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Grand Traverse County Health Department
COVID-19 VACCINE ADMINISTRATION RECORD
NAME (First) (Middle) (Last)(Maiden) if applicableADDRESS (No. & Street) (City)(State) (Zip)COUNTYTELEPHONEDATE OF BIRTHSEXPreferred
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Grand Traverse County Health Department is a government agency responsible for promoting and protecting the health of residents in Grand Traverse County.
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All residents and businesses in Grand Traverse County are required to comply with health regulations set by the Grand Traverse County Health Department.
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The purpose of Grand Traverse County Health is to ensure the well-being and health of the community by implementing health programs, conducting inspections, and providing education on public health issues.
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Information such as vaccination records, health history, and any contagious diseases must be reported on Grand Traverse County Health forms.
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