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New Mexico Statewide Immunization Information System (BASIS) Disclosure to Patient/Parent/Legal Guardian Decline to Participate in BASIS Background The New Mexico Statewide Immunization Information
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It is a user agreement form for the 2021 National Meningococcal Immunisation Scheduling System.
Healthcare providers participating in the National Meningococcal Immunisation Scheduling System are required to file this agreement.
The form can be filled out electronically or manually, providing all required information accurately.
The purpose of the form is to ensure healthcare providers agree to abide by the rules and regulations of the National Meningococcal Immunisation Scheduling System.
The form requires personal information of the healthcare provider, contact details, and agreement to comply with the system protocols.
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