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BUTLER COUNTY GENERAL HEALTH DISTRICT COVID-19 Vaccine Registration Form Moderna Janssen (Johnson & Johnson) 1doseFIRST NAME FIRST SHOT**Date ___ SECOND SHOT MIDDLE INITIALPfizerLAST Named Pfizer
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The Butler County Health Department is a government agency responsible for promoting and protecting the health of residents in Butler County.
Certain businesses and individuals may be required to file with the Butler County Health Department, depending on the nature of their activities.
The specific requirements for filling out forms for the Butler County Health Department may vary, so it's best to contact the department directly for guidance.
The purpose of the Butler County Health Department is to ensure the well-being of the community by providing essential health services and education.
Information that may need to be reported to the Butler County Health Department can include health and safety data, disease outbreaks, and other public health concerns.
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