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Things You Should Know About This Form
What is the purpose of the 680 form?
The 680 form, also known as the Florida Certification of Immunization, serves to document a child's immunization history. Schools, childcare facilities, and family daycare homes in Florida require this form to ensure that children are vaccinated according to state guidelines. It helps maintain public health by preventing the spread of vaccine-preventable diseases.
Who needs to fill out the 680 form?
The form must be completed for children entering K-12 schools, daycare centers, and preschool programs in Florida. Parents or guardians are responsible for providing accurate immunization records for their children. This includes children who are new to the state or are entering school for the first time.
What information is required on the 680 form?
The form requires the child's full name, date of birth, and immunization details, including the types of vaccines received and the dates they were administered. Additionally, it asks for the parent's or guardian's name and, optionally, the child's Social Security number and state immunization ID number.
What are the different parts of the 680 form?
The 680 form consists of three parts: Part A certifies that the child has received all required immunizations, Part B is for those who have begun the immunization process but are not yet complete, and Part C is for children with permanent medical exemptions from vaccinations. Each part requires specific information and signatures to be valid.
How can I obtain a copy of the 680 form?
The 680 form can be obtained from various sources, including your child's healthcare provider, local health departments, and online through the Florida Department of Health's website. It is important to ensure that you have the most current version of the form, as updates may occur.
What should I do if my child has a medical exemption?
If your child has a medical exemption, you must complete Part C of the 680 form. This section requires a healthcare provider to certify that the child's medical condition contraindicates specific vaccinations. Make sure to provide valid clinical reasoning or evidence for the exemption to ensure compliance with state regulations.
Is there a deadline for submitting the 680 form?
Yes, the 680 form should be submitted before your child starts school or daycare. Each institution may have specific deadlines, so it's best to check with the school or facility for their requirements. Submitting the form on time helps prevent any delays in your child's enrollment.
File Information
| 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 | Parents or guardians can provide the child's Social Security number and a state immunization ID number, though these are not mandatory. |
| Vaccine Documentation | The form requires documentation of various vaccine doses, including DTaP, Polio, MMR, and others, with specific dates for each dose. |
| Certificate Types | Three types of certificates are available: Part A for complete immunization, Part B for temporary exemptions, and Part C for permanent medical exemptions. |
| Expiration for Exemptions | Temporary medical exemptions must include an expiration date to remain valid. |
| Completion Guidelines | Guidelines for completing the form can be found in DH Form 150-615, which is accessible online at www.immunizeflorida.org/schoolguide.pdf. |
Common mistakes
Filling out the 680 form can be straightforward, but mistakes can lead to delays or complications. One common error is not providing complete information. For example, omitting the child's full name, date of birth, or parent or guardian details can cause issues. It is essential to ensure that all fields are filled out accurately to avoid any confusion.
Another frequent mistake is misreporting vaccination dates. Each dose must have the correct date entered in the appropriate box. If someone accidentally writes the wrong date or skips a dose, it can lead to a misunderstanding about the child's immunization status. Double-checking the dates before submission is a good practice.
People sometimes overlook the importance of signing and dating the certificate. Each part of the form requires a signature and date to confirm the information provided is accurate. Without these, the form may be considered incomplete. This can delay the process of enrolling the child in school or daycare.
Finally, failing to review the guidelines can lead to mistakes. The form includes specific instructions for completion. Not following these instructions can result in missing information or incorrect entries. It is advisable to refer to the provided guidelines to ensure everything is filled out correctly.
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