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The Florida Certification of Immunization, commonly known as the 680 form, is essential for documenting a child's immunization status for school attendance. This form captures vital information, including the child's immunization history and any medical exemptions. Ensure your child's immunization records are complete by filling out the form below.

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 governed by several legal statutes and administrative rules, which outline the necessary vaccinations and documentation needed for enrollment in educational institutions. Parents or guardians must provide essential information, including the child's name, date of birth, and immunization history. The form requires the entry of various vaccine doses along with their corresponding dates, ensuring that all immunizations are accurately recorded. It also includes sections for temporary and permanent medical exemptions, allowing for flexibility in cases where vaccinations may not be feasible. Completing the 680 form correctly is vital, as it directly impacts a child's ability to attend school or daycare facilities in Florida. For additional guidance, the Florida Department of Health offers resources and instructions to aid in the proper completion of this important document.

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Guide to Using 680

Filling out the Florida Certification of Immunization form, also known as the DH 680 form, is an important step in ensuring that a child meets the immunization requirements for school attendance. This process involves providing specific information about the child's immunization history and may include signing a certification based on the child's vaccination status.

  1. Begin by entering the child's last name, first name, and middle initial in the designated fields.
  2. Next, fill in the child's date of birth in the format MM/DD/YY.
  3. Provide the name of the parent or guardian in the appropriate section.
  4. If applicable, enter the child's Social Security number (this is optional).
  5. Optionally, include the state immunization ID number if you have it.
  6. Proceed to list the immunization doses by entering the vaccine codes and corresponding dates for each dose. Ensure that you fill in all five doses if applicable.
  7. Review the section for the appropriate certificate (A, B, or C) based on the child’s immunization status.
  8. Check the box that applies to the child's immunization completion status: K-12 or 7th grade requirements.
  9. Sign and date the form in the designated area, confirming that the information provided is accurate to the best of your knowledge.

After completing the form, it is essential to submit it to the appropriate school or childcare facility. Keep a copy for your records, as it may be needed for future reference or if there are any questions about the child's immunization status.

More About 680

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

The Florida Certification of Immunization, commonly known as the 680 form, is used to document a child's immunization history. This form is essential for school enrollment in Florida, ensuring that children have received the necessary vaccinations to protect their health and the health of others in the community.

Who needs to complete the 680 form?

The 680 form must be completed for children entering K-12 schools, daycare facilities, and family daycare homes in Florida. It applies to children who are starting school for the first time or those who are transferring from one school to another.

What information is required on the 680 form?

The form requires various details, including:

  • Child's full name (last name, first name, middle initial)
  • Date of birth
  • Parent or guardian's name
  • Child's Social Security number (optional)
  • State immunization ID number (optional)
  • Dates and doses of required vaccinations

Additionally, the form includes sections for certifying the completion of immunizations and for documenting any medical exemptions.

What vaccines are documented on the 680 form?

The 680 form covers several vaccines, including:

  1. DTaP/DTP
  2. Polio
  3. Hib
  4. MMR (Measles, Mumps, Rubella)
  5. Hepatitis B
  6. Varicella (Chickenpox)
  7. Pneumococcal Conjugate

Each vaccine has designated doses that need to be recorded accurately.

What are the different parts of the 680 form?

The 680 form consists of three parts:

  • Part A: Certifies that the child has completed the required immunizations for K-12.
  • Part B: Provides a temporary exemption for children who are in the process of receiving their immunizations.
  • Part C: Documents a permanent medical exemption for children who cannot receive certain vaccinations due to medical reasons.

How can I obtain the 680 form?

The 680 form can be obtained from various sources, including:

  • Your child's healthcare provider
  • Local health departments
  • Schools and daycare facilities

It is also available online through the Florida Department of Health's website.

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. This section requires a physician's signature and a valid reason for the exemption. Ensure that the exemption is documented clearly, as it must be valid and recognized by the school or daycare.

Are there any consequences for not providing the 680 form?

Failure to provide a completed 680 form can result in your child being denied enrollment in school or daycare facilities. This requirement is in place to ensure the health and safety of all children in the community.

How often should the 680 form be updated?

The 680 form should be updated whenever your child receives additional vaccinations or if there are changes in their immunization status. It is crucial to keep the form current, especially before starting a new school year or transferring to a different school.

Similar forms

The Florida Certificate of Immunization, known as Form 680, shares similarities with the Certificate of Medical Exemption. Both documents serve to protect public health by ensuring that children receive necessary vaccinations. The Certificate of Medical Exemption is issued when a child cannot receive certain vaccines due to medical reasons. This document outlines specific medical contraindications and requires a healthcare provider's signature, similar to how Form 680 requires verification from a physician or clinic. Both forms play crucial roles in school enrollment and daycare attendance, ensuring that children are either vaccinated or exempt for valid medical reasons.

Another document comparable to Form 680 is the Immunization Record. This record details all vaccines a child has received, including dates and types of immunizations. Like the Florida Certificate of Immunization, the Immunization Record is essential for school entry and may be requested by educational institutions. Both documents help track a child's immunization history, ensuring compliance with state regulations while providing parents and guardians with a comprehensive overview of their child's vaccination status.

The Health Assessment form also bears similarities to Form 680. This document typically includes a child's overall health status, including immunization history, physical examinations, and any pertinent health concerns. Just as Form 680 confirms a child's immunization status, the Health Assessment form provides a broader picture of a child's health, which is often required for school admission. Both documents aim to ensure that children are healthy and ready for school, thereby promoting a safe learning environment.

