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The Teacher School Student Immunization Form To Be Completed By Physician Name of Student Date of Birth REQUIRED IMMUNIZATIONS (by the State of California): 1. DPT 1 2 3 4 5 2. DT Booster 1 2 3 4
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1. Start by entering your personal information such as your name, date of birth, and contact details.
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The dt booster 1 2 is a form that must be filled out to report updated vaccination information.
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Individuals who have received a booster dose of the DT vaccine are required to file dt booster 1 2.
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The information required on dt booster 1 2 includes personal details, date of vaccination, vaccine type, and healthcare provider information.
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