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University Michigan Immunization 2020-2023
Care provider to complete
page 2 of this form (you complete page 1).
2. Submit records:
How can I find out if I received all recommended
immunizations? Ask your health care provider to
review your record, determine any needs (immunity
against many diseases on the form can be
determined through tests) and provide
recommended immunizations. See
recommendations at
uhs.umich.edu/immunization-records
I received another immunization after submitting
my records. How can I update this...
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