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Get Medgar Evers College Health Services Office Immunization Form 2007-2021

Icate or driver’s license.  Documentation of medical contraindications by a physician.  Documentation of sincere religious belief which prohibits immunization. Please have your doctor/clinic fill out all applicable sections below and return to the address indicated before registration. Failure to comply with this request will block your registration and/or make you ineligible to attend class and may affect financial aid. Immunization forms MUST be returned no later than two weeks before .

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