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2. 3. 4. 5. MMR MEASLES MUMPS RUBELLA DPT/DTaP Tdap DT pediatric TD adult HIB haemophilius influenza B 1. 2. 3. 4. HEPATITIS B VARICELLA P. P. D. disease immunization Meningococcal DATE Hepatitis A DATE H. Herricks Union Free School District 999-B Herricks Road New Hyde Park NY 11040 IMMUNIZATION RECORD Students Name VACCINE Date of Birth DATE OF IMMUNIZATION POLIO OPV 1.
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Visit the official website of Herricks Union School District.
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Herricks Union School District is a school district located in New York.
Residents within the Herricks Union School District boundaries are required to file.
You can fill out the Herricks Union School District form online or by mail.
The purpose of Herricks Union School District is to gather information on residents within the district.
You must report your name, address, and other demographic information on the Herricks Union School District form.
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