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6 MONTHS TO 17 YEARS INFLUENZA VACCINE CONSENT FORM 2016/2017 NOTE: You must remain in the clinic area 15 minutes after the vaccination is given Last Name:First Name:Date of Birth: YearGenderMonthDayAge:Address:
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Parents or legal guardians who have a child between the age of 6 months to 17 years may need to fill out the 6 months to 17 program application.
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What is 6 months to 17?
This refers to the reporting period from the sixth month to the seventeenth month of a specific timeframe.
Who is required to file 6 months to 17?
Entities or individuals who fall within the criteria set by the governing body.
How to fill out 6 months to 17?
Fill out the required forms accurately and submit them to the appropriate authorities.
What is the purpose of 6 months to 17?
The purpose is to provide a detailed financial report for the specified period.
What information must be reported on 6 months to 17?
Financial data, business activities, and any other relevant information for the period.
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