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Addendum to MMR Vaccine (Measles, Mumps, and Rubella)
I am an adult who can legally consent for the person named below to get the vaccine. I freely and voluntarily give my signed permission for this vaccine.
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Immunization Encounter Form
Aug 27, 2020 I agree that the immunizations may be shared with schools, day care centers, health care providers, and others to verify immunization status,
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Measles, Mumps, and Rubella Vaccine Consent Form (MMR)
Measles, Mumps, and Rubella Vaccine Consent Form (MMR) MMR is indicated for immunization against measles, mumps, and rubella in persons 12-. 15 months
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