraindicated immunizations list each vaccine and state valid clinical reasoning or evidence for exemption. DOE Code 3 I certify the physical condition of this child is...
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