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EITHER Two doses of MMR vaccine: Date: _____/_____/_____ Date: _____/_____/_____ OR Two doses of each vaccine component: Measles Date: _____/_____/_____ Date: _____/_____/_____ Mumps Date: _____/_____/_____ Date: _____/_____/_____ Rubella Date: _____/_____/_____ Date: _____/_____/_____ OR Laboratory evidence of immunity to all three diseases: Measles Date: _____/_____/_____ Positive: _____ Negative: _____ Mumps Date: _____/_____/_____ Positive: _____ Negative: _____ Rubella Date: _____/_____/_____ Positive: _____ Negative: _____

UAB学生健康与健康免疫表格

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