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The Florida Certification of Immunization, commonly referred to as the 680 form, plays a crucial role in ensuring that children meet the necessary immunization requirements for school attendance in Florida. This form is governed by various legal statutes and administrative rules that outline its importance in public health and safety. Parents or guardians must provide essential information, including the child’s name, date of birth, and immunization history. The form allows for the documentation of multiple vaccine doses, such as DTaP, Polio, and MMR, among others, ensuring that children are adequately protected against preventable diseases. Additionally, the 680 form includes options for temporary and permanent medical exemptions, allowing for flexibility in cases where vaccinations may not be advisable due to health concerns. Completing this form accurately is vital, as it not only helps schools verify compliance with immunization laws but also contributes to the broader goal of maintaining community health. For detailed instructions on filling out the form, resources are available through the Florida Department of Health, guiding families through the process of documenting their child's immunization status.
Similar forms
The FLORIDA CERTIFICATION OF IMMUNIZATION form, commonly referred to as the 680 form, serves a crucial role in documenting a child's immunization status for school attendance. Several other documents share similarities with the 680 form, as they also pertain to health records and immunizations. Here are four such documents:
- CDC Immunization Record Card: This card is issued by healthcare providers and contains a detailed history of a person's vaccinations. Like the 680 form, it lists specific vaccines received along with the dates. Both documents serve as proof of immunization, essential for school enrollment and other activities.
- State Immunization Registry Records: Many states maintain immunization registries that track vaccination records for residents. These records are similar to the 680 form in that they provide a comprehensive overview of a child's immunization history. They can be accessed by parents and healthcare providers, ensuring that accurate information is readily available.
- School Health Records: Schools often maintain health records that include immunization status, health screenings, and other medical information. These records share the same purpose as the 680 form, which is to ensure that children meet health requirements for school attendance. They are essential for tracking a child's health and ensuring compliance with state laws.
- California Last Will and Testament Form: To ensure your final wishes are honored, refer to our comprehensive California Last Will and Testament resources for detailed guidance on this important legal document.
- International Certificate of Vaccination or Prophylaxis (ICVP): This document is recognized globally and provides proof of vaccination for international travel. Like the 680 form, it includes details about the vaccines administered and their dates. Both documents are critical for demonstrating compliance with immunization requirements, whether for school or travel.
Guidelines on Writing 680
Filling out the 680 form requires careful attention to detail. Each section must be completed accurately to ensure that the immunization records are properly documented. Follow these steps to fill out the form correctly.
- Begin by entering the child’s last name, first name, and middle initial in the designated fields.
- Input the child’s date of birth in the format MM/DD/YY.
- Provide the name of the parent or guardian in the appropriate section.
- If applicable, fill in the child’s Social Security number (optional).
- Enter the state immunization ID number if available (optional).
- In the section labeled VACCINE, list the vaccines received by the child.
- For each vaccine, record the dates of administration for Dose 1 through Dose 5 in the format MM/DD/YY.
- Select the appropriate box for the Certificate of Immunization based on the child's immunization status.
- Sign and date the certificate in the designated area.
- If applicable, complete the sections for Temporary Medical Exemption or Permanent Medical Exemption, providing necessary details and signatures.
After completing the form, ensure that all information is accurate and legible. This form will be used to verify the child's immunization status for school attendance. Keep a copy for your records before submitting it to the appropriate school or childcare facility.
Form Data
| Fact Name | Description |
|---|---|
| Legal Authority | The form is governed by Sections 1003.22, 402.305, 402.313 of the Florida Statutes and 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 can provide the child's Social Security number and state immunization ID number, although these are optional fields. |
| Completion Instructions | Parents must enter all appropriate doses and dates, then sign and date the certificate on the form. |
| Exemption Options | The form allows for temporary and permanent medical exemptions, requiring specific documentation and signatures. |
| Guidelines Access | For detailed instructions on completing the form, visit www.immunizeflorida.org/schoolguide.pdf. |
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