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201718 School Based Influenza Vaccine Consent Form
BRANTLEY COUNTY HEALTH DEPARTMENT
Section 1: Information About the Student Who Will Receive Influenza Vaccine (please print)
MIDDLE INITIALSTUDENTS
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Go to the Brantley County Health Department's website.
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What is brantley county health department?
The Brantley County Health Department is a public health organization that provides various healthcare services to the residents of Brantley County.
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All healthcare providers and facilities in Brantley County are required to report to the Brantley County Health Department.
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