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E / *Children under 18 years only. Child s Gender: Male Female Child s Date of Birth Child s Address Apartment # City State Zip Code Mother s First Name Telephone County Mother s Maiden Name ImmTrac, the Texas immunization registry, is a free service of the Texas Department of State Health Services (DSHS). The immunization registry is a secure and confidential service that consolidates and stores your child s (under 18 years of age) immunization records. With your con.
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