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Dshs. state. tx. us/immunize/public.shtm SCHOOL AGE CHILDREN My child attends the following school Name of School and Address School Phone His/her immunization record is on file at the school and all required immunizations and/or tuberculosis test s are current. Signature Parent or Legal Guardian List any special problems that your child may have such as allergies existing illness pervious serious illness injuries and hospitalizations during the past 12 months any medication prescribed for...

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