Download 680 Form Modify 680 Here

Download 680 Form

The 680 form, known as the Florida Certification of Immunization, serves as an official document confirming a child's immunization status for school attendance. This form is governed by various Florida statutes and administrative rules, ensuring compliance with state health regulations. Parents or guardians must complete the form accurately, documenting all necessary vaccine doses and relevant details to facilitate the child's enrollment in educational settings.

Modify 680 Here

Dos and Don'ts

When completing the Florida Certification of Immunization (Form 680), it is essential to approach the task with care. Below are nine recommendations to help ensure that the form is filled out accurately and efficiently.

  • Do gather all necessary immunization records before starting the form.
  • Do fill in the child's full name, including last name, first name, and middle initial.
  • Do provide the date of birth in the correct format (MM/DD/YY).
  • Do ensure that all vaccine doses and corresponding dates are entered accurately.
  • Do sign and date the appropriate certificate (A, B, or C) as required.
  • Don't leave any sections blank; all applicable fields must be completed.
  • Don't use abbreviations for vaccine names unless specified in the instructions.
  • Don't forget to review the form for any errors before submission.
  • Don't submit the form without confirming that all required documentation is attached.

Following these guidelines will help ensure that the immunization records are processed smoothly, facilitating the child's school attendance and compliance with health regulations.

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Frequently Asked Questions

What is the purpose of the Florida Certification of Immunization Form (680 form)?

The 680 form is used to document a child's immunization history in Florida. It is required for school attendance, including daycare and K-12. The form ensures that children are vaccinated according to state guidelines, which helps protect public health.

Who needs to complete the 680 form?

Parents or guardians of children who are enrolling in schools, daycare facilities, or family daycare homes in Florida must complete the 680 form. It applies to children from preschool through 12th grade and is essential for compliance with state immunization requirements.

What information is required on the form?

The form requires the child's full name, date of birth, and optionally, the child's Social Security number and state immunization ID number. Additionally, it needs details of all immunization doses received, including dates for each vaccine. Parents or guardians must also provide their signature and date on the appropriate certificate section of the form.

What are the different parts of the 680 form?

The form consists of three parts: Part A certifies that immunizations are complete; Part B provides a temporary exemption for incomplete immunizations; and Part C allows for a permanent medical exemption if immunizations are medically contraindicated. Each part has specific requirements and documentation that must be completed.

How can I obtain the 680 form?

The 680 form can be obtained from various sources, including schools, childcare facilities, and the Florida Department of Health website. It is also available through healthcare providers who administer vaccinations. Ensure you have the most current version of the form.

What should I do if my child has a medical exemption?

If your child has a medical exemption, you must complete Part C of the 680 form. You will need to list each vaccine for which the exemption is requested and provide valid clinical reasoning or evidence. A physician or clinic must authorize the exemption by signing the form.

Where can I find additional information about immunization requirements in Florida?

For more information on immunization requirements and guidelines, visit the Florida Department of Health's website at www.immunizeflorida.org/schoolguide.pdf. This resource provides comprehensive details on immunization schedules and requirements for school attendance.