680 Template Access Editor

680 Template

The Florida Certification of Immunization, commonly referred to as the 680 form, is a crucial document that verifies a child's immunization status for school attendance. This form is required by Florida law and ensures that children are protected against various preventable diseases. To get started on completing this important form, click the button below.

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The Florida Certification of Immunization, commonly known as the 680 form, plays a crucial role in ensuring that children meet the necessary immunization requirements for school and daycare attendance. This form is essential for parents and guardians, as it documents a child’s vaccination history, including the specific vaccines received and the dates they were administered. It includes sections for various vaccines, such as DTaP, MMR, and Hepatitis B, providing a clear record of compliance with state mandates. Additionally, the form allows for temporary and permanent medical exemptions, catering to children who may not be able to receive certain vaccinations for valid medical reasons. Parents must carefully fill out the appropriate sections, ensuring all doses are recorded accurately. The completion of the 680 form not only helps protect public health by promoting immunization but also facilitates a smooth enrollment process for children in Florida's educational settings. For detailed guidelines on how to complete the form, resources are available through the Florida Department of Health, making it easier for families to navigate this important requirement.

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Key takeaways

When filling out the Florida Certification of Immunization form, commonly referred to as the 680 form, several important points should be kept in mind. Understanding these key takeaways can help ensure that the process goes smoothly and that all necessary information is accurately provided.

  • Accurate Information: It is essential to enter the child’s full name, date of birth, and other identifying details correctly. Mistakes in this section can lead to delays or complications in school enrollment.
  • Immunization Records: All appropriate doses and dates of vaccinations must be documented clearly. Each vaccine should be listed with the corresponding date it was administered to provide a complete immunization history.
  • Certificates: After filling out the required sections, make sure to sign and date the appropriate certificate (A, B, or C). This step is crucial as it certifies that the information provided is accurate and complete.
  • Exemptions: If a child has a medical exemption from certain vaccinations, it is important to clearly state the clinical reasoning or evidence for this exemption in Part C of the form. This ensures compliance with state regulations.
  • Review Guidelines: Familiarize yourself with the immunization guidelines available at the provided website. These guidelines offer valuable information on completing the form and understanding the requirements for school attendance.
  • Temporary Medical Exemptions: For children who are not fully immunized, ensure that the expiration date for any temporary medical exemption is included. Without this date, the exemption may be considered invalid.

By keeping these takeaways in mind, parents and guardians can navigate the completion of the 680 form more effectively, ensuring that their child meets the necessary immunization requirements for school enrollment in Florida.

Your Questions, Answered

What is the Florida Certification of Immunization (Form 680)?

The Florida Certification of Immunization, commonly known as Form 680, is a document that verifies a child's immunization status. It is required for school attendance in Florida, ensuring that children are up-to-date on necessary vaccinations. The form is governed by specific Florida statutes and administrative rules to maintain public health standards.

Who needs to complete Form 680?

Form 680 must be completed for children entering K-12 schools, daycare facilities, and family daycare homes in Florida. It is essential for both new students and those transitioning to different educational levels, particularly for those entering 7th grade, where additional immunization requirements apply.

What information is required on Form 680?

The form requires various details, including the child's full name, date of birth, and immunization records. Parents or guardians must provide information about the vaccines received, including the dates of each dose. Optional fields include the child's Social Security number and state immunization ID number.

How do I know if my child's immunizations are complete?

To determine if your child's immunizations are complete, review their vaccination records against the requirements outlined in the form. The form includes specific vaccine codes and spaces to record the dates of administration. If your child has received all necessary doses, you will check the appropriate boxes in Part A of the form.

What should I do if my child has not completed their immunizations?

If your child has not completed their immunizations, you can still fill out Form 680 by using Part B, which is designated for children who are in the process of receiving their vaccinations. You will need to provide a schedule for completing the required immunizations and indicate that additional vaccines are not medically indicated at this time.

What is the difference between a temporary and permanent medical exemption?

A temporary medical exemption is applicable for children who cannot receive certain vaccinations for a limited time due to medical reasons. This exemption must include an expiration date. In contrast, a permanent medical exemption is for children who are medically contraindicated for specific vaccines indefinitely. This section requires a physician's certification and clinical reasoning for the exemption.

How do I submit Form 680?

After completing Form 680, you should submit it to the appropriate school or childcare facility where your child will be attending. Ensure that all required sections are filled out accurately and that the form is signed by a healthcare provider if necessary. Keeping a copy for your records is also recommended.

Where can I find additional information about immunization requirements in Florida?

Additional information regarding immunization requirements and guidelines can be found on the Florida Department of Health's website. Specifically, you can visit www.immunizeflorida.org/schoolguide.pdf for comprehensive resources and updates related to immunization for schools and childcare facilities.

What should I do if I have further questions about Form 680?

If you have further questions about Form 680 or the immunization process, consider reaching out to your child's healthcare provider or the school’s administrative office. They can provide guidance and clarify any uncertainties you may have regarding the form or immunization requirements.

Guide to Using 680

Filling out the Florida Certification of Immunization form (Form 680) is a straightforward process that requires careful attention to detail. This form must be completed accurately to ensure that the child's immunization records are properly documented for school or daycare attendance. Below are the steps to guide you through the completion of this important form.

  1. Gather Required Information: Collect the child's full name (last name, first name, middle initial), date of birth, and Social Security number (optional). Also, have the parent or guardian's name ready.
  2. Locate the Immunization Records: Obtain the child's immunization history, which should include the dates and types of vaccines received.
  3. Fill in the Child's Information: In the designated fields, enter the child's last name, first name, middle initial, date of birth, parent or guardian's name, and optional Social Security number.
  4. Document Immunization Doses: For each vaccine listed, enter the date of each dose received in the corresponding fields (Dose 1, Dose 2, etc.). Make sure to follow the correct vaccine codes provided on the form.
  5. Select the Appropriate Certificate: Choose the correct certificate (A, B, or C) based on the child's immunization status. Indicate if the child has completed the required immunizations or if there are exemptions.
  6. Sign and Date the Form: The parent or guardian must sign and date the form, certifying that the information is accurate and complete.
  7. Review for Accuracy: Before submitting, double-check all entries for accuracy and completeness to avoid any delays or issues.

After completing the form, it should be submitted to the appropriate school or daycare facility. They will review the information to ensure compliance with immunization requirements. If there are any questions or concerns, the facility may reach out for clarification or additional documentation.