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 GSRP Enrollment Forms Detroit Edison Public School Academy 2012

GSRP Enrollment Forms Detroit Edison Public School Academy 2012

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Haemophilus Influenzae type b HIB OTHER Vaccines Specify Date Type Type of Vaccine s Date of Vaccine s Polio IPV/OPV Pneumococcal Conjugate Indicate and attach physician diagnosis or laboratory evidence of immunity as applicable PCV7/PCV13 Rotavirus RV1/RV5 NOTE According to Public Act 368 of 1978 any child enrolling in a Michigan school for the first time must be adequately immunized vision tested and hearing tested. Exemptions to these requirements are granted for medical religious and other...
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