Fill in a Valid 680 Template

The Florida Certification of Immunization, commonly referred to as the 680 form, is essential for documenting a child's immunization history for school enrollment. Alongside this form, several other documents may be required to ensure comprehensive compliance with state health regulations. Below is a list of these related forms and documents, each serving a specific purpose in the immunization process.

• DH Form 150-615: This document provides detailed immunization guidelines for schools, childcare facilities, and family daycare homes in Florida. It outlines the necessary immunizations and the schedule for administration, ensuring that parents and guardians understand the requirements for school attendance.
• Certificate of Medical Exemption: This form is used to formally document a child's medical exemption from vaccinations. It requires a healthcare provider's signature and must specify the medical reasons for the exemption, ensuring that the child is not vaccinated due to legitimate health concerns.
• Immunization Record: Often provided by healthcare providers, this record lists all vaccinations a child has received. It serves as a personal health document that parents can present to schools or daycare centers to demonstrate compliance with immunization requirements.
• DH Form 680A: This variant of the 680 form is specifically designed for children in daycare and preschool settings. It captures similar immunization information but is tailored to meet the needs of younger children who may not yet be in the K-12 system.
• Temporary Medical Exemption Form: This form allows for a temporary exemption from immunization requirements. It is valid for a limited period and must be renewed if the exemption is still applicable, ensuring that children can remain in school while awaiting necessary vaccinations.
• School Health Assessment Form: Schools may require this form to evaluate a child's overall health status upon enrollment. It often includes information about immunizations, allergies, and any chronic health conditions that may affect school participation.
• California DV 260 Form: This confidential document is essential for providing critical information to law enforcement regarding a restraining order. For more information and to fill out the form, visit California PDF Forms.
• Health History Form: Parents fill out this form to provide a comprehensive overview of their child's medical history. It typically includes information on past illnesses, surgeries, and family health history, which can be important for school health personnel.
• Vaccination Reminder Card: Issued by healthcare providers, this card reminds parents of upcoming vaccinations. It helps keep track of immunization schedules and ensures that children receive all necessary doses on time.
• Parent Consent Form: This document is often required for schools to obtain permission from parents or guardians before administering any vaccinations on-site. It outlines the specific vaccines and procedures involved, ensuring informed consent.
• Emergency Contact Form: While not directly related to immunizations, this form is crucial for schools. It provides emergency contact information for parents or guardians, ensuring that school personnel can reach them in case of health-related emergencies involving their child.

Understanding these forms and documents is vital for ensuring that children meet immunization requirements for school enrollment. Parents and guardians should be proactive in gathering and completing these documents to facilitate a smooth transition into the educational environment.

When filling out the Florida Certification of Immunization (Form 680), consider the following key takeaways:

• Complete All Sections: Ensure that all required fields are filled out accurately, including the child's name, date of birth, and immunization dates.
• Use Correct Codes: Familiarize yourself with the vaccine codes listed on the form to avoid any errors in documentation.
• Sign and Date: Sign and date the appropriate certificate (A, B, or C) at the end of the form to validate the information provided.
• Temporary and Permanent Exemptions: If applicable, provide clear documentation for temporary or permanent medical exemptions, including valid clinical reasoning.
• Consult Guidelines: Review the Immunization Guidelines for Florida Schools, available at www.immunizeflorida.org/schoolguide.pdf, for detailed instructions on form completion.
• Check Expiration Dates: For temporary exemptions, ensure that an expiration date is included; the form is invalid without this information.
• Keep Copies: Retain copies of the completed form for your records and for future reference, especially during school enrollment.
• Be Aware of Deadlines: Submit the completed form promptly to meet school enrollment deadlines and avoid any issues with your child's attendance.