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Get MN Child Care Immunization Record 2013

N all the boxes that apply. Vaccine doses that are circled are not required by law. Diphtheria, Tetanus, Pertussis (DTaP) • 3 doses during 1st year (at 2-month intervals) • 4th dose at 12-18 months • 5th dose at 4-6 years or at school entrance Indicate vaccine type: DTaP or DT. Polio (IPV and/or OPV) • 3 doses at 2-18 months • 4th dose at 4-6 years or at school entrance Measles, Mumps, Rubella (MMR) • Required for children 15 months and older • Must be given on or after 1st birth.

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