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tandards la. Yon elèv ki nan 5yèm Nivo reponn pift) kesyon egzamen yo kbrèkteman, elèv la menm reponn kesyon ki gen pi plis difikilte ladan yo. 4 Elèv sa a gen siksè nan matyè ki te gen difikilte ladan yo nan egzamen Sunshine State Standards la. Yon elèv ki nan 4yèm Nivo reponn pifb kesyon egzamen yo
sician or Clinic Name: (Print or stamp) Address: Expiration Date: (15 days after ant inuntuthafteei appointment) hvsician or ignature: Date: Permanent Medical Exemption PART C For medically contraindicated immun exemption: DOE Code 3 tions, list each vaccine and state valid clinical reasoning or evidence for I ce
Standards la. Yon elèv ki nan 5yèm Nivo reponn pifb kesyon egzamen yo kbrèkteman, elèv la menm reponn kesyon kl gen pi plis difikilte ladan yo. 4 Elèv sa a gen siksè nan matyè ki te gen difikilte ladan yo nan egzamen Sunshine State Standards la. Yon elèv ki nan 4yèm Nivo reponn pifb kesyon egzamen yo
• (Print or Stamp) Address: Expirati0n Date' _Olitlazufttstualimaadzatisin atipSathunD *LI Physician or Authorized Signature. Date. Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I c
nan 4yem Nivo reponn pitó kesyon egzamen yo ktnekteman, men li ka gen kek slksè sèlman nan kesyon ki sanble yo gen pi plis difikilte ladan yo. 3 Elèv sa a gen enpe siksè nan matyè ki gen difikilte ladan yo nan egzamen Sunshine State Standards la, men pètómans lan pa rete estab. Yon elèv ki nan 3yèrn
rvice Address: Riviera Bea L 33404 Phone: Expiration Date: (IS days after next Physician or Authorized Signatu A. 41/21-4goo/ w 7 3.0) •, Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 / c
Entities connected to both Elèv sa and Permanent Medical Exemption
Legal Authority
ORGANIZATIONLeon Black
PERSONFCAT Mathematics
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George W. Bush
PERSONThe National Percentile Rank
ORGANIZATIONTd (Adult) Vaccine
ORGANIZATIONSunshine State
LOCATIONComplete Part C
PERSONMathematics Scale Scores
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Ghislaine Maxwell
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