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General

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Community Conversations

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This intake form is for community outreach inquiries and educational purposes only. Please do not submit sensitive health information. For questions about the vaccine or Fort Bend County vaccination sites, please contact Fort Bend County Health & Human Services at (832) 471-1373.

Acknowledgment

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I understand this intake form is for community outreach inquiries and educational purposes only.

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I acknowledge that I have thoroughly read and fully understand the above release and agree to be bound thereby. I hereby release all claims against any person or organization utilizing this material for educational purposes.

 

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