Fill Your 680 Form Modify Form

Fill Your 680 Form

The 680 form, also known as the Florida Certification of Immunization, is a crucial document that verifies a child's immunization status for school attendance. It is essential for parents and guardians to accurately complete this form to ensure compliance with Florida's vaccination requirements. For assistance in filling out the form, please click the button below.

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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 immunization requirements for school attendance. This form is governed by various legal statutes and regulations, including sections of the Florida Statutes and the Florida Administrative Code. It serves as a comprehensive record of a child's immunization history, requiring parents or guardians to provide essential information such as the child's name, date of birth, and optional identifiers like Social Security and state immunization ID numbers. The form outlines specific vaccines that must be documented, including DTaP, Polio, MMR, and Varicella, along with the corresponding dates for each dose. It also includes sections for certifying the completion of immunizations, as well as options for temporary or permanent medical exemptions. Parents must follow the instructions carefully, ensuring that all necessary doses are recorded and that the appropriate certificate is signed. Additional guidelines and resources are available to assist in the completion of this important document, emphasizing its significance in promoting public health and safeguarding the well-being of children in educational settings.

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Understanding 680

  1. What is the purpose of the 680 form?

    The 680 form, officially known as the Florida Certification of Immunization, serves to document a child’s immunization status. It is required for school attendance in Florida, ensuring that children receive the necessary vaccinations to protect their health and the health of others in the community.

  2. Who needs to complete the 680 form?

    The 680 form must be completed for children entering K-12 schools in Florida, including those in daycare, preschool, and family daycare homes. It is essential for both new students and those transitioning to different educational levels, particularly when moving into 7th grade.

  3. What information is required on the 680 form?

    The form requires the child’s full name, date of birth, and, optionally, the Social Security number and state immunization ID number. Additionally, it includes sections for documenting the dates of various immunizations received, such as DTaP, MMR, and Varicella, among others.

  4. What are the different parts of the 680 form?

    The form consists of three main parts:

    • Part A: Confirms that the child has received all required immunizations for school attendance.
    • Part B: Used for children who are in the process of completing their immunizations but have not yet met all requirements.
    • Part C: Provides a space for a permanent medical exemption, where a physician can document medical reasons for not receiving certain vaccines.
  5. How do I submit the 680 form?

    Once the form is completed and signed by a healthcare provider, it should be submitted to the child’s school or daycare facility. It is advisable to keep a copy for personal records.

  6. What happens if my child does not have the 680 form?

    If a child does not have a completed 680 form, they may be unable to attend school or daycare. Schools and childcare facilities require this documentation to ensure compliance with state immunization laws.

  7. Where can I find more information about immunization requirements?

    Additional information and guidelines regarding immunization requirements can be found on the Florida Department of Health's website at www.immunizeflorida.org/schoolguide.pdf. This resource provides comprehensive details on the vaccines required for school attendance.

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

    If your child has a medical exemption, it must be documented in Part C of the 680 form. A licensed healthcare provider must provide a valid clinical reason for the exemption. Ensure this part is filled out accurately to avoid any issues with school enrollment.

Dos and Don'ts

When filling out the 680 form, keep these essential tips in mind:

  • Do ensure all required fields are completed accurately, including the child's name, date of birth, and immunization dates.
  • Do double-check the vaccine codes and corresponding dates for each dose.
  • Do sign and date the appropriate certificate (A, B, or C) to validate the form.
  • Do review the guidelines available at www.immunizeflorida.org/schoolguide.pdf for additional instructions.
  • Don't leave any optional fields blank if you have the information available; this helps avoid delays.
  • Don't forget to include the expiration date for temporary medical exemptions, as it is required.
  • Don't submit the form without a signature from a physician or authorized clinic representative.
  • Don't provide incomplete or incorrect information, as it may result in rejection of the form.