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Walsh County Health District CHILD VACCINE CONSENT FORM
Birth through 18 years
638 Cooper Ave. Suite 3 Grafton, ND 58237
Phone: 7013525139 Fax: 7013525074
Vaccine information sheets can be viewed
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Gather all necessary documents such as the birth certificate, social security number, and immunization records.
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Fill out the sections related to health and medical history. This may include information about any chronic conditions, allergies, or previous surgeries.
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What is birth through 18 years?
Birth through 18 years refers to the age range from birth to 18 years old.
Who is required to file birth through 18 years?
Parents or legal guardians are typically required to file birth through 18 years for their child.
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You can fill out birth through 18 years by providing accurate information about the child's personal details, medical history, and developmental milestones.
What is the purpose of birth through 18 years?
The purpose of birth through 18 years is to track the growth, development, and health status of children from birth to adolescence.
What information must be reported on birth through 18 years?
Information such as birth date, medical history, immunizations, growth charts, and developmental milestones must be reported on birth through 18 years.
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