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Immunization Registry ImmTrac2 - Minor Consent Form Bilingual rev. 1Record the generic abbreviation eg Tdap or the trade name for each vaccine see table at right.
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Consent Forms for Minors and Adults.
. Webinar - 2022 Texas DSHS School. Texas Immunization Registry Texas Department of State Health Services MC-1946 PO. Look at his shot record and determine if he made.
022022 Use this form to register your child aged 17 and. If this message is not eventually replaced by the proper contents of the document your PDF viewer may not be able to display this type of document. 2Record the funding source of the vaccine given as either F federal.
E11-13255 Immunization Unit Rev. The immunization record indicates that the student has all required vaccine doses or a valid. Establish the childs age range and determine the number of immunization visits he must have.
The Department of State Health Services DSHS is granted authority to set immunization requirements by the Texas Education Code Chapter 38. Texas Department of State Health Services Stock No.
Health Department
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