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Australian Childhood Immunisation Register Immunisation Exemption Medical Contraindication 3 Postal address Purpose of this form
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Document Date: 2014-09-09 22:04:36


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File Size: 135,87 KB

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MedicalCondition

allergy / anaphylactic reaction / encephalopathy / malignant disease / unstable neurological disease / /

MedicalTreatment

immunosuppressive therapy / immunosuppression / vaccination / /

Organization

Australian Government Department of Human Services / Department of Human Services / Health Authority / Medicare / /

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Position

Governor / /

RadioStation

Standard Time / /

Technology

mobile phones / /

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