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CENTRAL UTAH PUBLIC HEALTH DEPARTMENT ADULT IMMUNIZATION ENCOUNTER BIRTH DATE / / VISIT DATE / / PATIENTS NAME PATIENTS MOTHER MAIDEN NAME AGE RACE SEX M / F HOME PHONE () PARENT/GUARDIAN MAILING
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Visit the official website of Central Utah Public Health.
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Central Utah Public Health is a government agency dedicated to promoting and protecting the health of residents in central Utah.
Certain businesses and organizations in central Utah are required to file with Central Utah Public Health, such as food establishments, healthcare facilities, and childcare centers.
To fill out Central Utah Public Health forms, you can access the necessary documents on their website and follow the instructions provided.
The purpose of Central Utah Public Health is to prevent disease, promote healthy living, and protect the community from health threats.
Information such as demographic data, health statistics, and disease surveillance data must be reported on Central Utah Public Health forms.
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