Get 680 Template in PDF Open Editor

Get 680 Template in PDF

The 680 form is the Florida Certification of Immunization, essential for documenting a child's immunization status for school attendance. This form ensures that children meet the state's vaccination requirements, promoting public health and safety. Parents or guardians must complete the form accurately and submit it to the appropriate educational institution.

Open Editor

Misconceptions

  • Misconception 1: The 680 form is only for school-aged children.
  • This form is applicable for children in daycare, preschool, and grades K-12. It addresses immunization requirements across various age groups.

  • Misconception 2: Completing the 680 form guarantees school enrollment.
  • While the form is necessary for school attendance, it must be filled out accurately and in accordance with state guidelines. Missing or incorrect information can delay enrollment.

  • Misconception 3: A temporary medical exemption means no immunizations are required.
  • A temporary medical exemption allows for a delay in immunizations, but it does not eliminate the requirement. Parents must ensure that the child receives the necessary vaccines once the exemption expires.

  • Misconception 4: The 680 form does not require a physician's signature.
  • A signature from a physician or authorized clinic is essential for validating the information on the form. This adds credibility to the immunization records provided.

  • Misconception 5: The 680 form is a one-time requirement.
  • Immunization records may need to be updated regularly. Parents should be aware of ongoing requirements as their child progresses through different school grades or daycare levels.

Documents used along the form

The Florida Certification of Immunization Form 680 is an essential document for ensuring that children meet the immunization requirements for school attendance. Alongside this form, several other documents may be required or helpful in the process of immunization verification and compliance. Below is a list of additional forms and documents that are commonly used in conjunction with the 680 form.

  • DH Form 150-615: This form provides detailed immunization guidelines for Florida schools, childcare facilities, and family daycare homes. It includes instructions on how to complete the 680 form and outlines the immunization requirements.
  • Certificate of Medical Exemption: This document is issued by a physician when a child is medically exempt from receiving certain vaccinations. It must specify the vaccines that are contraindicated and the medical reasoning behind the exemption.
  • Medical Power of Attorney Form: This legal document allows you to appoint someone to make medical decisions on your behalf if you are unable to do so. For more information, you can refer to All Colorado Documents.
  • Immunization Records: Parents or guardians may need to provide official immunization records from healthcare providers. These records serve as proof of the vaccines a child has received and are crucial for completing the 680 form.
  • Temporary Medical Exemption Form: This form is used for children who are temporarily unable to receive vaccinations due to medical reasons. It must include an expiration date and be signed by a healthcare provider.
  • School Enrollment Forms: Many schools require additional enrollment forms that may ask for immunization status. These forms help schools maintain accurate health records for all students.
  • Health History Form: Some schools or childcare facilities may request a health history form that includes information about the child’s medical background, allergies, and previous illnesses, which can impact immunization decisions.
  • Parental Consent Form: This form is often required for schools to obtain permission from parents or guardians to administer vaccinations on-site or to share immunization records with health authorities.

In summary, the Florida Certification of Immunization Form 680 is often accompanied by various documents that help ensure compliance with immunization requirements. Each of these forms plays a vital role in safeguarding the health of children and the broader community.

Consider Other Forms

Dos and Don'ts

When filling out the 680 form, there are some important dos and don'ts to keep in mind. Following these guidelines can help ensure that the process goes smoothly.

  • Do fill in all required fields completely and accurately.
  • Do double-check the dates of immunizations to make sure they are correct.
  • Do sign and date the appropriate certificate at the end of the form.
  • Don't leave any sections blank; incomplete forms may be rejected.
  • Don't forget to include the expiration date for temporary medical exemptions.
  • Don't use abbreviations or shorthand that could confuse the reader.

By following these tips, you can help ensure that the 680 form is filled out correctly and efficiently.

Form Specs

Fact Name Description
Legal Authority The 680 form is governed by Sections 1003.22, 402.305, and 402.313 of the Florida Statutes, as well as Rule 64D-3.046 of the Florida Administrative Code.
Purpose This form certifies that a child has received the necessary immunizations for school attendance in Florida.
Optional Information Parents can provide the child's Social Security number and state immunization ID number, though these are not mandatory.
Immunization Records All immunization doses and dates must be entered on the form, ensuring accurate documentation for school requirements.
Certificate Types The form includes different certificates (A, B, or C) to indicate the type of immunization status: complete, temporary, or permanent exemptions.
Temporary Medical Exemption Part B allows for a temporary medical exemption, which must include an expiration date to be valid.
Permanent Medical Exemption Part C is for children with permanent medical exemptions, requiring a physician's certification and clinical reasoning.
Completion Guidelines For detailed instructions on how to complete the form, refer to DH Form 150-615, available at www.immunizeflorida.org/schoolguide.pdf.
Form Version The current version of the 680 form was last updated in July 2010, with a stock number of 5740-000-0680-6.

Discover More on 680

What is the purpose of the Florida 680 form?

The Florida 680 form, officially known as the Certification of Immunization, serves to document a child’s immunization history. It is primarily used for school enrollment, ensuring that children meet the required immunization standards set by the state of Florida. This form is essential for K-12 students and is necessary for attendance in daycare and preschool programs as well.

Who needs to fill out the 680 form?

The 680 form must be completed for children entering kindergarten through 12th grade in Florida. Additionally, it is required for children in daycare, family daycare homes, and preschool programs. Parents or guardians are responsible for providing accurate immunization records for their children on this form.

What information is required on the 680 form?

To complete the 680 form, the following information is required:

  • Child’s full name (last name, first name, middle initial)
  • Date of birth
  • Parent or guardian's name
  • Child’s social security number (optional)
  • State immunization ID number (optional)
  • Details of each vaccine received, including dates and doses

Additionally, the form includes sections for certifying the completion of immunizations, temporary medical exemptions, and permanent medical exemptions.

What are the different parts of the 680 form?

The form is divided into three main parts:

  1. Part A: This section confirms that the child has received all required immunizations for school attendance.
  2. Part B: This is for children who have not completed their immunizations but are on a schedule to do so. It must include an expiration date for validity.
  3. Part C: This part is for children who have a medical exemption from immunizations, requiring a physician's signature and explanation.

How can I obtain the 680 form?

The Florida 680 form can be obtained from various sources. It is available at healthcare providers' offices, local health departments, and schools. Additionally, you can download the form from the Florida Department of Health's website or access it through the Immunize Florida website.

Is there a deadline for submitting the 680 form?

Yes, the 680 form must be submitted before a child can enroll in school or daycare. Each school or facility may have its own specific deadlines, so it is advisable to check with them directly. Generally, it is recommended to submit the form as early as possible to avoid any enrollment issues.

What happens if my child does not have the required immunizations?

If a child does not have the required immunizations, they may be denied enrollment in school or daycare. However, parents can submit a temporary medical exemption if the child is in the process of getting vaccinated. It is important to communicate with the school or daycare regarding the child's immunization status to explore available options.

Can I use the 680 form for children who are not in Florida?

The 680 form is specific to Florida and is designed to meet the state’s immunization requirements. If you are moving from another state or enrolling a child who has been vaccinated elsewhere, you will likely need to provide the immunization records from that state or healthcare provider. It is best to consult with the new school or daycare for their specific requirements.

Where can I find additional information about immunization requirements?

For more detailed information about immunization requirements in Florida, you can visit the Florida Department of Health's website or refer to the Immunization Guidelines for Florida Schools, Childcare Facilities, and Family Daycare Homes. These resources provide comprehensive guidance on completing the 680 form and understanding immunization requirements.