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Similar forms

The Florida Certification of Immunization (Form 680) is similar to the Certificate of Immunization (Form 101) used in many states. Both forms serve to document a child's immunization status for school entry. They require details about the child's vaccinations, including the type of vaccine and the dates administered. Like Form 680, Form 101 includes sections for exemptions, ensuring that children who cannot receive certain vaccinations for medical reasons are still accounted for in school records.

Another comparable document is the Certificate of Immunization Status (CIS) commonly used in various states. The CIS provides a summary of a child’s immunization history, similar to the Florida form. It includes spaces for recording vaccine types, doses, and dates. Both documents are essential for schools to verify that children meet health requirements before enrollment, promoting a safe environment for all students.

The Immunization Record Card is another document that shares similarities with Form 680. This card is often issued by healthcare providers and contains a detailed list of vaccinations a child has received. Like the Florida form, it serves as proof of immunization and may be required for school admission. Both documents help parents keep track of their child's immunization schedule and ensure compliance with state health regulations.

The School Immunization Record is also similar to the Florida Certification of Immunization. This record is maintained by schools to track students' immunization statuses. It typically includes information about the vaccines required for school attendance and mirrors the structure of Form 680. Schools use this record to ensure that all students are immunized according to state guidelines, helping to prevent outbreaks of vaccine-preventable diseases.

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The Certificate of Medical Exemption is another document that aligns with Form 680. This certificate allows parents to formally declare that their child cannot receive certain vaccinations due to medical reasons. Both documents require a healthcare provider's signature to validate the exemption. This process ensures that children with medical contraindications are recognized and not penalized for their immunization status.

The Vaccination Record is also comparable to the Florida form. This record is often provided by healthcare providers and includes detailed information about a child's vaccinations. It serves as proof of immunization, similar to Form 680. Parents can use this record to ensure their child meets the necessary immunization requirements for school attendance, as both documents are essential for tracking vaccination history.

Lastly, the Immunization Information System (IIS) record is similar to the Florida Certification of Immunization. IIS is a state-based system that collects and maintains immunization records for individuals. Like Form 680, it provides a comprehensive overview of a child's vaccination history. Both documents are critical for ensuring that children receive the necessary immunizations for school and public health safety.

Instructions on Writing 680

Completing the 680 form is essential for ensuring that your child meets the immunization requirements for school attendance in Florida. Following these steps carefully will help you fill out the form accurately and efficiently. Make sure to have all necessary information at hand before you start.

  1. Begin by entering your child’s last name, first name, and middle initial in the designated fields.
  2. Fill in your child’s date of birth in the format MM/DD/YY.
  3. Provide the name of the parent or guardian responsible for the child.
  4. If available, include your child’s Social Security Number in the optional field.
  5. Enter the state immunization ID number if applicable, also in the optional field.
  6. In the section for vaccines, list the doses and corresponding dates for each vaccine. Use the format MM/DD/YY for each dose:
    • DTaP/DTP
    • Polio
    • D Hib
    • MMR
    • Hepatitis B
    • Varicella
    • PneumoConju
  7. Select the appropriate certificate box (A, B, or C) based on your child's immunization status:
    • Part A: Complete for K-12
    • Part B: Temporary exemption
    • Part C: Permanent exemption
  8. If applicable, fill in the expiration date for any temporary medical exemptions.
  9. Sign and date the form in the designated areas, ensuring that the authorized signature is from a physician or clinic.
  10. Finally, check all entries for accuracy before submitting the form to the appropriate school or childcare facility.

Once you have completed these steps, you can submit the form to your child’s school or childcare facility. They will review the information and ensure that all immunization requirements are met. It’s crucial to keep a copy of the completed form for your records.

Misconceptions

Here are four common misconceptions about the Florida Certification of Immunization Form (680):

  • Misconception 1: The 680 form is only for K-12 students.
  • Many believe this form is solely for K-12 students, but it also applies to children in daycare, preschool, and kindergarten. It covers various educational settings.

  • Misconception 2: All immunization records must be complete before submitting the form.
  • Some think that all immunizations must be completed before the form can be submitted. In reality, the form allows for temporary exemptions and incomplete immunization schedules, provided certain conditions are met.

  • Misconception 3: The form cannot be used for medical exemptions.
  • There is a belief that the 680 form does not accommodate medical exemptions. However, it includes a section for permanent medical exemptions, allowing parents to document valid clinical reasons for not vaccinating.

  • Misconception 4: The completion of the form is a one-time requirement.
  • Some individuals think that once the form is completed, it does not need to be updated. In fact, it may require updates if new immunizations are received or if there are changes in the child's health status.

Key takeaways

Filling out the Florida Certification of Immunization Form (680) is a crucial step for ensuring that children meet the immunization requirements for school attendance. 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 correctly. This helps avoid any issues later on.
  • Immunization Records: Enter all appropriate doses and dates for each vaccine. Double-check these entries against official immunization records to ensure accuracy.
  • Understand the Sections: The form has different parts for various situations, including complete immunization, temporary exemptions, and permanent exemptions. Familiarize yourself with these sections to complete the form appropriately.
  • Certificates: After filling out the form, sign and date the appropriate certificate (A, B, or C) as required. This signature confirms that the information provided is accurate to the best of your knowledge.
  • Expiration Dates: If applying for a temporary medical exemption, remember that the form is invalid without an expiration date. Be sure to include this information.
  • Consult Guidelines: Refer to the Florida Department of Health’s Immunization Guidelines for Schools and Childcare Facilities for detailed instructions on completing the form. This resource can clarify any uncertainties.
  • Access to Resources: Additional information and guidelines are available online at www.immunizeflorida.org/schoolguide.pdf. Utilize these resources for further assistance.
  • Medical Exemptions: If a child is medically contraindicated for certain immunizations, provide valid clinical reasoning or evidence in Part C of the form. This is essential for the exemption to be considered.

By keeping these takeaways in mind, you can navigate the process of completing the 680 form more effectively, ensuring that your child meets the necessary immunization requirements for school attendance.

File Information

Fact Name Description
Legal Authority The Florida Certification of Immunization 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 is used to document a child's immunization history for school attendance in Florida.
Completion Guidelines Parents or guardians must enter all appropriate doses and dates of immunizations. A signed certificate is required, with specific instructions available at the provided website.
Exemptions The form includes sections for temporary and permanent medical exemptions, requiring appropriate documentation and signatures from a physician or clinic.