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The 680 form, officially known as the Florida Certification of Immunization, is a crucial document that records a child's immunization status. This form is essential for school enrollment and outlines the required vaccinations according to Florida law. Parents and guardians can ensure their child's compliance by filling out the form accurately; click the button below to get started.

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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 immunization requirements set forth by state law. This form is governed by several legal authorities, including specific sections of the Florida Statutes and the Florida Administrative Code. It is designed to document the immunization history of children attending schools, daycare facilities, and family daycare homes in Florida. The form requires essential information such as the child's name, date of birth, and immunization records for various vaccines, including DTaP, MMR, and Hepatitis B. Parents or guardians are responsible for accurately filling out the form, which includes sections for certifying complete immunizations, temporary exemptions, and permanent medical exemptions. Each section requires a signature from a physician or authorized clinic representative to validate the immunization status. Detailed guidelines for completing the form can be found in the Immunization Guidelines for Florida Schools, available online. Understanding the significance of the 680 form is essential for ensuring compliance with state immunization requirements and safeguarding public health.

Document Specs

Fact Name Details
Legal Authority Sections 1003.22, 402.305, 402.313, Florida Statutes; Rule 64D-3.046, Florida Administrative Code
Form Purpose This form certifies a child's immunization status for school attendance in Florida.
Optional Information Child’s Social Security Number and State Immunization ID are optional to provide.
Vaccine Documentation Parents must enter doses and dates for each required vaccine.
Certificate Types There are three parts: A (complete immunizations), B (temporary exemptions), and C (permanent exemptions).
Expiration Date Temporary medical exemptions must include an expiration date to be valid.
Physician Signature A physician or authorized clinic must sign the form to certify the immunization status.
Availability of Guidelines Immunization guidelines can be found at www.immunizeflorida.org/schoolguide.pdf.

Key takeaways

Here are some key takeaways for filling out and using the Florida Certification of Immunization (Form 680):

  • Complete all sections: Ensure that all required fields, such as the child's name, date of birth, and immunization details, are filled out accurately.
  • Document doses carefully: Record each vaccine dose with the corresponding date. Double-check for accuracy to avoid any issues later.
  • Use the correct certificate: Choose the appropriate certificate (A, B, or C) based on the child's immunization status.
  • Temporary exemptions: If the child has not completed their immunizations, fill out Part B and include an expiration date for the exemption.
  • Permanently exempted: For children who cannot receive certain vaccines, use Part C and provide valid clinical reasoning for the exemption.
  • Sign and date: The form must be signed and dated by a physician or authorized clinic representative to be valid.
  • Check for additional guidelines: Refer to the Immunization Guidelines available online for further instructions on completing the form.
  • Keep copies: Retain a copy of the completed form for your records and provide another to the child’s school or daycare as needed.

Documents used along the form

The Florida Certification of Immunization, commonly referred to as the 680 form, is essential for documenting a child's immunization status for school attendance. Several other forms and documents often accompany the 680 form to provide additional information or fulfill specific requirements. Below is a list of these documents, each described briefly.

  • DH Form 150-615: This document outlines the immunization guidelines for Florida schools, childcare facilities, and family daycare homes. It provides detailed instructions on how to complete the 680 form and ensures compliance with state regulations.
  • Temporary Medical Exemption Form: This form is used when a child cannot receive certain vaccinations for a limited time due to medical reasons. It must include an expiration date and is valid only if signed by a licensed physician.
  • Permanent Medical Exemption Form: This document certifies that a child has a permanent medical condition that contraindicates specific vaccinations. It requires a detailed explanation from a physician regarding the medical reasoning behind the exemption.
  • School Enrollment Form: This form is often required by schools for enrollment purposes. It typically includes basic information about the child and may request immunization records as part of the registration process.
  • Health History Form: This document collects comprehensive health information about the child. It may include past illnesses, allergies, and previous vaccinations, providing a complete picture of the child's health status.
  • Consent for Treatment Form: Parents or guardians may need to sign this form to authorize medical treatment for their child. It is often required for schools or daycare facilities to ensure they have permission to act in case of a medical emergency.
  • Proof of Residency Form: Many schools require proof of residency to confirm that a child lives within the district. This document may include utility bills, lease agreements, or other official documents that verify the child's address.
  • Georgia Motor Vehicle Bill of Sale: For a comprehensive understanding of the vehicle ownership transfer process in Georgia, it’s important to utilize the Legal PDF Documents as a resource for the required forms.
  • Birth Certificate: A copy of the child's birth certificate is frequently required for school enrollment. It serves to verify the child's identity and age, ensuring compliance with age-related school requirements.
  • Immunization Record: This is a comprehensive record that details all vaccinations a child has received. It is often required by schools to ensure that children meet the necessary immunization requirements for attendance.

These documents collectively help ensure that a child's health and immunization status are accurately recorded and maintained, facilitating compliance with state regulations and school policies. Proper documentation is crucial for the safety and well-being of children in educational settings.

How to Write 680

Completing the 680 form is essential for documenting a child's immunization status in Florida. Follow these steps carefully to ensure all required information is accurately recorded.

