Immunization Signature Sheet
Adult consent is required for immunizations. If your child is under 18 years of age and will be coming to an appointment by themselves, please print, sign and fax the Immunization Signature Sheet to 972-733-6564 prior to their appointment.
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16980 Dallas Pkwy, Suite 204, Dallas, TX75248 : 972-733-6565 :
Fax: 972-733-6565
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