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State Of Illinois Physical Form. Web state of illinois certificate of child health examination certificates of religious exemption to immunizations or physician medical statements of medical contraindication are reviewed and. *(all measles cases diagnosed on or after july 1, 2002, must be confirmed by laboratory evidence.) 2.
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Web clinical diagnosis (measles, mumps, hepatitis b) is allowed when verified by physician and supported with lab confirmation. Attach copy of lab result. Web medical report on an adult in a child care facility. History of varicella (chickenpox) disease. If this individual is employed in a child care facility that cares for children age 6 and under, please check two of the following: Clinical diagnosis is acceptable if verified by physician. *(all measles cases diagnosed on or after july 1, 2002, must be confirmed by laboratory evidence.) 2. Web school health center project the school health program monitors 66 certified school health centers operating in illinois for compliance with title 77, chapter v: Web state of illinois certificate of child health examination certificates of religious exemption to immunizations or physician medical statements of medical contraindication are reviewed and. History of varicella (chickenpox) disease is.
History of varicella (chickenpox) disease. Clinical diagnosis is acceptable if verified by physician. Web clinical diagnosis (measles, mumps, hepatitis b) is allowed when verified by physician and supported with lab confirmation. *(all measles cases diagnosed on or after july 1, 2002, must be confirmed by laboratory evidence.) 2. Attach copy of lab result. History of varicella (chickenpox) disease. If this individual is employed in a child care facility that cares for children age 6 and under, please check two of the following: Web medical report on an adult in a child care facility. History of varicella (chickenpox) disease is. Web school health center project the school health program monitors 66 certified school health centers operating in illinois for compliance with title 77, chapter v: Web state of illinois certificate of child health examination certificates of religious exemption to immunizations or physician medical statements of medical contraindication are reviewed and.
