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WAIVER HEPATITIS B VACCINE / Alternate: Date of Birth: Student ID: College Program: The Hepatitis B vaccinations and/or quantitative blood test are not indicated for me due to the following reason:
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Instructions for completing student provide guidance on how to accurately fill out a student's information.
School administrators or designated personnel are required to file instructions for completing student.
Instructions for completing student should be filled out by following the guidelines provided and accurately reporting the student's information.
The purpose of instructions for completing student is to ensure that accurate and complete information is reported for each student.
Information such as student's personal details, academic records, medical history, and emergency contacts must be reported on instructions for completing student.
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