Structure
The Florida Certification of Immunization, commonly referred to as the 680 form, serves as a vital document for parents and guardians ensuring that children meet immunization requirements for school attendance. This form is governed by various legal authorities, including specific sections of the Florida Statutes and administrative codes, which outline its importance in public health and education. The 680 form collects essential information such as the child's name, date of birth, and immunization history, while also allowing for optional details like the child's Social Security number and state immunization ID. Parents or guardians must accurately fill out the appropriate doses and dates for various vaccines, including DTaP, MMR, and Hepatitis B, among others. The form includes sections for certifying complete immunizations, temporary exemptions, and permanent medical exemptions, thus accommodating diverse health needs. Clear instructions guide users on how to complete the form correctly, emphasizing the necessity of signing and dating the appropriate certificate. For those seeking additional resources, guidelines are readily available online, ensuring that families have access to the information needed for compliance. Understanding the 680 form is crucial for parents navigating the immunization landscape in Florida, particularly as it relates to their children's educational journey.
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Documents used along the form
When completing the Florida Certification of Immunization, also known as the 680 form, several other documents may be required to ensure compliance with state regulations. These documents help provide a comprehensive view of a child's immunization status and any exemptions that may apply. Below is a list of common forms that are often used alongside the 680 form.
- DH Form 150-615: This document contains immunization guidelines for Florida schools, childcare facilities, and family daycare homes. It provides detailed instructions on how to complete the 680 form and outlines the immunization requirements for children attending these institutions.
- Hold Harmless Agreement - A crucial legal document, the Hold Harmless Agreement, aims to protect parties involved in various transactions. For more information, you can visit New York PDF Docs.
- Certificate of Medical Exemption: This form is used when a child cannot receive certain vaccinations due to medical reasons. It must be signed by a licensed physician and should clearly state the medical contraindications for the specified vaccines.
- Temporary Medical Exemption Form: This form is utilized for children who are temporarily unable to receive vaccinations. It indicates that the child has begun the immunization process but has not yet completed it. An expiration date must be provided to validate the exemption.
- Immunization Records: These records are essential for tracking a child's vaccination history. They should detail all vaccines received, including dates and types, and are often required to verify compliance with school entry requirements.
- Parental Consent Form: This document is necessary when a parent or guardian provides permission for their child to receive vaccinations. It ensures that the healthcare provider has the authority to administer the vaccines as per the immunization schedule.
These documents work together to create a clear and accurate picture of a child's immunization status. It is crucial to keep all records organized and up-to-date to facilitate a smooth process for school enrollment and compliance with state regulations.
Dos and Don'ts
When filling out the Florida Certification of Immunization (Form 680), it is crucial to follow specific guidelines to ensure accuracy and compliance. Here are four things to do and avoid:
- Do: Provide complete and accurate information in all required fields, including the child’s full name and date of birth.
- Do: Review the immunization records carefully before submission to ensure all doses and dates are correctly entered.
- Do: Sign and date the appropriate certificate (A, B, or C) as required for the specific immunization status.
- Do: Consult the Immunization Guidelines available at www.immunizeflorida.org/schoolguide.pdf for additional instructions.
- Don't: Leave any fields blank; missing information can lead to delays or rejections.
- Don't: Use outdated or incorrect vaccine codes; ensure you are using the latest information.
- Don't: Forget to include an expiration date for temporary medical exemptions; this is necessary for validity.
- Don't: Submit the form without double-checking for errors or inconsistencies in the immunization data.
Key takeaways
When filling out the Florida Certification of Immunization (Form 680), there are several important points to keep in mind:
- Understand the Purpose: This form certifies that a child has received the required immunizations for school attendance in Florida.
- Gather Necessary Information: Collect the child’s full name, date of birth, and parent or guardian details before starting the form.
- Immunization Records: Ensure you have accurate records of all immunizations, including doses and dates.
- Use Correct Codes: Familiarize yourself with the vaccine codes provided on the form to accurately document immunizations.
- Choose the Right Certificate: Sign and date the appropriate certificate (A, B, or C) based on the child’s immunization status.
- Temporary Exemptions: If applicable, fill out Part B for temporary medical exemptions, ensuring to include an expiration date.
- Permanent Exemptions: For permanent medical exemptions, use Part C and provide valid clinical reasoning for each vaccine listed.
- Consult Guidelines: Refer to the Immunization Guidelines for Florida Schools for detailed instructions on completing the form.
- Keep Copies: Make copies of the completed form for your records and for the child's school.
- Submit on Time: Ensure the form is submitted to the school by the deadline to avoid any issues with enrollment.
By following these key takeaways, parents and guardians can ensure that the Form 680 is completed accurately and efficiently, facilitating a smooth school enrollment process for their children.
Steps to Using 680
Filling out the 680 form is an important step in documenting your child's immunization records for school or daycare. Follow these steps carefully to ensure all information is accurate and complete.
- Begin by entering your child's last name, first name, and middle initial in the designated fields.
- Next, provide your child's date of birth in the format MM/DD/YY.
- Fill in the parent or guardian's name in the appropriate section.
- If you choose to, enter your child's Social Security number and state immunization ID number. These are optional.
- In the section labeled "VACCINE," enter the names of the vaccines your child has received.
- For each vaccine, record the dates of administration for each dose (up to five doses) in the format MM/DD/YY.
- After entering the vaccine information, select the appropriate box for the Certificate of Immunization (Part A, B, or C).
- If applicable, fill in the expiration date for any temporary medical exemption.
- Complete the certification statement by signing and dating the form.
- Finally, ensure that the physician or clinic name and authorized signature are provided, along with the date of issue.
Once the form is completed, make sure to keep a copy for your records. Submit the original to the appropriate school or childcare facility as required. This will help ensure that your child meets all necessary immunization requirements for attendance.
Listed Questions and Answers
What is the purpose of the 680 form?
The 680 form, also known as the Florida Certification of Immunization, serves as an official record of a child's immunizations. It is required for school attendance in Florida and ensures that children are vaccinated according to state health regulations.
Who needs to fill out the 680 form?
Parents or guardians of children entering K-12 schools, daycare facilities, or preschool programs in Florida must complete the 680 form. It is essential for documenting that the child has received the necessary vaccinations.
What information is required on the 680 form?
The form requires the following information:
- Child's last name, first name, and 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
What are the different parts of the 680 form?
The 680 form consists of three parts:
- Part A: For children with complete immunizations for K-12.
- Part B: For children who have started their immunization schedule but are not yet complete.
- Part C: For children with permanent medical exemptions from specific vaccines.
How do I submit the 680 form?
After completing the form, submit it to the child's school or daycare facility. Ensure that it is signed and dated by the appropriate authority, such as a physician or clinic representative.
What if my child has a medical exemption?
If your child has a medical condition that contraindicates immunizations, you must complete Part C of the 680 form. This section requires a physician's statement outlining the medical reasons for the exemption.
Where can I find more information about the 680 form?
For additional guidance on completing the 680 form, refer to the Immunization Guidelines for Florida Schools, Childcare Facilities, and Family Daycare Homes. The guidelines are available online at www.immunizeflorida.org/schoolguide.pdf .