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The Florida Certification of Immunization, commonly known as the 680 form, plays a crucial role in ensuring that children meet the state's immunization requirements for school attendance. This form is essential for parents and guardians, as it documents a child's vaccination history and compliance with state laws. It includes vital information such as the child's name, date of birth, and immunization records, detailing each vaccine received along with the corresponding dates. The form also provides options for temporary or permanent medical exemptions, allowing for flexibility in cases where immunizations may not be medically advisable. To complete the 680 form accurately, individuals must follow specific guidelines outlined by the Florida Department of Health. These guidelines can be found in the Immunization Guidelines for Florida Schools, Childcare Facilities, and Family Daycare Homes. By ensuring that children are vaccinated, this form not only protects individual health but also contributes to the broader public health goal of preventing outbreaks of vaccine-preventable diseases.
Dos and Don'ts
When filling out the Florida Certification of Immunization (Form 680), it is essential to follow certain guidelines to ensure accuracy and compliance. Below are six recommendations on what to do and what to avoid during this process.
- Do provide complete and accurate information for the child's name, date of birth, and immunization details.
- Do sign and date the appropriate certificate (A, B, or C) to validate the form.
- Do review the immunization records carefully to confirm that all required doses are documented.
- Do ensure that any exemptions are clearly stated and supported by valid clinical reasoning.
- Don't leave any sections blank; all relevant fields must be filled out to avoid delays.
- Don't submit the form without checking for errors or omissions, as this could result in complications.
How to Use 680
Completing the Florida Certification of Immunization (Form 680) requires careful attention to detail. This form is essential for documenting a child's immunization status for school attendance. Following the steps below will help ensure that the form is filled out correctly.
- Begin by entering the child’s last name, first name, and middle initial in the designated fields.
- Provide the child’s date of birth in the format MM/DD/YY.
- Input the parent or guardian’s name.
- Optionally, include the child’s Social Security number and state immunization ID number if available.
- For each vaccine listed, enter the corresponding dose dates in the fields provided. Use the format MM/DD/YY for each dose.
- Select the appropriate certificate box (A, B, or C) that corresponds to the child's immunization status.
- If applicable, fill out the expiration date for any temporary medical exemption.
- For Part C, if applicable, list each vaccine that is medically contraindicated along with the valid clinical reasoning or evidence for the exemption.
- Have the physician or clinic representative sign the form and print their name.
- Enter the date of issuance in the designated field.
After completing the form, review all entries for accuracy. Ensure that all required signatures are obtained before submitting the form to the appropriate school or childcare facility.
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Documents used along the form
The Florida Certification of Immunization, known as the 680 form, is essential for school attendance and childcare enrollment. Alongside this form, several other documents may be required to ensure compliance with health regulations. Below is a list of commonly used forms and documents that may accompany the 680 form.
- DH Form 150-615: This document provides detailed immunization guidelines for schools, childcare facilities, and family daycare homes in Florida. It outlines requirements and procedures for completing the 680 form.
- Certificate of Medical Exemption: This form is used to document a child’s medical reasons for not receiving certain vaccinations. A licensed physician must complete it, specifying the medical contraindications.
- Immunization Record: This is a detailed account of a child’s vaccination history. It includes dates and types of vaccines received and may be required to verify immunization status.
- Temporary Medical Exemption Form: This form allows for a temporary exemption from vaccination requirements due to medical reasons. It should include an expiration date and must be signed by a healthcare provider.
- School Health Assessment Form: This document may be required by schools to assess a child's overall health and wellness, including immunization status and any health concerns.
- Parental Consent Form: This form is often needed to give permission for immunizations and may also cover the sharing of health information with schools and healthcare providers.
- Health Insurance Information: Schools may request proof of health insurance coverage for children, especially if vaccinations are provided through a healthcare provider.
- Proof of Residency: This document verifies the child's residence within the school district and may be required for enrollment in schools.
