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FORM INFORMATION

Form Number:  DD 3110

Title:  Routine Immunization Screening Form: Pediatric

Edition Date:  3/11/2020  

Authority:  Army Regulation 40-562, BUMEDINST 6230.15B, AFI 48-110_IP, CG COMDINST M6230.4G

For use of this form please contact:  The Defense Health Agency (DHA)