Epstein File EFTA01245697: School and Birthday (DS9)

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Epstein File EFTA01245697: School and Birthday (DS9)

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This document is a Florida Department of Health and Rehabilitative Services (HRS) Certificate of Immunization form (HRS 680) for children required to attend school. The form outlines immunization requirements including DTAP/DTP (5 doses) and polio (TOPV, 4 doses), with specific provisions for children whose fourth primary doses are administered on or after their fourth birthday. The certificate must be signed by a physician or authorized person and dated for school attendance. No specific individuals, dates, or case-related information are present in the excerpts.

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school birthday

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Excerpt 1

HRS FLORIDA CERTIFICATE OF IMMUNIZATION (HRS 680 - PART A) (Florida Statutes 232.032) FOR CHILDREN WHO HAVE COMPLETED ALL REQUIRED IMMUNIZATIONS FOR **SCHOOL**

Excerpt 2

INCLUDING BIRTHDATE MUST BE ENTERED, AND THE CERTIFICATE SIGNED BELOW BY A PHYSICIAN OR AUTHORIZED PERSON AND DATED IN ORDER FOR THE CHILD TO ATTEND **SCHOOL**

Excerpt 3

TEMPORARY MEDICAL EXEMPTION (HRS 680 - PART B) FOR PRESCHOOL CHILDREN AND FOR **SCHOOL** CHILDREN WITHOUT ALL IMMUNIZATIONS REQUIRED IN PART A I CERTIFY THAT