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ic (Print or Stamp) Add ACES, FLORIDA 33401 days after next Immunization appointment) Physician or Authorized Slgnat ed a schedule to I t o Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 cer
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• (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
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an or Clinic Name: (Print or stamp) Address: Expiration Date: (r9 dart after nest humanization appo 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
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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
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Entities connected to both Permanent Medical Exemption and Content Area
Legal Authority
ORGANIZATIONFCAT Mathematics
ORGANIZATIONLeon Black
PERSON
George W. Bush
PERSONOPTIONAL
ORGANIZATIONThe National Percentile Rank
ORGANIZATIONSSS Mathematics
ORGANIZATIONTd (Adult) Vaccine
ORGANIZATIONComplete Part C
PERSONSocial Studies
ORGANIZATIONSunshine State
LOCATIONInformes
ORGANIZATIONCurriculum/ Information Meetings
ORGANIZATIONInforme sobre el FCAT
ORGANIZATIONLos resultados obtenidos
ORGANIZATIONDescription of Grade 10
ORGANIZATIONDoug Band
PERSON
Ghislaine Maxwell
PERSON
Earth
LOCATIONHarcourt
LOCATION