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The Florida Certification of Immunization, commonly referred to as the 680 form, plays a crucial role in ensuring that children meet the state's immunization requirements for school attendance. This form is governed by various legal statutes and administrative codes, including Sections 1003.22 and 402.305 of the Florida Statutes. It captures essential information about the child, such as their name, date of birth, and immunization history. Parents or guardians must provide details about each vaccine administered, including the specific doses and dates. The form includes three parts: Part A confirms complete immunizations for K-12 students, Part B addresses temporary medical exemptions for those who are in the process of completing their immunizations, and Part C allows for permanent medical exemptions due to contraindications. Proper completion of the form is vital for compliance with school entry requirements, and guidelines for filling it out can be found in the referenced DH Form 150-615. This ensures that parents have access to the necessary information and resources to navigate the immunization process effectively.

Documents used along the form

The Florida Certification of Immunization, commonly referred to as the 680 form, serves as a crucial document for verifying a child's immunization status for school attendance. Alongside this form, several other documents may be required to ensure comprehensive compliance with state regulations. Each of these forms plays a specific role in the immunization process, providing necessary information for schools, childcare facilities, and healthcare providers.

  • DH Form 150-615: This form outlines the Immunization Guidelines for Florida Schools, Childcare Facilities, and Family Daycare Homes. It offers detailed instructions on completing the 680 form and ensures that parents and guardians understand the immunization requirements.
  • Certificate of Medical Exemption: This document is issued when a child is medically unable to receive certain vaccinations. It must include a detailed explanation from a licensed physician regarding the medical reasons for the exemption.
  • Temporary Medical Exemption Form: Similar to the permanent exemption, this form is used for children who cannot receive vaccinations for a limited time due to medical reasons. It requires an expiration date and must be signed by a healthcare provider.
  • Immunization Records: These are official records provided by healthcare providers that document all vaccinations a child has received. They are essential for verifying compliance with state immunization requirements.
  • School Enrollment Forms: Schools often require additional forms during the enrollment process, which may include health history and emergency contact information. These forms help schools maintain accurate health records for each student.
  • Health Insurance Information: This document provides details about a child's health insurance coverage, which may be necessary for accessing healthcare services related to immunizations.
  • Residential Lease Agreement: The https://floridaformspdf.com/printable-residential-lease-agreement-form/ is crucial for landlords and tenants to establish clear expectations regarding rental terms and conditions.
  • Parental Consent Form: This form is typically required for children to receive vaccinations. It confirms that parents or guardians consent to the immunization process and understand the associated risks and benefits.
  • School Health Assessment Form: Some schools may require this form to assess a child's overall health status upon enrollment. It may include information about immunizations, allergies, and chronic conditions.

In summary, the 680 form is part of a broader framework of documentation that supports the immunization process for children in Florida. Understanding the purpose of each of these forms can help parents navigate the requirements effectively, ensuring their children meet the necessary health standards for school attendance.

Dos and Don'ts

When filling out the Florida Certification of Immunization (Form 680), there are important guidelines to follow to ensure accuracy and compliance. Here are eight things you should and shouldn't do:

  • Do double-check the child's name and date of birth for accuracy.
  • Do include all required immunization dates and doses in the appropriate sections.
  • Do sign and date the certificate in the designated area.
  • Do refer to the Immunization Guidelines for any questions regarding the form.
  • Don't leave any sections blank; incomplete forms may be rejected.
  • Don't forget to include the expiration date for temporary medical exemptions.
  • Don't use incorrect codes for vaccines; ensure you reference the correct DOE codes.
  • Don't submit the form without verifying that all information is current and accurate.

Get Answers on 680

  1. What is the purpose of the Florida 680 Form?

    The Florida 680 Form, also known as the Certification of Immunization, is essential for documenting a child's immunization history. It is required for school attendance in Florida, ensuring that children are vaccinated against various diseases as mandated by state law.

  2. Who needs to complete the 680 Form?

    Parents or guardians of children entering daycare, preschool, or K-12 schools in Florida must complete this form. It is crucial for children who are receiving immunizations or those who may be exempt for medical reasons.

  3. What information is required on the form?

    The form requires the child's full name, date of birth, and immunization details, including the type of vaccines received and the dates of each dose. Additionally, it may ask for the child's Social Security number and state immunization ID, although these are optional.

  4. 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. Each part serves a specific purpose regarding a child's vaccination status.

  5. How do I know if my child’s immunizations are complete?

    To determine if your child's immunizations are complete, you should review their vaccination records. The form includes specific codes to indicate whether immunizations are complete for K-12 or 7th grade. Consulting with your healthcare provider can also clarify any uncertainties.

  6. What should I do if my child has not received all required immunizations?

    If your child has not received all required immunizations, you can fill out Part B of the form. This part certifies that your child has started the immunization schedule and indicates that additional immunizations are not currently medically necessary.

  7. Can my child be exempt from immunizations?

    Yes, children may be exempt from certain immunizations for medical reasons. If this applies, you must complete Part C of the form, providing valid clinical reasoning or evidence for the exemption. A physician must sign this part to validate the exemption.

  8. Where can I find additional guidelines for completing the 680 Form?

    Additional guidelines for completing the 680 Form can be found in the Immunization Guidelines for Florida Schools, Childcare Facilities, and Family Daycare Homes. This document is available online at www.immunizeflorida.org/schoolguide.pdf.

  9. How do I submit the completed 680 Form?

    After completing the 680 Form, it should be submitted to your child's school or daycare facility. Ensure that all required sections are filled out accurately and that any necessary signatures are included to avoid delays in enrollment.

Form Data

Fact Name Description
Legal Authority The form is governed by Sections 1003.22, 402.305, and 402.313 of the Florida Statutes, as well as Rule 64D-3.046 of the Florida Administrative Code.
Purpose This form serves to certify that a child has received the necessary immunizations required for school attendance in Florida.
Immunization Records Parents or guardians must enter all appropriate doses and dates of immunizations in the designated areas on the form.
Exemption Types The form includes sections for temporary and permanent medical exemptions, allowing for documentation of valid reasons for not receiving certain immunizations.
Guidelines Detailed guidelines for completing the form can be found in DH Form 150-615, which is available online.
Expiration Dates For temporary exemptions, an expiration date must be provided; without it, the exemption is considered invalid.