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Common mistakes

  1. Incomplete Information: Many individuals fail to fill out all required fields, such as the child's full name, date of birth, or parent/guardian information. Missing details can delay processing.

  2. Incorrect Dates: Entering incorrect immunization dates is a common error. Ensure that each dose's date is accurate and follows the proper format (MM/DD/YY).

  3. Wrong Vaccine Codes: Using incorrect vaccine codes can lead to confusion. Each vaccine has a specific code that must be entered correctly to ensure compliance with state regulations.

  4. Not Signing the Certificate: Some forget to sign the appropriate certificate (A, B, or C) at the bottom of the form. A missing signature invalidates the entire submission.

  5. Ignoring Expiration Dates: For temporary medical exemptions, failing to include an expiration date renders the exemption invalid. Always check that this date is included and accurate.

Key takeaways

Here are key takeaways regarding the completion and use of the Florida Certification of Immunization (680 form):

  • Accurate Information: Ensure all personal details, such as the child's name and date of birth, are filled out correctly to avoid processing delays.
  • Immunization Records: Enter all appropriate vaccine doses and dates clearly in the designated sections of the form.
  • Certificate Signing: Sign and date the appropriate certificate (A, B, or C) at the bottom of the form to validate the information provided.
  • Review Guidelines: Refer to DH Form 150-615 for detailed instructions on how to complete the form. This document is crucial for ensuring compliance.
  • Temporary Exemptions: If applicable, include a temporary medical exemption with a specified expiration date. This is necessary for incomplete immunizations.
  • Permanently Exempt: For permanent medical exemptions, provide valid clinical reasoning for each vaccine listed in Part C of the form.
  • Submission: Submit the completed form to the appropriate school or childcare facility promptly to ensure the child’s enrollment is not affected.

Listed Questions and Answers

What is the purpose of the 680 form?

The 680 form, also known as the Florida Certification of Immunization, is used to document a child's immunization history. It is required for school attendance in Florida, ensuring that children are vaccinated according to state guidelines. This form helps schools verify that students have received the necessary immunizations to protect their health and the health of others.

Who needs to fill out the 680 form?

The form must be completed for children entering K-12 schools, daycare facilities, family daycare homes, preschools, and kindergartens in Florida. Parents or guardians are responsible for filling out the form with the child's immunization details.

What information is required on the 680 form?

Key information includes the child's name, date of birth, parent or guardian's name, and immunization details. The form requires specific vaccine doses and dates, as well as the child's Social Security number and state immunization ID number, although these last two are optional.

What are the different parts of the 680 form?

The form is divided into three parts. Part A certifies that a child has completed all required immunizations for K-12 or 7th grade. Part B is for children who are in the process of completing their immunizations. Part C is for those with permanent medical exemptions due to contraindications for certain vaccines.

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

If your child has a medical exemption, you will need to complete Part C of the 680 form. You must list each vaccine that is contraindicated and provide valid clinical reasoning or evidence for the exemption. A physician or authorized clinic must sign this part of the form.

How do I obtain the 680 form?

The 680 form can be obtained from healthcare providers, schools, or directly from the Florida Department of Health website. Additionally, it may be available at immunization clinics and pediatric offices across the state.

Is there a deadline for submitting the 680 form?

Yes, the 680 form should be submitted before the start of the school year or upon enrollment in daycare or preschool. It is important to ensure that the form is completed and submitted on time to avoid any issues with school attendance.

Where can I find more information about immunization requirements?

Additional information about immunization requirements and guidelines can be found on the Florida Department of Health's website. The specific guidelines for schools, childcare facilities, and family daycare homes are available at www.immunizeflorida.org/schoolguide.pdf.

Documents used along the form

The Florida Certification of Immunization, commonly known as the DH 680 form, is essential for documenting a child's immunization status for school enrollment. Alongside this form, several other documents may be required to ensure compliance with state regulations. Below is a list of additional forms and documents that are often used in conjunction with the DH 680.

  • DH Form 150-615: This document provides immunization guidelines for Florida schools, childcare facilities, and family daycare homes. It outlines the necessary immunizations for different age groups and includes instructions for completing the DH 680 form.
  • Temporary Medical Exemption Form: This form is used when a child is temporarily exempt from receiving certain vaccinations due to medical reasons. It must include an expiration date and be signed by a qualified healthcare provider.
  • Permanent Medical Exemption Form: This document certifies that a child cannot receive specific immunizations for valid medical reasons. It requires detailed clinical reasoning and must be signed by a physician.
  • Health Records: Comprehensive health records may be required to provide a complete history of the child's immunizations. These records can be obtained from healthcare providers and should include dates and types of vaccines received.
  • School Enrollment Forms: These forms are necessary for registering a child in school and may include various personal information, emergency contacts, and health history, including immunization status.
  • New York Promissory Note: For those needing a formal loan agreement, access our detailed New York promissory note guidelines to ensure clarity and legal compliance in your transactions.
  • Proof of Residency: Schools often require documentation to verify a child's residency within the district. This can include utility bills, lease agreements, or other official documents that confirm the child's address.

Understanding these documents and their purposes can help ensure a smooth enrollment process for children in Florida schools. Properly completing and submitting the DH 680 along with the necessary supporting documents is crucial for compliance with state immunization requirements.