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Get Hcc Vaccination Form

Ion as required I am submitting Medical Exemption affidavit or certificate (Signed statement by physician stating that the vaccine poses a significant risk to your health. Unless statement indicates permanent condition, the exemption statement is valid for only one year from the date signed by the physician) I am submitting an Affidavit for Exemption from Immunization for Bacterial Meningitis for Reasons of Conscience. VERIFICATION FORM & DOCUMENTATION MAY BE SUBMITTED: ï‚· ï‚· ï‚· ï‚· AT ANY .

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