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FORM 5IMMUNIZATION POLICY ACKNOWLEDGMENT ARCHDIOCESE OF WASHINGTON Catholic Schools ALL PARENTS OF STUDENTS ATTENDING ARCHDIOCESAN CATHOLIC SCHOOLS IN THE DISTRICT OF COLUMBIA MUST READ THIS FORM,
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How to fill out form 5 dc hpv

01
To fill out form 5 dc hpv, follow these steps: 1. Begin by providing your personal information, such as your full name, address, and contact details.
02
Indicate the purpose of the form and specify the DC HPV program.
03
Enter the date of your HPV vaccination, including the month, day, and year.
04
Provide the name and address of the healthcare provider or clinic where you received the HPV vaccine.
05
Include any additional information required by the form, such as medical history or any side effects experienced.
06
Review the completed form for accuracy and make any necessary corrections.
07
Sign and date the form to certify its authenticity.
08
Submit the form as instructed, either by mail or in person, to the relevant authority or organization.

Who needs form 5 dc hpv?

01
Form 5 dc hpv is needed by individuals who have received the HPV vaccination in Washington D.C. The form helps to track and monitor HPV vaccinations and is typically required by healthcare providers, clinics, or organizations involved in the DC HPV program.
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