Blank 680 Form

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

   The Florida Certification of Immunization, commonly referred to as Form 680, serves as official documentation that a child has received all required immunizations for entry into schools and daycare facilities. Schools in Florida are mandated by law to collect proof of immunizations as part of the enrollment process, ensuring that children are protected from certain communicable diseases.

2. Who needs to complete Form 680?

   Form 680 needs to be completed for any child enrolling in a Florida school or daycare facility. This includes K-12 students as well as children in preschool, kindergarten, and family daycare homes. Additionally, children entering 7th grade have specific immunization requirements that must also be fulfilled by filling out this form.

3. What information is required on Form 680?

   The form requires detailed information, including:

   • The child’s full name and date of birth.
   • The parent or guardian’s contact information.
   • The child’s social security number and state immunization ID (optional).
   • The specific vaccines received and their dates.

   It’s essential to enter all doses correctly and sign the appropriate certificate (A, B, or C) based on the immunization status.

4. What should I do if my child has a medical exemption?

   If your child is medically contraindicated for certain vaccines, you must indicate this on Part C of the form. Here, you'll list each vaccine that is contraindicated and provide valid clinical reasoning for the exemption. A physician or clinic must authorize this exemption with their signature. It’s crucial to have this documentation ready for school enrollment, as incomplete forms will not be accepted.

When filling out the Florida Certification of Immunization form (often referred to as the 680 form), many people encounter issues that can lead to unnecessary delays or complications. One common mistake is failing to include all required information. This includes the child’s full name, date of birth, parent or guardian details, and any necessary vaccine doses. Missing even a small piece of information can render the form incomplete.

Another frequent error is inaccurate or incomplete vaccine dates. Each dose must be documented with the corresponding date, and each date should be in the correct format (MM/DD/YY). When dates are incorrect or formatted poorly, the records may be questioned, causing issues when the child attempts to enroll in school or daycare.

People often make the mistake of not selecting the appropriate certificate box at the end of the form. Depending on the child’s immunization status, the form must accurately reflect whether the child has completed all necessary vaccines for school attendance, is in the process of obtaining them, or qualifies for a medical exemption. Choosing the wrong option can lead to misunderstandings regarding the child's immunization status.

Another oversight that many make involves failing to sign and date the certificate. The form requires a signature from either the physician or authorized professional, confirming that the information provided is accurate to the best of their knowledge. Without a signature, the form may be deemed invalid, leading to complications during submission.

In some cases, parents or guardians provide incorrect information in the immunization ID field. While this field is optional, if provided, it should be accurate. Confusion can arise if there are discrepancies between the ID number and the child's actual immunization records.

A common mistake people overlook is not completing the exemption sections accurately. If a child qualifies for a temporary or permanent medical exemption, it is essential to include ample details about the medical condition. This should cover the specific vaccines involved and valid clinical reasoning or evidence for the exemption. Vague or insufficient details could jeopardize the exemption status.

People also tend to neglect to review the completed form before submission. A thorough review of the document can catch minor mistakes or inconsistencies that could lead to significant complications later. Taking a few extra moments to ensure accuracy can save time and frustration.

Lastly, some may ignore accompanying guidelines and resources. The form references the Immunization Guidelines for Florida schools, which can be essential for understanding requirements and best practices. Familiarizing oneself with these guidelines is crucial to filling out the form correctly and effectively.

The Florida Certification of Immunization, commonly referred to as the 680 Form, is instrumental for ensuring children are vaccinated in accordance with state requirements for school attendance. Alongside this form, several other documents and forms play an essential role in this process. Each serves a specific function, helping to maintain accurate health records for children, particularly when enrolling in educational and childcare environments.

• DH Form 150-615: This document provides comprehensive immunization guidelines for Florida schools, childcare facilities, and family daycare homes. It offers detailed instructions for form completion, ensuring accurate information is submitted.
• Temporary Medical Exemption Form: This form certifies that a child is temporarily exempt from receiving specific vaccinations due to medical reasons. It includes an expiration date and requires documentation to support the exemption claim.
• Permanent Medical Exemption Form: Used by parents or guardians to declare that their child cannot receive certain vaccinations permanently due to valid medical reasons. Specific vaccines must be listed along with clinical evidence for the exemption.
• Health Assessment Form: Often required for school entry, this form provides a comprehensive overview of a child’s overall health, including medical history, physical exams, and immunization status.
• Shot Record: A documented history of vaccines already administered to a child. This record is used to track immunizations completed and ensure all requirements are met for enrollment in school or daycare.
• Screening Questionnaire for Vaccines: A questionnaire that must be filled out prior to vaccination. It helps healthcare providers assess any potential precautions or contraindications before administering vaccines.
• School Entry Health Requirement Form: This form outlines health requirements that must be fulfilled prior to a child entering school. It includes immunization schedules and the necessary documentation to ensure compliance.
• Parental Consent Form: Required when administering vaccines to minors, this form grants permission for healthcare providers to give vaccinations. It is essential for legal and medical accountability.

By familiarizing oneself with these documents associated with the 680 Form, parents can navigate the immunization process more effectively. Ensuring that all necessary paperwork is accurately completed will help safeguard children’s health and allow for smooth transitions into educational settings.

