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Emergency Card FINAL Form 10-09 doc Manuscript submitted to SIMAX - liberty k12 az

Emergency Card FINAL Form 10-09 doc Manuscript submitted to SIMAX - liberty k12 az 2025

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The document is an Emergency, Information and Immunization Record Card from the Arizona Department of Health Services Bureau of Child Care Licensing. It collects essential information about a child, including personal details, emergency contacts, medical information, and immunization records. The card requires authorization for individuals to collect the child in emergencies and includes sections for allergies, medical conditions, and special instructions.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (104 Votes)
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