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Get CT HAR-3 2012-2024

Health needs. This form requests information from you (Part I) which will also be helpful to the health care provider when he or she completes the medical evaluation (Part II). State law requires complete primary immunizations and a health assessment by a legally qualified practitioner of medicine, an advanced practice registered nurse or registered nurse, licensed pursuant to chapter 378, a physi- cian assistant, licensed pursuant to chapter 370, a school medical advisor, or a legally qualif.

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