- Emergency Contact Form: This form provides essential contact information in case of emergencies and may include details about the child’s health conditions or allergies.
Each of these documents plays a vital role in ensuring that children meet health and safety requirements for school and childcare. Proper preparation and submission of these forms can help streamline the enrollment process and promote a healthy environment for all children.
Misconceptions
Misconceptions about the Florida Certification of Immunization (Form 680) can lead to confusion for parents and guardians. Here are ten common misunderstandings:
- Form 680 is only for school-aged children. Many believe this form is limited to K-12 students, but it also applies to children in daycare and preschool settings.
- All immunizations must be completed before submitting the form. In reality, there is a provision for temporary exemptions, allowing children to enroll while completing their immunization schedule.
- The form does not require a physician's signature. A healthcare provider must sign the form to validate the immunization records.
- Parents can fill out the form without any medical input. This is incorrect; accurate immunization dates and doses must come from a medical professional.
- Form 680 is the only document needed for school enrollment. In addition to this form, schools may require other documentation, such as proof of residency or health screenings.
- A temporary medical exemption lasts indefinitely. Temporary exemptions have an expiration date and must be updated regularly.
- Immunization records are not important after the child is enrolled. Schools may request updated records at any time, especially if there are changes in health guidelines.
- Parents cannot access their child's immunization records. Parents have the right to request and review these records from their healthcare provider.
- All vaccines listed on the form are mandatory. Some vaccines are required for school attendance, while others may be optional based on medical advice.
- The form can be filled out incorrectly without consequences. Inaccurate information can lead to enrollment issues or delays in school attendance.
Understanding these misconceptions can help ensure that children receive the appropriate immunizations and can attend school without unnecessary complications.
File Specs
| Fact Name | Description |
|---|---|
| Legal Authority | The form is governed by Sections 1003.22, 402.305, and 402.313 of the Florida Statutes, along with Rule 64D-3.046 of the Florida Administrative Code. |
| Purpose | This form certifies that a child has received the required immunizations for school attendance in Florida. |
| Optional Information | The child's Social Security Number and State Immunization ID Number are optional on the form. |
| Immunization Records | Parents or guardians must enter all appropriate doses and dates of immunizations on the form. |
| Certificate Types | There are three parts to the certificate: Part A for complete immunizations, Part B for temporary exemptions, and Part C for permanent exemptions. |
| Temporary Medical Exemption | Part B allows for a temporary medical exemption, which must include an expiration date. |
| Permanence of Exemptions | Part C is for permanent medical exemptions and requires valid clinical reasoning for each exemption listed. |
| Guidelines Availability | Additional immunization guidelines can be found at www.immunizeflorida.org/schoolguide.pdf. |
Key takeaways
Filling out the Florida Certification of Immunization, commonly referred to as the 680 form, is an important step for ensuring a child's eligibility for school attendance. Here are key takeaways to keep in mind:
- Complete Information: Ensure that all required fields are filled out accurately. This includes the child's name, date of birth, and immunization details.
- Document Immunization Doses: Clearly record all vaccine doses and their corresponding dates. This is crucial for verifying that the child meets the immunization requirements.
- Choose the Correct Certificate: Depending on the child's immunization status, select the appropriate certificate (A, B, or C). Each serves a different purpose, so understanding the distinctions is vital.
- Temporary and Permanent Exemptions: If applicable, fill out the sections for temporary or permanent medical exemptions. Be sure to include valid clinical reasoning if opting for a permanent exemption.
- Signature Requirement: A signature from a physician or authorized clinic representative is necessary. This validates the information provided and confirms the child's immunization status.
- Stay Informed: Familiarize yourself with additional guidelines available at www.immunizeflorida.org/schoolguide.pdf. This resource offers further details on immunization requirements and form completion.
By following these guidelines, parents and guardians can navigate the process of completing the 680 form with confidence, ensuring their child's compliance with school immunization requirements.