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Dear Applicant:Enclosed are the required health forms that must be completed. Upon receipt of this form have your doctor start vaccinations at once. To be protected and in compliance with the Illinois
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Enclosed form is required for reporting specific information.
Entities designated by the regulating authorities are required to file the enclosed form.
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The purpose of the form is to collect and report necessary information for compliance purposes.
The form requires reporting of specific data points as outlined by the regulating authorities.
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