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680 PDF Template

The Florida Certification of Immunization, commonly referred to as the 680 form, is a crucial document required for children attending school or childcare facilities in Florida. It serves to verify that a child has received the necessary vaccinations as mandated by state law. Ensuring that this form is accurately completed and submitted can help facilitate a smooth enrollment process for your child.

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Contents

The Florida Certification of Immunization, commonly referred to as the 680 form, plays a crucial role in ensuring that children meet the immunization requirements for school attendance. This form is not just a piece of paper; it is a legal document that reflects compliance with several Florida statutes and administrative rules, specifically sections 1003.22, 402.305, and 402.313 of the Florida Statutes, along with Rule 64D-3.046 of the Florida Administrative Code. Parents or guardians are required to fill out the form with essential details such as the child's name, date of birth, and immunization history. The form includes sections for documenting various vaccines, including DTaP, MMR, and Hepatitis B, among others, along with the corresponding dates for each dose. It also provides options for certifying immunization completion, temporary medical exemptions, and permanent medical exemptions, allowing for flexibility in cases where children may not be able to receive certain vaccines. For those seeking guidance on how to properly complete the form, the Florida Department of Health offers comprehensive immunization guidelines available online. Understanding the significance of the 680 form is vital for parents navigating school enrollment, as it ensures that children are protected against preventable diseases while adhering to state regulations.

Misconceptions

Here are seven common misconceptions about the Florida 680 form, which is used for immunization certification:

  • It is only for school-aged children. Many believe the 680 form is exclusively for K-12 students. In reality, it is also applicable for children in daycare and preschool settings.
  • All immunizations must be completed before submitting the form. Some think that the form requires all immunizations to be done. However, it allows for temporary exemptions if a child has not yet completed their immunization schedule.
  • Filling out the form is optional. There is a misconception that this form is not mandatory. In fact, it is often required for school enrollment and daycare attendance in Florida.
  • Parents can fill out the form without a healthcare provider. Many assume they can complete the form independently. However, a licensed healthcare provider must verify and sign the immunization records.
  • Only certain vaccines are listed on the form. Some people think the 680 form only includes a few vaccines. It actually covers a comprehensive list of required immunizations for school attendance.
  • The form is the same for all states. There is a belief that immunization forms are uniform across the U.S. Each state has its own requirements and forms, including the Florida 680.
  • Once submitted, the form does not need to be updated. Some think that the form is a one-time submission. In reality, it may need to be updated if a child receives additional immunizations or changes schools.

Key takeaways

When filling out the Florida Certification of Immunization (680 form), several important points should be kept in mind:

  • Accurate Information: Ensure that all fields, including the child's name, date of birth, and immunization dates, are filled out accurately to avoid any issues with school enrollment.
  • Immunization Records: Enter all appropriate doses and dates for each vaccine. This includes multiple doses for vaccines like MMR and Varicella.
  • Signature Requirement: The form must be signed and dated by a parent or guardian, certifying that the information provided is accurate and complete.
  • Exemption Information: If applicable, provide details for temporary or permanent medical exemptions. Each exemption must include valid clinical reasoning.
  • Expiration Dates: For temporary exemptions, an expiration date is required. Without this date, the exemption is invalid.
  • Consult Guidelines: Refer to the Immunization Guidelines for Florida Schools and Childcare Facilities for detailed instructions on completing the form.

Following these key takeaways can streamline the process and ensure compliance with Florida's immunization requirements for school attendance.

File Attributes

Fact Name Description
Legal Authority The Florida Certification of Immunization 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 document a child's immunization history, ensuring compliance with state requirements for school attendance.
Immunization Records Parents or guardians must enter all appropriate vaccine doses and dates on the form, which may include vaccines such as DTaP, Polio, and MMR.
Exemption Options The form provides options for both temporary and permanent medical exemptions for children who cannot receive certain immunizations.
Guidance and Resources For detailed instructions on completing the form, individuals can refer to DH Form 150-615 and the guidelines available at www.immunizeflorida.org/schoolguide.pdf.

Dos and Don'ts

When filling out the Florida Certification of Immunization (Form 680), keep the following guidelines in mind:

  • Do provide accurate information for the child’s name, date of birth, and immunization details.
  • Do ensure that you select the correct certificate part (A, B, or C) based on the child's immunization status.
  • Do sign and date the form to validate the information provided.
  • Do double-check all dates and doses entered to avoid any errors.
  • Do refer to the Immunization Guidelines for any specific instructions or additional information.
  • Don’t leave any required fields blank; incomplete forms may be rejected.
  • Don’t use outdated immunization records; always use the most current information.
  • Don’t forget to include the expiration date if claiming a temporary medical exemption.
  • Don’t provide false information or misrepresent the child's immunization status.
  • Don’t neglect to keep a copy of the completed form for your records.

More PDF Documents

Similar forms

The Florida Certificate of Immunization (Form 680) is comparable to the Certificate of Immunization Status (CIS) used in various states. Both documents serve to verify that a child has received the necessary vaccinations required for school attendance. The CIS typically includes similar sections for listing immunization dates and types, along with a section for parental or guardian verification. This ensures that children are protected against preventable diseases, aligning with public health goals.

For those interested in preparing this important document, the Illinois Non-disclosure Agreement form is essential for protecting sensitive information between parties involved in business transactions. You can access the form and details by following this link to the Non-disclosure Agreement resource.

Another similar document is the Immunization Record, often provided by healthcare providers. This record details a patient's vaccination history, including dates and types of vaccines received. Like the 680 form, it serves as proof of immunization and may be required for school enrollment or participation in certain activities. The Immunization Record is frequently used in conjunction with the 680 form to provide a comprehensive overview of a child's immunization status.

The School Entry Health Form is also akin to the Florida Certificate of Immunization. This form typically includes sections for health assessments, immunization records, and any required medical exemptions. Both documents aim to ensure that students are healthy and up-to-date on vaccinations before entering school, promoting a safe environment for all children.

The Child Health Assessment Form is another document that shares similarities with the 680 form. This form is used to evaluate a child's overall health, including their immunization status. It often requires the same immunization information as the 680 form, reinforcing the importance of vaccinations in maintaining public health standards within educational settings.

In addition, the Vaccination Record Card is a document that can be compared to the Florida Certificate of Immunization. This card is often issued by healthcare providers at the time of vaccination and serves as a personal record for parents. It includes details about each vaccine received, similar to the sections found in the 680 form, and can be used for school enrollment or travel requirements.

The Health History Form, frequently required by schools and childcare facilities, is another document that parallels the 680 form. This form collects comprehensive health information about a child, including immunization history. Both documents aim to ensure that children are up-to-date on vaccinations, which is crucial for preventing outbreaks of vaccine-preventable diseases.

The Certificate of Medical Exemption is also similar to the 680 form, particularly its sections on medical exemptions. This certificate allows for documentation of valid medical reasons a child may not receive certain vaccinations. Like the 680 form, it requires a healthcare provider's signature and is essential for ensuring that children who cannot be vaccinated for medical reasons are still able to attend school.

Lastly, the Universal Child Health Record is comparable to the Florida Certificate of Immunization. This record is designed to track a child's health and immunization status throughout their early years. It includes similar sections for documenting vaccinations, reinforcing the importance of keeping accurate health records for school readiness and public health compliance.