Epstein Secrets

RIGIN M 0 I-American Indian/Alaskan Native 0 8-Black. Non-Hispanic 0 H-Hispanic 0 A-Asian/Pacific Is

es of DTP. 3 DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated. (Complete Part C for Pertussis contraindication.) 4 Td (Adult) Vaccine is recommended for children 7 years of age or older. 5 Polio 4 doses required. If the third dose is administered on or after the fourth birthday, a

EX RACIAL/ETHNIC GROUP MVVhite, Not Hispanic O Black, Not Hispanic U Hispanic O American STUDENT NU

doses of DTP. DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated. (Complete Part C for Pertussis contraindication.) 4 Td (Adult) Vaccine is recommended for children 7 years of age or older. s Polio 4 doses required. If the third dose is administered on or after the fourth birthday. a

0 RACIAL/ETHNIC GROUP lEI"White, Not Hispanic Black, Not'Hispanic 0 Hispanic 0 American Indian/Nati

doses of DTP. 3 DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated. (Complete Part C for Pertussis contraindication.) Td (Adult) Vaccine is recommended for children 7 years of age orolder. $ Polio 4 doses required. If the third dose is administered on or after the fourth birthday, a

EX RACIAL/ETHNIC GROUP 0 White. Not Hispanic 0 Black. Not Hispanic SubNci TolChor 114A SPFI (RIO

es of DTP. 3 DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated. (Complete Part C for Pertussis contraindication.) 4 Td (Adult) Vaccine is recommended for children 7 years of age or older. Polio 4 doses required. If the third dose is administered on or after the fourth birthday, a fo

Not Hispanic O American Indian/Native Alaskan O Black, Not Hispanic O Asian/Pacific Islander STUDENT

es of DTP. 3 DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated. (Complete Part C for Pertussis contraindication.) 4 Td (Adult) Vaccine is recommended for children 7 years of age or older. s Polio 4 doses required. If the third dose is administered on or after the fourth birthday, a

nder O i - American Indian/Alaskan Native O B - Black Non-Hispanic O H - Hispanic O W - Whke, Non-His

ses of DTP. s DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated (Complete Part C for Pertussis contraindication ) ▪ Td (Adult) Vaccine is recommended for children 7 years of age or older. Polio 4 doses required. If the third dose is administered on or after the fourth birthday, a fo