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NAME (PLEASE PRINT) NELSONGRIGGS DISTRICT HEALTH UNIT ADULT IMMUNIZATION VACCINE ADMINISTRATION RECORD BIRTHDATE MAILING ADDRESS PHONE : CITY STATE: MEDICARE (Part B) AGE MALE FEMALE Hispanic or Non-Hispanic

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What is nelson-griggs district health unit?

The Nelson-Griggs District Health Unit is a public health organization that provides a range of services to residents of Nelson and Griggs counties in North Dakota.

Who is required to file nelson-griggs district health unit?

All residents of Nelson and Griggs counties in North Dakota are required to file information with the Nelson-Griggs District Health Unit.

How to fill out nelson-griggs district health unit?

To fill out the Nelson-Griggs District Health Unit form, you will need to provide personal and health-related information as requested on the form.

What is the purpose of nelson-griggs district health unit?

The purpose of the Nelson-Griggs District Health Unit is to monitor and improve the health and well-being of residents in Nelson and Griggs counties.

What information must be reported on nelson-griggs district health unit?

Information such as personal details, medical history, and any recent health concerns must be reported on the Nelson-Griggs District Health Unit form.

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