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1. DTP or Tdap Diphtheria Tetanus Pertussis Td Tetanus Diphtheria One Tdap booster within the last ten years. Albumin COMPLETE BLOOD COUNT Hgb or Hct A. Is there loss or seriously impaired function of any single or paired organs Yes No Explain B. You must request a copy GUIDELINES IMMUNIZATION REQUIREMENTS ACCORDING TO AGE Note 1-5 footnote explanations STUDENTS 17 YEARS OF AGE AND YOUNGER DTP or Td1 Polio Measles2 Mumps4/5 Rubella4/5 STUDENTS BORN IN 1957 OR LATER AND 18 YEARS OF AGE OR...
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