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Blood test results are NOT acceptable evidence of immunity against diphtheria tetanus or pertussis DTP/DTaP/Tdap/DT/Td. The minimum vaccine requirements and DHMH COMAR 10. 06. 04. 03 are available at www. dhmh. maryland. 15a. PARENT/GUARDIAN SIGNATURE 15C. INDIVIDUAL S AUTHORIZED TO PICK UP MEDICATION 15d. HOME PHONE 15e. Department of Health Mental Hygiene DHMH Center for Healthy Homes and Community Services CHHCS 410 767-8417 Toll Free 1-877-4MD-DHMH ext. This authorization is NOT TO EXCEED...
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Montgomery Village, Maryland 20886-1000 is a zip code in Montgomery County, Maryland.
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