This government document is issued by Department of Public Health, Georgia Immunization Registry for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://dph.georgia.gov/document/publication/guidelines-completing-children-1st-screening-and-referral-form/download&sa=U&ved=2ahUKEwiM1rirw_KKAxXiV6QEHTi7C4Y4WhAWegQIBRAB&usg=AOvVaw0WxVxtQGiOZ-yG_D5Ji86j