Epstein Files Search

EFTA01710219Dataset 10

2001-07-0197p30,081w

FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.03Z, 402.305, 402.313, Florida Statutes; rules 640-3.011, 65C-22.006, 65C-20.011, Florida Administrative Code LAST N FIRST NAME MI DOB (MO/DA/YR) PARENT OR GUARDIAN CHILD'S SS# (optional) STATE IMMUNIZATION IMP Directions: Enter all appropriate doses and dates below. Sign and date appropriate certificate (A-1, A-2, B, or C) on reverse side of form. If the child is presenting for the 7…

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710219.pdf

EFTA01709707Dataset 10

2003-05-0773p17,894w

…substance/ Physical / emotional 21 Nutntion 22 Other B. HEALTH HISTORY (Serious Illnesses Inures explain) (attach narrative it additonal space needed) C. I ARARATARY Ina inelinlaelli type date Tuberculin test e Sickle Cell result NAME: TITLE: ADDRESS: (Please Print) r-rdl- Authorized Signature-- Date OH 3040. 10116 (lieplooli 14R5-14 Form 3040 which easy be used) Mock Plumbot. 5744400.3040-2) EFTA01709711 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes; rules 64D-3.011…

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709707.pdf

EFTA01709788Dataset 10

67p22,078w

…5 SCIENCE and 0 ISi kEiNCE and SCIENCE and SCIENCE and SCIENCE and HEALTH HEALTH . HEALTH HEALTH BEHAVIOR CODE . s.. BEHAVIOR CODE BEHAVIOR CODE BEHAVIOR CODE BEHAVIOR CODE AVERAGE AVERAGE AVERAGE AVERAGE AVERAGE Indicate: Indicate: Indicate: Indicate: Indicate: Promote IP) Promote (P) Promote (P) Promote (P) - Promote (P) Retain IR) Retain (R) Retain Mr Retain (R) Retain (A) - 01-93d0 EFTA01709793 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032, s. 64D-3.011, F.A.0 and s…

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709788.pdf

EFTA01221273Dataset 9

1p220w

…child care facilities, and family day care homes. through 18 years. These schedules summarize recommendations each child shall have on file a Florida Certification of Immunization for routine vaccines for children ages 18 years and younger. (Form DH 680) documenting the completion of all required vaccine doses. Ages of Recommended Doses School Vaccine Name Vaccine Months Years Requirements Diphtheria-Tetanus-Pertussis (whooping cough) DTaP 2 4 6 • • 1548 44 Child care/K-12 Hepatitis A Hep A . 1243 Hepatitis 8…

https://www.justice.gov/epstein/files/DataSet%209/EFTA01221273.pdf

EFTA01710450Dataset 10

3p1,397w

…medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I certify that the physical condition of this child Is such that immunization(s) as indicated in Part C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Physician Signature: Address: Date: DH 610, 11/96. absoletet miler oditiccs (Stodc Numb": 5740000068%5) EFTA01710450 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032, s. 10D-3.088, F.A…

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710450.pdf

EFTA01710166Dataset 10

2000-03-3053p17,042w

…C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I cent& that thephysical condition of this child is such that immunization(s) as indicated inPart C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Physician Signature: Address: Date: LH M. 1196, obsolete earlier editions (Stock Number: 5740.0))4680-6) EFTA01710183 A FLORIDA CERTIFICATION OF IMMUNIZATION TATUTES 232.032, s. 10D-3.088, F.A.C…

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710166.pdf