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DoD Forms Management Program

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)