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Get MN Child Care Immunization Form 2013

______________________________ Minnesota law requires children enrolled in child care to be immunized against certain diseases or file a legal medical or conscientious exemption. Parent/Guardian: You may attach a copy of the child’s immunization history to this form OR enter the MONTH, DAY, and YEAR for all vaccines your child received. Enter MED to indicate vaccines that are medically contraindicated including a history of disease, or laboratory evidence of immunity and CO for vaccines that a.

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