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Get the free Request For Vaccinations - CONSENT Form

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IMU Southwest Clinic REQUEST FOR VACCINATION(S) CONSENT From The IMU Southwest Clinic will keep this record in you or your child's medical file. It records what vaccine(s) and/or test(s) were given,
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Request for vaccinations is a formal submission for immunizations to be administered.
All individuals seeking to receive vaccinations are required to file a request.
The request for vaccinations can be filled out by providing personal information and selecting the desired vaccinations.
The purpose of the request is to facilitate the scheduling and administration of vaccinations.
The request must include personal details, vaccination preferences, and any relevant medical history.
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