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Get AZ Religious Beliefs Exemption Form 2016-2024

At makes it Date____________ hard to breathe, infections of the blood, joints, bones, and covering of the heart, and death. Hepatitis B: I have been informed that by not receiving this vaccine, my child may be at increased risk of developing Initials___________ hepatitis B if exposed to this disease. Serious symptoms and effects of this disease include: jaundice (yellow skin or Date____________ eyes), life-long liver problems, such as scarring and liver cancer, and death. Hepatitis A: I have bee.

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