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Appendix 9: Hepatitis B Vaccination Declaration

Appendix 9: Hepatitis B Vaccination Declaration

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I have received an age-appropriate course of hepatitis B vaccine consisting of (insert number) vaccine doses. The approximate year I was vaccinated against hepatitis B was I do not have the record of vaccination because: I make this declaration believing it to be true Declared on: [date] [signature of declarant]

  Atingsa, Declaration, Appendix, Hepatitis, Vaccinations, Appendix 9, Hepatitis b vaccination declaration, Against hepatitis

Download Appendix 9: Hepatitis B Vaccination Declaration


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