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Measles, Mumps and Rubella Immunity Form TO BE COMPLETED BY DOCTOR/CLINIC ONLY. Not valid if student completes form. Doctor/Clinic may fax form with cover sheet directly to 212 749 3025 Student may
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It is a form used for reporting medical information.
Healthcare providers and facilities are required to file this form.
The form can be filled out online or submitted manually with all relevant medical information.
The purpose of this form is to gather medical data for record-keeping and analysis.
Medical conditions, treatments, and patient demographics must be reported on this form.
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