Epstein Secrets

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

m) Se ha demostrado que. pare el exio en el CPI:WOW° mercaclo Laboral del siglo X)0. es crucial poster can alto novel de conoomentos de ciencias. Trabajando con educadores de Florida. el estado ha desanollado un examen pan medr be ogres de on °students en malaria de cienoas de acuerdo a las norms Sunsh

• (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

ter un alto nivel de conocimientos de ciencias. pwcdesé yo pou yo devlene yen egazamen ki pert& achievement cl the important science striks in the Trabajando con educadores de Fbrida. el estado ha yo mezie rammen yon ekW nan egzamen syns ki Sunshbo Star ø Standards. Thit, repon provides your desarrollad

ic Name: 05•days after next immuilization.appoiutrnent) (Print or stamp) . . _ . . . • Physician or Address: 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

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