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City of PhiladelphiaDepartment of Public HealthRegulations Governing the Immunization and Treatment of Newborns, Children and Adolescents Approved: BOARD OF HEALTH LAW DEPARTMENT RECORDS DEPARTMENT
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01
Read the regulations governing form immunization carefully.
02
Gather all necessary information and documentation needed to fill out the form.
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Ensure you have a copy of the latest version of the form.
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Review each section of the form to understand the information required.
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Start filling out the form by entering your personal details such as name, address, and contact information.
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Provide accurate information about your immunization history, including dates, vaccines received, and any relevant medical records.
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If applicable, provide details about any exemptions or waivers you may qualify for.
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Double-check the form for any errors or omissions.
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Sign and date the form, indicating your consent and agreement to the regulations.
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Submit the completed form to the appropriate authority or organization as specified in the regulations.
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Who needs regulations governing form immunization?

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Individuals who are required to provide proof of immunization for specific purposes.
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Children enrolling in schools or daycare facilities.
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Individuals seeking immigration or visa processes.
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Members of the military.
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Anyone seeking to comply with public health regulations.
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