Fill Out a Valid 680 Template

The 680 form, known as the Florida Certification of Immunization, serves as an official record of a child's immunization status. It is required for school attendance in Florida, ensuring that children have received necessary vaccinations as mandated by state law. Parents or guardians must complete the form, documenting all appropriate doses and dates, and sign the appropriate certificate.

Modify 680

The 680 form, known as the Florida Certification of Immunization, plays a crucial role in ensuring that children meet the necessary vaccination requirements for school attendance in Florida. This form is governed by various legal statutes and administrative rules, reflecting the importance of immunizations in public health. Parents or guardians must provide essential information, including the child's name, date of birth, and optional identification numbers. The form requires detailed documentation of each vaccine administered, including specific doses and dates. There are three parts to the 680 form: Part A confirms complete immunization for K-12 students, Part B allows for temporary exemptions for those still completing their vaccinations, and Part C addresses permanent medical exemptions for children unable to receive certain immunizations due to health reasons. Completing this form accurately is vital, as it ensures compliance with state regulations and helps protect the health of the community. For guidance on filling out the form, parents can refer to the Immunization Guidelines available through the Florida Department of Health.

Document 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 necessary immunizations required for school attendance in Florida.
Completion Guidelines	Instructions for completing the form can be found in DH Form 150-615, which outlines immunization guidelines for Florida schools and childcare facilities.
Optional Information	Parents or guardians may provide the child’s Social Security number and state immunization ID number, although this is not mandatory.
Certificate Types	The form includes three parts: Part A for complete immunizations, Part B for temporary exemptions, and Part C for permanent medical exemptions.
Expiration Dates	For temporary medical exemptions, an expiration date must be provided; otherwise, the exemption is considered invalid.

Common PDF Templates

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▼ 680 PDF Form

Misconceptions

Understanding the Florida Certification of Immunization form, commonly known as the 680 form, is essential for parents and guardians. However, several misconceptions surround it. Here are eight common misunderstandings:

1. The 680 form is only for school-age children. Many believe this form is only necessary for children entering K-12. In reality, it is also required for children in daycare and preschool settings.
2. All immunizations must be completed before submitting the form. This is not true. The form allows for temporary exemptions, meaning children can start school even if they haven’t completed all immunizations yet.
3. The 680 form is the same as a vaccination record. While it includes vaccination information, the 680 form serves a specific legal purpose for school enrollment, making it distinct from a general vaccination record.
4. Parents can fill out the form without any medical input. The form requires a healthcare provider's signature to verify that the immunizations are complete or to document any exemptions.
5. Only certain vaccines are required. Some think that only a few vaccines are necessary. However, the form outlines multiple vaccines that may be required based on the child’s age and school requirements.
6. A temporary medical exemption lasts indefinitely. This misconception can lead to issues. Temporary exemptions have expiration dates and must be renewed to remain valid.
7. The form can be submitted without supporting documentation. Supporting documentation, such as vaccination records, is essential when submitting the 680 form to ensure compliance with school requirements.
8. The 680 form is only needed once. Many believe they only need to submit the form at the start of school. In fact, updates may be necessary as new immunizations are administered or if the child changes schools.

Being informed about these misconceptions can help parents and guardians navigate the immunization process more effectively, ensuring that children meet the necessary requirements for school attendance.

Dos and Don'ts

When filling out the Florida Certification of Immunization (Form 680), there are several important guidelines to keep in mind. Here is a list of what you should and shouldn't do:

Do enter the child's full name, including last name, first name, and middle initial.
Do provide the date of birth in the correct format (MM/DD/YY).
Do include the parent or guardian's name to ensure proper identification.
Do list all appropriate vaccine doses and their corresponding dates accurately.
Don't leave any sections blank; ensure all required fields are completed.
Don't forget to sign and date the certificate in the appropriate section.
Don't use outdated information; refer to the latest guidelines for immunization.
Don't provide false information or misrepresent the child's immunization status.

Key takeaways

Filling out the Florida Certification of Immunization (Form 680) is an important step for ensuring that children meet school immunization requirements. Here are some key takeaways to keep in mind:

Accurate Information: Ensure that all personal details, such as the child's name, date of birth, and parent or guardian information, are filled out accurately. Mistakes can lead to delays in processing.
Complete Vaccination Records: Document all appropriate doses and dates for each vaccine. This includes entering the correct vaccine codes and ensuring that all required immunizations are listed.
Signatures Matter: The form must be signed and dated by the authorized individual, typically a physician or clinic representative. This signature verifies that the information provided is accurate and complete.
Understand Exemptions: If applicable, be aware of the options for temporary or permanent medical exemptions. Each exemption must include valid clinical reasoning and cannot be accepted without proper documentation.
Expiration Dates: For temporary medical exemptions, it is crucial to include an expiration date. Without this date, the exemption will be considered invalid.
Consult Resources: Utilize available resources, such as the Immunization Guidelines for Florida Schools, to ensure compliance with all requirements. These guidelines can provide valuable information on completing the form correctly.

By following these takeaways, parents and guardians can help ensure that their child's immunization records are accurately documented and accepted for school enrollment.