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St Josephs Hospital
Please complete this information packet and return it to the office by your child’s first day. We are required to have current information on your child at all times. All registration information must be updated each year.
The enrollment packet must be returned with:
$85.00 Annual Registration Fee
Current Physical Examination: Form 3040 (Yellow)
Current Immunization Record:
Form DH 680 (Blue)
Please make sure there is an expiration date listed.
Form DH 681 (Blue)
Florida Department of Health Religious Exemption from Immunization
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