In the context of workplace documentation and compliance, the Illinois Employee Handbook form serves as an essential resource for both employers and employees, ensuring clarity around workplace policies and expectations. By familiarizing oneself with the rights and responsibilities outlined in this form, individuals can contribute to a positive organizational culture. To access useful templates for creating or revising these essential documents, you can visit Illinois Templates PDF, which provides valuable resources tailored specifically for Illinois businesses.

The School Entry Health Form is another document that aligns with the purpose of Form 680. This form is required for school enrollment and often includes immunization records, health history, and any necessary medical information. Similar to the Florida Certificate of Immunization, the School Entry Health Form helps schools ensure that children meet health requirements before attending classes. Both documents emphasize the importance of vaccinations in maintaining public health within educational settings.

The Certificate of Vaccination is also akin to Form 680. This certificate serves as proof that a child has received the required vaccinations for school attendance. Like the Florida Certificate of Immunization, the Certificate of Vaccination is often issued by healthcare providers and must be presented during school enrollment. Both documents validate a child's immunization status and help schools maintain compliance with health regulations.

Additionally, the Child Health Record can be compared to Form 680. This record is a comprehensive document that tracks a child's health milestones, including vaccinations. It is often maintained by parents or guardians and shared with schools and healthcare providers. Similar to Form 680, the Child Health Record plays a vital role in ensuring that a child's immunization schedule is up to date, thereby supporting public health initiatives.

The Early Childhood Health Assessment form is another document that shares similarities with Form 680. This form is specifically designed for children in early childhood education settings and includes information about immunizations, health screenings, and developmental milestones. Both documents are crucial for ensuring that young children are healthy and up to date on their vaccinations, facilitating a safe and healthy environment for learning.

Lastly, the Vaccine Administration Record is comparable to Form 680. This record is typically maintained by healthcare providers and documents each vaccination a child receives, including the date and type of vaccine administered. Similar to the Florida Certificate of Immunization, the Vaccine Administration Record serves as an official account of a child's immunization history. Both documents are essential for ensuring compliance with vaccination requirements for school and daycare attendance.

Misconceptions

Misconceptions about the 680 form can lead to confusion for parents and guardians. Here are four common misunderstandings:

  1. It’s only for school-aged children. Many believe the 680 form is solely for K-12 students. However, it is also applicable for children in daycare, preschool, and family daycare homes.
  2. All immunizations must be completed before submitting the form. This isn’t entirely accurate. The form allows for temporary exemptions, meaning children can still attend school while they are in the process of completing their immunizations.
  3. Only a physician can fill out the form. While a physician's signature is often required, other authorized medical professionals can also complete the form, making it more accessible for families.
  4. The 680 form is a one-time requirement. Some parents think they only need to submit it once. In reality, updates may be necessary as children receive additional vaccinations or if their immunization status changes.

Understanding these misconceptions can help ensure that children meet the necessary immunization requirements without unnecessary delays or confusion.

File Specs

Fact Name Details
Legal Authority The 680 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 certifies that a child has received the necessary immunizations required for school attendance in Florida.
Optional Information Parents or guardians can provide the child’s Social Security number and state immunization ID number, although these fields are optional.
Immunization Records All appropriate doses and dates must be entered on the form. The completion of the form requires a signature and date from the parent or guardian.
Certificate Types There are three parts to the form: Part A (complete immunizations), Part B (temporary exemptions), and Part C (permanent exemptions).
Expiration Dates For temporary medical exemptions, an expiration date must be provided; otherwise, the exemption is invalid.
Guidelines Completion instructions and additional guidelines can be found at www.immunizeflorida.org/schoolguide.pdf, which is essential for accurate form submission.

Dos and Don'ts

When filling out the 680 form, it's important to be careful and thorough. Here are some guidelines to help you:

  • Do double-check all personal information for accuracy.
  • Do include all appropriate doses and dates for immunizations.
  • Do sign and date the certificate in the appropriate section.
  • Do refer to the Immunization Guidelines for any questions.
  • Do use the correct codes for each vaccine listed.
  • Don't leave any sections blank unless instructed.
  • Don't forget to include the child's full name and date of birth.
  • Don't submit the form without the necessary signatures.
  • Don't use outdated immunization records.
  • Don't ignore the expiration date for temporary medical exemptions.

Following these steps will help ensure that the form is completed correctly and efficiently. Take your time, and don't hesitate to seek assistance if needed.

Common mistakes

Filling out the Florida Certification of Immunization form, known as the 680 form, can be straightforward, but mistakes can happen. One common error is failing to provide complete information. This includes not entering the child’s last name, first name, or date of birth correctly. Each of these details is crucial for identification. Omitting any part of this information can lead to delays or issues with school enrollment.

Another mistake is neglecting to include all required vaccine doses. The form has specific sections for each vaccine and its corresponding doses. If any doses are missing, the form may be deemed incomplete. Parents should carefully review the immunization records to ensure every dose is documented accurately. This oversight can result in complications for the child’s school attendance.

People also often overlook the importance of signing and dating the appropriate certificate on the form. There are different sections, labeled A, B, and C, and each requires a signature. Failing to sign can invalidate the form, causing unnecessary stress and confusion. It’s essential to double-check that the correct section is signed and dated before submission.

Lastly, some individuals may forget to check the appropriate boxes for the certificate type. The form has options for K-12 immunizations, temporary medical exemptions, and permanent medical exemptions. Selecting the wrong box can lead to misunderstandings about the child’s immunization status. Taking a moment to ensure the right box is checked can prevent potential issues down the line.