The 680 form, officially known as the Florida Certification of Immunization, is a crucial document for ensuring that children meet the necessary immunization requirements for school attendance. This form captures essential information about a child's vaccination history, including dates and types of vaccines received. Completing this form accurately is vital for compliance with state regulations, so take action now and fill out the form by clicking the button below.
This form is used for various age groups, including children in daycare and preschool. It is not limited to just K-12 students.
While the form is important, it does not automatically ensure enrollment. Schools may have additional requirements that must be met.
Other records may also be required. It’s essential to check with the school or childcare facility for their specific needs.
Medical professionals must verify immunization records. Parents should consult with a healthcare provider to ensure accuracy.
Some exemptions exist, such as medical exemptions. It's important to understand which vaccines are necessary based on individual circumstances.
The Florida Certification of Immunization, commonly known as the 680 form, is essential for documenting a child's immunization status for school enrollment. Alongside this form, several other documents and forms may be required or helpful in ensuring compliance with state regulations regarding immunizations. Here’s a list of some of these important documents:
These documents work together to ensure that children are properly immunized and that their health and safety are prioritized in educational settings. Keeping these forms organized and readily available can help streamline the enrollment process and maintain compliance with state regulations.
Filling out the Florida Certification of Immunization Form, commonly known as the 680 form, is a crucial step for ensuring that children meet their immunization requirements for school. However, many people make common mistakes that can lead to delays or complications. Understanding these pitfalls can help streamline the process.
One frequent error is incomplete information. Many individuals forget to fill in all required fields, such as the child’s last name, first name, or date of birth. Omitting even one piece of information can cause the form to be rejected. It’s essential to double-check that all necessary details are included before submission.
Another common mistake involves the incorrect documentation of immunization dates. Parents sometimes write down the wrong dates or fail to include all doses received. Each vaccine has specific dosage requirements, and missing or incorrect dates can create confusion about a child's immunization status.
Additionally, some people overlook the importance of signing the form. The signature of a parent or guardian is a legal requirement for the form to be valid. Without it, the form cannot be processed, and the child may face delays in enrollment or attendance at school.
Another area where mistakes occur is in selecting the appropriate certificate type. Parents may choose the wrong part of the form, such as submitting a temporary exemption when a permanent exemption is needed. Understanding the distinctions between Part A, Part B, and Part C is vital for ensuring that the correct information is provided.
Furthermore, failing to provide supporting documentation for medical exemptions can be problematic. If a child is exempt from certain vaccinations for medical reasons, the form must include valid clinical reasoning or evidence. Without this, the exemption may not be honored, leading to potential issues with school attendance.
Lastly, many individuals neglect to check the expiration dates on temporary exemptions. If the expiration date is not filled in or has passed, the exemption becomes invalid. This oversight can result in the child being considered non-compliant with immunization requirements.
By being aware of these common mistakes, parents and guardians can better navigate the process of completing the 680 form. Taking the time to review the form carefully can save time and ensure that children meet their immunization requirements for school attendance.
FLORIDA CERTIFICATION OF IMMUNIZATION
Legal Authority: Sections 1003.22, 402.305, 402.313, Florida Statutes; Rule 64D-3.046, Florida Administrative Code
LAST NAME
FIRST NAME
MI
DOB (MM/DD/YY)
PARENT OR GUARDIAN
CHILD’S SS# (optional)
STATE IMMUNIZATION ID# (optional)
Directions:
Enter all appropriate doses and dates below.
Sign and date appropriate certificate (A, B,or C) on form.
See DH Form 150-615, Immunization Guidelines - Florida Schools, Childcare Facilities and Family Daycare Homes (July 2010) for information and instructions on form completion. Guidelines are available at: www.immunizeflorida.org/schoolguide.pdf.
VACCINE
DOE
Dose 1
Dose 2
Dose 3
Dose 4
Dose 5
CODE
MM/DD/YY
DTaP/DTP
A
DT
B
Tdap
P
Td
Q
Polio
D
Hib
E
MMR (Combined)
F
(Separate)
G, H
Measles (dose 1)
Measles (dose 2)
Mumps (dose 1)
Mumps (dose 2)
I
Rubella (dose 1)
Rubella (dose 2)
Hepatitis B
J
Varicella
K
Varicella Disease
L
Year
PneumoConju N
Select appropriatebox(es)
Certificate of Immunization forK-12
Part A-Complete
DOE Code 1: Immunizations are complete K-12 (Excluding 7th grade/middle school requirements)
DOE Code 8: Immunizationsare complete for 7th grade
I have reviewed the records available,and to the best of my knowledge, the above named child has adequately been immunized for school attendance, as documented above.
Temporary Medical Exemption
Expiration date: _____________
Part B-Temporary
Part B (For children in daycare, family daycare homes, preschool, kindergarten and grades 1 through 12 who are incomplete for immunizations in Part A) Invalid without expiration date. DOE Code 2
I certify that the above named child has received the immunizations documented above and has commenced a schedule to complete the required immunization. Additional immunizations are not medically indicated at this time.
Permanent Medical Exemption
Part C-Permanent
Part C (For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption.) DOE Code 3 ________________________________________________________________________________________
I certify the physical condition of this child is such that immunizations as indicated in Part C above are medically contraindicated.
Physician or Clinic Name:
Physician or
_________________________________________________
Authorized Signature: ____________________________________
Issued By:_____________________________________________
Date: _________________________________________________
DH 680 (Jul 2010) Stock Number: 5740-000-0680-6
Trespassing Warning Letter - Indicates the seriousness of the trespassing prohibition.
Creating a Last Will and Testament is crucial to ensure your final wishes are honored and your assets are distributed according to your desires. For individuals looking to draft this important document, resources like OnlineLawDocs.com can provide valuable guidance and templates, helping to clarify the process and avoid the complications that arise when one passes without a will.
Pdf Electricity Utility Bill - Refer to your last utility bill for precise figures.