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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 for school attendance. This form is governed by various legal authorities, including sections of the Florida Statutes and the Florida Administrative Code. It collects essential information about the child, such as their name, date of birth, and immunization history. Parents or guardians must provide details of all appropriate vaccine doses and their corresponding dates. The form includes specific sections to indicate whether a child has completed their immunizations or if they are eligible for temporary or permanent medical exemptions. It is important to follow the guidelines provided, which can be found in the Immunization Guidelines for Florida Schools, Childcare Facilities, and Family Daycare Homes. Proper completion of the 680 form not only ensures compliance with state regulations but also helps protect the health and well-being of children in educational settings.

Dos and Don'ts

When filling out the Florida Certification of Immunization form (Form 680), it’s important to ensure that the process goes smoothly. Here are some helpful dos and don’ts to keep in mind.

  • Do double-check all personal information before submitting the form. Accurate details like the child's name and date of birth are crucial.
  • Do make sure to fill in all required vaccine doses and dates. Incomplete information can lead to delays in processing.
  • Do sign and date the appropriate certificate section. Your signature confirms that the information provided is true and complete.
  • Do review the immunization guidelines provided. They can offer valuable insight into the requirements for school attendance.
  • Don't leave any sections blank unless specifically instructed. Each part of the form serves a purpose and should be completed.
  • Don't forget to include any optional information, such as the child's Social Security number or state immunization ID, if available. This can help in tracking records.
  • Don't submit the form without verifying the expiration dates for any exemptions. Invalid exemptions can lead to complications.
  • Don't rely solely on memory. Gather all immunization records beforehand to ensure accuracy in what you report.

Key takeaways

When filling out the Florida Certification of Immunization Form (680), consider these key takeaways:

  • Accurate Information: Ensure all fields are filled out correctly, including the child's name, date of birth, and immunization dates. Any inaccuracies can lead to delays in school enrollment.
  • Documentation: Gather all necessary vaccination records before starting. This will help you accurately document each vaccine dose and its corresponding date.
  • Signature Requirement: Remember that the form requires a signature from a physician or authorized clinic representative. This signature verifies the immunization records provided.
  • Understand Exemptions: If applicable, be familiar with the temporary and permanent medical exemption options. Each requires specific documentation and reasoning to be valid.

Guide to Writing 680

Completing the 680 form is a crucial step in ensuring that your child's immunization records are accurately documented. This form is essential for school enrollment and may require attention to detail. Below are the steps to guide you through the process of filling out the form correctly.

  1. Begin by entering the child's last name, first name, and middle initial in the designated fields.
  2. Provide the child's date of birth in the format MM/DD/YY.
  3. Fill in the name of the parent or guardian.
  4. If applicable, include the child's Social Security Number in the optional field.
  5. Enter the state immunization ID number if available, also optional.
  6. Proceed to document the immunizations. For each vaccine listed, enter the date of administration for each dose in the corresponding fields labeled Dose 1, Dose 2, etc.
  7. Make sure to include the correct vaccine code next to each immunization date.
  8. Once all immunizations are recorded, select the appropriate certificate section (A, B, or C) that applies to your child's immunization status.
  9. Sign and date the form in the designated area to certify the information provided.
  10. Finally, ensure that the completed form is submitted as required, keeping a copy for your records.

After completing the form, it is advisable to review the information for accuracy. If you have any questions or need assistance, refer to the immunization guidelines available at the provided link or consult with a healthcare professional. Timely submission of this form can prevent delays in your child's school enrollment process.

Frequently Asked Questions

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

    The Florida Certification of Immunization, commonly known as Form 680, serves as an official record of a child's immunizations. This form is essential for school enrollment in Florida, ensuring that children meet the state’s vaccination requirements. It documents the vaccines a child has received, providing proof to schools and childcare facilities that the child is protected against certain diseases.

  2. Who is responsible for completing Form 680?

    Typically, a parent or guardian completes Form 680. However, a healthcare provider may also fill out the form based on the child's immunization records. It is crucial that the information provided is accurate and up-to-date, as schools rely on this documentation to determine a child’s eligibility for attendance.

  3. What are the different parts of Form 680 and what do they signify?

    Form 680 is divided into three parts:

    • Part A: This section indicates that a child has completed all required immunizations for K-12 school attendance, excluding middle school requirements.
    • Part B: This part is for children who are in daycare or preschool and have not yet completed all required immunizations. It certifies that the child has started the immunization process.
    • Part C: This section is used for children who have a permanent medical exemption from receiving certain vaccines. It requires a physician's signature and an explanation of the medical reasons for the exemption.
  4. How can I obtain the necessary immunization records to complete Form 680?

    To obtain immunization records, parents or guardians should contact the healthcare provider or clinic where the child received vaccinations. Many clinics maintain electronic records that can be accessed easily. Additionally, parents can check with the Florida Department of Health or visit www.immunizeflorida.org/schoolguide.pdf for guidelines on immunizations and the completion of Form 680.

Similar forms

The Florida Certification of Immunization (Form 680) is similar to the Certificate of Immunization Status (CIS) used in various states. Like the 680 form, the CIS provides a record of immunizations received by a child. It includes personal information such as the child's name and date of birth, along with a detailed list of vaccines administered. Both forms serve the purpose of ensuring that children meet the immunization requirements for school attendance, thereby promoting public health and safety.

