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LOUISVILLE METRO PUBLIC HEALTH AND WELLNESS COVID-19 VACCINATION CONSENT FORM FOR MINORS Patient Demographics Patient name: Patient birthdate: / / Parent/Guardian Name of parent/guardian: Parent/guardian
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Metro Public Health Department is a government agency responsible for overseeing public health initiatives within a specific city or metropolitan area.
Entities or individuals involved in public health activities or services within the jurisdiction of the metro public health department are typically required to file.
To fill out the metro public health department form, you will need to provide information about the public health activities or services you are involved in, as well as any relevant data or statistics.
The purpose of the metro public health department is to protect and promote public health within the local community, through education, prevention, and control of diseases.
Information that must be reported on the metro public health department form may include details about public health programs, services, and any relevant health data.
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