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This form is to be completed by a health care provider (physician (md, do), advanced. Check with your student’s school, child care. Immunization records from ciis may not be. Web if the student provides an immunization record in any other format apart from this certificate or an approved alternate certificate (details found at.

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Web you can submit a certificate of medical exemption with cdphe to include in the colorado immunization information system (ciis). This form is to be completed by a health care provider (physician (md, do), advanced. Web colorado certificate of immunization. Web you may request copies of your/your child’s immunization record by completing the request to release immunization record form accessed through the.

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