Another document comparable to the 680 form is the School Immunization Record. This record is typically maintained by schools to track the immunization status of enrolled students. Similar to the Florida form, it includes details about each vaccine, including dates administered and any exemptions. The School Immunization Record is essential for school administrators to verify compliance with state immunization laws, ensuring that children are protected against vaccine-preventable diseases.

When considering the various forms related to vehicle transactions, one must ensure they have the correct documentation, including comprehensive details about the vehicle’s specifications. For instance, having an Auto Bill of Sale can serve as a critical tool during this process, as it formalizes the sale and provides essential protection for both the buyer and the seller.

The Immunization Information System (IIS) is also akin to the 680 form. This electronic database collects and maintains immunization records for individuals across various jurisdictions. Like the 680 form, the IIS allows healthcare providers and parents to access a child's immunization history. It plays a crucial role in public health initiatives by helping to identify vaccination trends and outbreaks in communities.

The Certificate of Medical Exemption is another document that aligns with the 680 form. This certificate is issued when a child is medically unable to receive certain vaccinations. Similar to the Permanent Medical Exemption section of the 680 form, it requires documentation from a healthcare provider explaining the medical reasons for the exemption. Both documents are vital for ensuring that children who cannot be vaccinated for health reasons are still able to attend school.

The Vaccine Administration Record (VAR) is also comparable to the Florida Certification of Immunization. The VAR is a detailed account of all vaccines administered to an individual, including dates and types of vaccines. Like the 680 form, it serves as an official record to demonstrate compliance with immunization requirements for school entry. The VAR is often utilized by healthcare providers to ensure that patients receive necessary vaccinations on schedule.

In addition, the Health Department Immunization Record shares similarities with the 680 form. This record is often issued by local health departments and contains information about vaccinations given to children. It includes personal identification details and a comprehensive list of immunizations. Both documents aim to provide proof of immunization status for school enrollment and other purposes, ensuring that children are adequately protected against infectious diseases.

Lastly, the Universal Child Health Record is akin to the 680 form in that it encompasses a wide range of health information, including immunization history. This document is often used by pediatricians to track a child's overall health and development. Like the Florida form, it includes sections for recording immunizations and any medical exemptions, providing a comprehensive overview of a child's health status as they grow.

Documents used along the form

The Florida Certification of Immunization, commonly known as the DH 680 form, is essential for children attending school or childcare facilities in Florida. Alongside this form, several other documents may be required to ensure compliance with immunization laws and regulations. Here’s a list of related forms and documents that are often used in conjunction with the DH 680 form.

  • DH Form 150-615: This document provides comprehensive immunization guidelines for Florida schools, childcare facilities, and family daycare homes. It outlines the necessary immunizations and the appropriate schedules for children.
  • Certificate of Medical Exemption: This form is used when a child cannot receive certain vaccinations due to medical reasons. It must be completed by a licensed physician and provides documentation of the medical condition that prevents immunization.
  • DH Form 681: This form serves as the Florida Certificate of Immunization for children under the age of 18. It includes information on vaccinations received and is often required for school enrollment.
  • Immunization Records: These are official documents from healthcare providers that detail the immunizations a child has received. They are crucial for verifying a child's vaccination status when submitting the DH 680 form.
  • Health Assessment Form: This form may be required by some schools and childcare facilities. It typically includes a general health evaluation and any necessary health history relevant to the child's well-being.
  • Wisconsin Motorcycle Bill of Sale - Essential for documenting the sale or transfer of a motorcycle, this form ensures proper evidence of ownership change. For your convenience, you can download the form in pdf.
  • Parental Consent Form: This document is often needed for children to receive vaccinations. It must be signed by a parent or guardian, granting permission for the child to be immunized.
  • School Enrollment Forms: These forms are required for new students and may include sections where parents must provide immunization information, ensuring that all necessary vaccinations are recorded before school attendance.

Understanding these documents can help streamline the process of ensuring that children are properly immunized and compliant with state regulations. Each form plays a critical role in maintaining public health and ensuring that children can safely participate in educational and childcare settings.

Misconceptions

Understanding the Florida Certification of Immunization, commonly known as the 680 form, is crucial for parents and guardians. However, several misconceptions can lead to confusion. Here’s a list of seven common misunderstandings about the 680 form:

  • Misconception 1: The 680 form is only for school-aged children.
  • In reality, this form is required for children in daycare, preschool, and K-12 settings. It covers immunization records for various age groups.

  • Misconception 2: A child's Social Security Number (SSN) is mandatory on the form.
  • The SSN is optional. Parents can choose to leave this section blank if they prefer not to provide it.

  • Misconception 3: All vaccines must be completed before submitting the form.
  • Not necessarily. The form allows for temporary exemptions, meaning children can still attend school while completing their immunization schedule.

  • Misconception 4: The 680 form can be filled out by anyone.
  • Only authorized healthcare providers or physicians can complete and sign the form. This ensures that the information is accurate and valid.

  • Misconception 5: There is no expiration date for temporary medical exemptions.
  • Temporary exemptions must include an expiration date. Without this, the exemption is invalid.

  • Misconception 6: The 680 form is the same as a vaccination record.
  • While it includes vaccination information, the 680 form serves as a certification specifically for school attendance, which is distinct from a general vaccination record.

  • Misconception 7: Parents can submit the form anytime without consequences.
  • Timely submission is essential. Delays can affect a child's enrollment in school or daycare, so it’s important to act promptly.

Being informed about these misconceptions can help ensure that children meet immunization requirements efficiently. Always consult with a healthcare provider for the most accurate guidance.