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Name of CH(C)P: Under 5-year-olds H1N1 Immunization Record Form CHILD S DETAILS For office use only: Surname Forename Date of Birth Male or Female Chi number / sticker Home address Postcode Home telephone
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How to fill out under 5 year olds:

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Ensure that you provide a safe and nurturing environment for the child to play and explore. Remove any hazards or potential dangers from their reach.
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Parents or guardians of children under 5 years old who are seeking guidance on how to care for and nurture their child.
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Under 5 year olds refers to children who are less than five years old.
Parents or legal guardians of children under five years old are required to file.
To fill out under 5 year olds, parents or legal guardians must provide information about the child's age, name, and other relevant details.
The purpose of under 5 year olds is to track and monitor the health and development of young children.
Information such as the child's age, weight, height, vaccination history, and any relevant medical conditions must be reported on under 5 year olds.
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