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Grade: Teacher: 20172018 Influenza Virus Vaccine, Intramuscular Vaccination Consent Form (Child) Questions? Please contact Melissa Herpes at (281) 7420624 or call your healthcare provider. Please

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Ineligible refers to individuals or entities that do not meet the necessary criteria to participate in a specific program, file a document, or be granted benefits.

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The purpose is to formally document an individual's or an entity's ineligibility to ensure adherence to regulations and to prevent misunderstandings regarding benefits or participation.

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Information typically includes the reason for ineligibility, relevant identification details, and any supporting evidence or documentation needed to clarify the situation.

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