Fillable Certificat de vaccination

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Certificat de vaccination

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The Certificat de vaccination form is 1 page long and contains:

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  • 4 other fields

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File type: PDF

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Certificat de vaccination
Je soussigné Docteur certifie que
l’enfant né(e) le
est à jour de ses vaccinations obligatoires figurant ci-dessous :
La diphtérie
Le tétanos
La poliomyélite
Pour les enfants nés à partir du 1
er
janvier 2018 s’ajoutent d’autres vaccins obligatoires :
l’haemophilius influenzae B (bactérie provoquant notamment des pneumopathies et des
méningites),
la coqueluche,
l’hépatite B,
la rougeole,
les oreillons,
la rubéole,
le méningocoque C (bactérie provoquant des méningites),
le pneumocoque (bactérie provoquant notamment des pneumopathies et des méningites)
Fait à Vauvert, le 2020
Signature et cachet du médecin
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Certificat de vaccination

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Completed 3 August 2021

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