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The 680 form, officially known as the Florida Certification of Immunization, plays a crucial role in documenting a child's immunization status for school attendance in Florida. It is governed by specific legal authority outlined in the Florida Statutes and Administrative Code. The form requires essential information, including the child's name, date of birth, and, optionally, their Social Security number and state immunization ID number. Parents or guardians must provide details of the child's immunizations, including the type of vaccine and the dates administered. The form consists of several parts, including a certificate confirming that the immunizations are complete for K-12, a temporary exemption for children who have not yet completed their immunizations, and a permanent medical exemption for those unable to receive certain vaccines due to medical reasons. Proper completion of the form is vital, as it ensures compliance with state requirements for school attendance and helps maintain public health standards. For detailed guidance on filling out the form, additional resources are available through the Florida Department of Health's website.

Similar forms

The Florida Certificate of Immunization (Form 680) is similar to the CDC's Vaccine Administration Record (VAR). Both documents serve as official records of vaccinations received by an individual. The VAR is often used in healthcare settings to track immunizations, while the Form 680 is specifically tailored for educational institutions in Florida. Each document includes spaces for detailing vaccine types, administration dates, and the healthcare provider's signature, ensuring that the immunization history is well-documented and verifiable.

Another document akin to the Form 680 is the Florida Certificate of Medical Exemption. This certificate is used when a child cannot receive certain vaccinations due to medical reasons. Like the Form 680, it requires a healthcare provider's certification, but it focuses specifically on the medical rationale for not vaccinating. Both documents must be completed by a licensed professional, ensuring that the information provided is accurate and legally binding.

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The Immunization Record from a healthcare provider also shares similarities with the Form 680. This record is a comprehensive account of all vaccinations administered to an individual throughout their life. While the Form 680 is specific to school requirements in Florida, the Immunization Record can be used for various purposes, including travel and employment. Both documents highlight the importance of maintaining accurate immunization records for public health and safety.

Lastly, the School Health Assessment Form is comparable to the Form 680 in that it collects health-related information required for school entry. This form often includes sections for immunization history, health screenings, and any special health needs of the child. While the School Health Assessment Form covers a broader range of health information, the inclusion of immunization data aligns it closely with the purpose of the Form 680, which is to ensure that children meet vaccination requirements for school attendance.

More About 680

What is the purpose of the Florida 680 Form?

The Florida 680 Form, also known as the Certification of Immunization, serves as an official record of a child's immunizations. It is required for school attendance in Florida, ensuring that children are vaccinated against certain diseases. This form helps schools verify that students meet the state’s immunization requirements, which are outlined in Florida statutes and administrative codes.

Who needs to fill out the 680 Form?

The 680 Form must be completed for children who are entering K-12 schools, daycare facilities, and family daycare homes in Florida. Parents or guardians are responsible for providing accurate immunization records for their children. This includes documenting all required vaccinations and any exemptions that may apply.

What information is required on the 680 Form?

When filling out the 680 Form, several key pieces of information are necessary. This includes the child's full name, date of birth, and, optionally, their Social Security number and state immunization ID number. The form also requires details about each vaccine received, including the type of vaccine and the dates of administration. Additionally, it includes sections for certifying the completion of immunizations, temporary medical exemptions, and permanent medical exemptions.

How do I know if my child is up to date on their immunizations?

To determine if a child is up to date on their immunizations, parents should review their child's vaccination records. These records can typically be obtained from the child's healthcare provider or clinic. It is important to compare the recorded vaccinations against the immunization requirements set by the Florida Department of Health. If there are any uncertainties, consulting with a healthcare professional can provide clarity and guidance.

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

If a child has a medical exemption from immunizations, this must be documented on Part C of the 680 Form. The exemption should include valid clinical reasoning or evidence supporting the medical contraindication. This section must be completed by a physician or authorized healthcare provider. It is essential to ensure that the exemption is properly documented, as it may be required for school enrollment and attendance.

Dos and Don'ts

When filling out the Florida Certification of Immunization Form (Form 680), it is essential to adhere to certain guidelines to ensure accuracy and compliance. Below is a list of things to do and avoid during this process.

  • Do verify that all personal information is correct, including the child's full name and date of birth.
  • Do include all relevant immunization dates and doses as required in the form.
  • Do sign and date the appropriate certificate (A, B, or C) at the bottom of the form.
  • Do check the guidelines provided at the official immunization website for additional instructions.
  • Do ensure that any medical exemptions are clearly documented and include valid clinical reasoning.
  • Don't leave any sections blank; all fields must be completed to avoid delays.
  • Don't use incorrect or outdated vaccine codes; refer to the latest guidelines for accurate information.
  • Don't forget to provide the expiration date for any temporary medical exemptions.
  • Don't submit the form without reviewing it for errors or inconsistencies.

By following these dos and don'ts, you can help ensure that the immunization certification process goes smoothly for the child in question.

680 - Usage Steps

Completing the Florida Certification of Immunization (Form 680) is essential for ensuring that your child meets the immunization requirements for school attendance. Follow these steps carefully to fill out the form accurately.

  1. Gather necessary information: Collect your child's full name, date of birth, and Social Security number (optional). You will also need the parent's or guardian's name.
  2. Locate the appropriate section: Identify whether you are completing Part A, Part B, or Part C based on your child's immunization status.
  3. Fill in personal details: Write your child's last name, first name, middle initial, and date of birth in the designated fields.
  4. Enter parent or guardian information: Provide the name of the parent or guardian in the specified area.
  5. Complete the immunization details: For each vaccine, enter the dose number and the corresponding date in the format MM/DD/YY.
  6. Check the appropriate box: Indicate whether the immunizations are complete for K-12 or 7th grade, or if a temporary or permanent medical exemption applies.
  7. Sign and date the form: Ensure that the parent or guardian signs the form and includes the date of signing.
  8. Consult the guidelines: If needed, refer to the Immunization Guidelines for additional information on completing the form.

After filling out the form, review it for accuracy. Make sure all required fields are completed. Submit the form to the appropriate school or childcare facility as instructed. Keeping a copy for your records is also advisable.