The FLORIDA CERTIFICATION OF IMMUNIZATION form, commonly known as the DH 680 form, is essential for documenting a child's immunization history. This document is similar to several other important forms that also serve to certify immunization status or medical exemptions. Below are eight other documents that share similarities with the DH 680 form:

• Immunization Record (VR-207): This document is issued by many states to provide a detailed account of the immunizations a child has received. Like the DH 680, it includes dates and types of vaccines administered.
• School Immunization Compliance Form: Schools often have their own versions of immunization compliance forms. These documents serve to ensure that students meet state immunization requirements, paralleling the purpose of the DH 680.
• Certificate of Immunization (CIS): Used in several states, this certificate details a child’s vaccination history. It is akin to the DH 680 in that both certify immunization statuses needed for school entry.
• Medical Exemption Form: Similar to Part C of the DH 680, a medical exemption form is used to document medical reasons for not receiving certain vaccines, thus protecting the child's enrollment status.
• Religious Exemption Form: This document provides a formal declaration of a parent or guardian’s belief that prevents their child from receiving vaccines. It functions similarly to the exemption sections of the DH 680 form.
• Health Assessment Form: Often required for school enrollment, this form includes health information including immunization records, paralleling the information found on the DH 680.
• State Vaccination Registry List: Many states maintain a vaccination registry that tracks immunizations. This registry shares the fundamental goal of documenting vaccination status, similar to the DH 680's intent.
• Annual Health Review Form: Used in various educational settings, this form requires families to update health and immunization records annually. It serves a similar purpose as the DH 680, ensuring compliance and awareness of vaccination status.

Each of these documents plays a vital role in the assurance of public health and school safety, echoing the importance of the DH 680 in verifying immunizations.

When filling out the Florida Certification of Immunization form (Form 680), there are several important dos and don'ts to keep in mind. Following these guidelines can help ensure your submission is accurate and complete.

• Do read the entire form carefully before you begin filling it out.
• Do provide accurate personal information, including the child's full name and date of birth.
• Do include the immunization dates in the specified format (MM/DD/YY).
• Do double-check all dosage and vaccine entries for accuracy before submission.
• Do sign the appropriate section of the form to certify the information provided.

• Don't leave any required fields blank; this could delay processing.
• Don't use a pencil to complete the form; always use a blue or black pen.
• Don't forget to check the documentation requirements for any exemptions.
• Don't forget to review the instructions provided in the Immunization Guidelines before filling the form out.
• Don't submit the form without making sure you have the right certificates attached.

Completing the form correctly helps ensure that your child's immunization records are properly documented. Take your time and follow these recommendations for a smoother process.

• Misconception 1: The 680 form is only for children entering kindergarten.

This form applies to all K-12 students, including those in daycare and grades 1 through 12, not just kindergarteners.

• Misconception 2: Any doctor can complete the 680 form.

The form must be signed by a licensed physician or authorized healthcare provider who has access to the child's immunization records.

• Misconception 3: Immunization records do not need to be detailed.

Every vaccine dose must be documented with the corresponding date of administration on the form.

• Misconception 4: The 680 form is optional for school admission.

Schools in Florida generally require this form to confirm that a child’s immunizations are up to date for enrollment.

• Misconception 5: You can use the 680 form for college admission.

This form is intended for K-12 and may not fulfill the requirements for college or university enrollment.

• Misconception 6: The immunization exemptions are the same for all students.

The form includes different sections for permanent and temporary exemptions, each with specific requirements.

• Misconception 7: The 680 form can be submitted without a signature.

A valid signature from a licensed medical professional is necessary for the form to be considered complete.

• Misconception 8: Parents can fill out all sections of the form independently.

Parents should only fill out certain sections; a medical professional must provide verification of immunizations.

• Misconception 9: The 680 form never expires.

The Temporary Medical Exemption section must include an expiration date, which indicates its validity period.

• Misconception 10: The 680 form is the only document needed for immunization verification.

While the 680 form is crucial, schools might require additional documentation or forms, so always check with your child’s school.

Filling out the Florida Certification of Immunization Form, commonly known as the 680 form, is a key step in ensuring a child’s readiness for school or daycare. Here are some essential takeaways to understand the process better:

• Accurate Information is Essential: Ensure that all information entered, such as name, date of birth, and immunization dates, is accurate. Inaccuracies can delay school registration or affect a child’s eligibility for specific programs.
• Understand Vaccine Requirements: Different educational levels may have distinct immunization requirements. Read carefully to know what is necessary for K-12 and middle school specifically, as outlined in the applicable sections of Florida law.
• Documentation is Key: Complete documentation of all vaccine doses is vital. Each vaccine must be recorded with the corresponding date to demonstrate compliance with state immunization laws.
• Temporary and Permanent Exemptions: If appropriate, understand the procedures for applying for temporary or permanent medical exemptions. This requires proper documentation and a clinical rationale backed by a healthcare provider.
• Certificates Require a Signature: After completing the form, it must be signed and dated. This signature validates the information provided and must come from an authorized healthcare provider.
• Expiration Dates Matter: If applying for a temporary medical exemption, remember to include an expiration date. The form will be considered invalid without this crucial piece of information.
• Stay Informed: Be proactive in keeping up with guidelines and changes in immunization laws. Resources are available online at official Florida immunization websites to ensure that you have the most accurate and recent information.

Completing the 680 form is not just a bureaucratic hurdle; it’s a fundamental step in safeguarding the health of children in Florida's educational system. Take the time to ensure all aspects of the form are properly executed to facilitate smooth enrollment.