(Page 1 of 2) Vaccine Administration Record for Adults Patient name: Birthdate: Chart number: Before administering any vaccines, give the patient copies of all pertinent Vaccine Information Statements
printable immunization record forms

Get the free printable immunization record forms 2011

Fill : Try Risk Free
  • Fill Online
  • eSign
  • Fax
  • Email
  • Add Annotation
  • Share
Video instructions and help with filling out and completing printable immunization record forms

Look how tall we are right now that's scary tall how are we going to open goes in to pressure what's up guys we're doing perfect welcome to world record edition let's head inside and break some wrecks undefeated yeah here this is the world's longest basketball shot made with your head is that we have four - I gotta be honest I probably should take some Advil 37 feet one and a half yeah thank you Michael I'm cutting my losses there's about to attempt the world's longest blindfolded hookshot interesting choice world's longest blindfolded hookshot we're gonna give you guys a little point of view from what Gary's do this that wouldn't work g'day spline call Nathan this is the world's longest blindfolded hook shot I promise you made I got a dis sheet from I gotta hear it 55 feet it's a new bar never doing a blindfolded shot again taking no way got much one here we're bout to see if we can break the world record for most free throws made in a minute by two guys we have two alternates shot so when he makes it then I can shoot here we go G Angels & Demons eases these heaters Channel and we get in between I believe that we will wind up being ready to attempt the world's longest hook shot could potentially be taking this record from Big Easy we should really hang out more no we hadn't really kept in touch but just like to apologize for breaking the record there's no stopping us undefeat this the world's longest hookshot note our champions it's a new Guinness World Records yeah thank you thank you so much it feels amazing Rocco for people with good this attempt you hit 35 we are loading up the goal headed to Oklahoma City we're going for the world's highest basketball shot current record is in 415 feet we're going for the old five hundo yeah guys this is the world's longest sitting basketball shot sorry about your Dwight Howard do I believe holds the current record yes it's a new world's longest sitting basketball shots here we go white Howard's gonna be so mad oh he's gonna be shown doesn't even know I existed I'm gonna record World Records title congratulates neck this is the world's longest bounce shot let's do it ninety-two feet this is the world's longest behind the back next one up this much and pass my password now these long skinny arms come in handy sometimes 35 feet 10 inches and you get known as you guys great job thank you all the fastest and welcome to Cotter ranch tower gonna send my good buddy tie-up about 525 feet hopefully he's not scared of heights Oh howdy folks caminar gonna attempt the most three-pointer from the NBA line in one minute the current record is 19 held by the Globetrotters boys down there we go there's no stopping us undefeat no doubt we're champions this is the world's longest front-flip trampoline shot yeah oh I feel oh man I'll tell you what it feels good leaving the hand I believe my mom and I have my first ever 8 pack it'll probably go away after that meal it with 72 feet thank you Michael thank you they wanna...

Please select a version for Fillable P2023 form
  • 2016 P2023 Fillable
  • 2011 P2023 Fillable
  • More...
Please select a version for Fillable P2023 form
  • 2016 P2023 Fillable
  • 2011 P2023 Fillable
  • More...