  1. Gather necessary information: Collect the child's last name, first name, middle initial, date of birth, parent or guardian name, child's Social Security number (optional), and state immunization ID number (optional).
  2. Locate the vaccine section: Find the area designated for vaccine doses and dates on the form.
  3. Fill in vaccine details: For each vaccine listed, enter the dates for each dose received (up to five doses). Use the format MM/DD/YY.
  4. Select the appropriate certificate: Choose between Part A, Part B, or Part C based on the child's immunization status.
  5. Complete Part A: If the child has completed all required immunizations for K-12 or 7th grade, check the corresponding box and sign the certificate.
  6. Complete Part B: If the child is incomplete for immunizations, check the appropriate box, provide an expiration date for the temporary medical exemption, and sign.
  7. Complete Part C: If the child has a permanent medical exemption, list each vaccine and provide valid clinical reasoning. Sign and include the physician or clinic name.
  8. Review the form: Double-check all entries for accuracy and completeness before submission.
  9. Submit the form: Provide the completed form to the appropriate school or daycare facility.

Misconceptions

Here are eight common misconceptions about the Florida Certification of Immunization Form 680:

  • The 680 form is only for school-aged children. This form is required for children in daycare, preschool, and all grades up to 12, not just for those in K-12.
  • You can submit the form without all immunizations completed. The form allows for temporary exemptions, but it is important to provide accurate information regarding immunization status.
  • All immunizations must be recorded on the 680 form. Only the vaccines required for school attendance need to be listed. Other vaccines may not be necessary for this form.
  • Once the form is submitted, it never needs to be updated. If a child receives additional immunizations, the form should be updated to reflect the new information.
  • The 680 form is the same as a general vaccination record. This form is specifically designed for school and daycare requirements, while general vaccination records may not meet these specific criteria.
  • You cannot get a medical exemption. The form includes a section for medical exemptions, but valid clinical reasoning must be provided by a physician.
  • The expiration date is optional for temporary exemptions. The expiration date is required for temporary exemptions; without it, the exemption is invalid.
  • Parents can fill out the form without any professional assistance. While parents can complete the form, it is advisable to consult with a healthcare provider to ensure all information is accurate and complete.

Other PDF Forms

Similar forms

The Florida Certificate of Immunization (Form 680) shares similarities with the CDC's Immunization Record. Both documents serve as official proof of a person's vaccination status. The CDC's form is often used for children and adults alike, detailing the vaccines received and their dates. Like the Florida form, it may include exemptions for medical reasons and is critical for school enrollment and travel requirements.

Another comparable document is the State Vaccination Record. Many states have their own version of an immunization record that aligns with local laws and requirements. This document, like the Florida Certificate, captures the vaccination history of an individual and is necessary for school registration and certain healthcare services. Both documents emphasize the importance of accurate record-keeping for public health purposes.

The National Childhood Vaccine Injury Act (NCVIA) Immunization Record also resembles the Florida 680 form. This document is used to track vaccinations in children and to ensure compliance with federal vaccination requirements. Similar to the Florida form, it includes spaces for documenting vaccine types, dates, and any exemptions, thereby helping to maintain a comprehensive immunization history.

The Health Department Immunization Certificate is another similar document. Issued by local health departments, this certificate verifies that an individual has received the required vaccinations. Much like the Florida Certificate of Immunization, it is often needed for school entry and can include medical exemptions, ensuring that children are protected against preventable diseases.

The School Health Record is also akin to the Florida 680 form. This document is maintained by schools to track students’ health information, including immunization status. It is essential for monitoring compliance with state health regulations and is often required for enrollment. Both documents aim to promote a healthy school environment by ensuring students are adequately vaccinated.

The International Certificate of Vaccination or Prophylaxis (ICVP) is another document that shares similarities with the Florida form. This international travel document provides proof of vaccination against specific diseases, such as yellow fever. Like the Florida Certificate, it requires detailed information about the vaccines administered and serves as a safeguard against outbreaks during travel.

The Medical Exemption Form is also similar, specifically in its purpose to document exemptions from vaccinations due to medical reasons. This form, like Part C of the Florida 680, requires a physician's signature and rationale for the exemption. Both documents play a crucial role in ensuring that those who cannot receive vaccinations for health reasons are still accounted for in public health records.

When navigating important documents related to motorcycle transactions, one may consider the California Motorcycle Bill of Sale as integral to ensuring the legitimacy of the sale. This bill not only provides necessary details about the transaction but also solidifies the transfer of ownership, safeguarding both buyer and seller. To create or obtain this essential form, you can visit https://fillable-forms.com for a comprehensive template.

The Vaccine Administration Record (VAR) is another comparable document. This record is maintained by healthcare providers to document the administration of vaccines to patients. Similar to the Florida Certificate, it includes details about the vaccine type, date administered, and patient information. Both documents are essential for maintaining accurate immunization records.

Additionally, the School Entry Health Form often mirrors the Florida 680 form. This document is required by many states for school entry and includes information about a child's immunization status. Like the Florida Certificate, it helps ensure that children meet vaccination requirements before attending school, thus promoting public health.

Lastly, the Immunization Information System (IIS) record is similar in that it serves as a comprehensive database for tracking immunization histories. IIS records are maintained by public health agencies and include information similar to that found on the Florida Certificate. Both documents are crucial for ensuring that individuals are up-to-date on their vaccinations and for monitoring public health trends.