Common Contracts

DuPage County Health Department TREATMENT Agreement and Release of Liability

Treatment Agreement and Release of Liability • September 18th, 2017

• Contract Type
  Treatment Agreement and Release of Liability
• Filed
  September 18th, 2017

Circle if your child has had any of the following: Influenza Vaccine Heart Murmur Tuberculosis HIV/AID Infectious Hepatitis Rheumatic Fever Liver & Kidney Problems Asthma Diabetes 1 or 2 Heart Problems High Blood Pressure Allergies Latex Allergy