Printable 680 Form in PDF

The Florida Certification of Immunization, commonly referred to as the 680 form, is essential for documenting a child's immunization history. Along with this form, several other documents may be required or useful in the process of school enrollment or childcare registration. Below is a list of additional forms and documents often used in conjunction with the 680 form.

• DH Form 150-615: This document provides guidelines for completing the Immunization Certification form. It details the required immunizations for school and childcare facilities in Florida.
• Health Assessment Form: This form is often required by schools and childcare centers to assess a child's overall health and readiness for school.
• Physical Examination Form: A record of a child's physical examination, typically completed by a healthcare provider, to ensure they are fit for school activities.
• Emergency Contact Form: This document lists individuals to contact in case of an emergency involving the child. It is crucial for schools and childcare facilities.
• Durable Power of Attorney: Essential for allowing someone to make financial and legal decisions on your behalf; consider completing a Durable Power of Attorney form to plan for future uncertainties.
• Medication Administration Form: If a child requires medication during school hours, this form provides authorization and instructions for school staff to administer the medication.
• Special Needs Assessment Form: For children with special needs, this form helps to identify specific accommodations or services required to support their education.
• Proof of Residency: Schools often require documentation to confirm a child's residency within the district. This may include utility bills or lease agreements.
• Birth Certificate: A copy of the child's birth certificate may be required for enrollment to verify age and identity.
• Enrollment Application: This form collects essential information about the child and family, necessary for school registration.

These documents collectively support the enrollment process and ensure that children receive the necessary health and educational services. It is important to have all required paperwork completed and submitted to facilitate a smooth transition into school or childcare settings.

The Florida Certification of Immunization (Form 680) is crucial for documenting a child's immunization status for school attendance. Several other documents serve similar purposes in different contexts. Below are eight documents that share similarities with the 680 form:

• CDC Vaccination Record Card: This card provides a record of vaccinations received, similar to the 680 form, which lists immunizations by type and date. Both documents are essential for proving vaccination status.
• State Immunization Registry Records: These records compile immunization data for individuals within a state, akin to the 680 form that summarizes a child's immunization history. They serve as official proof of vaccinations.
• School Health Records: Schools maintain health records that often include immunization information. Like the 680 form, these records help ensure compliance with school health requirements.
• Medical Exemption Forms: These forms document a child's medical reasons for not receiving certain vaccinations. They are similar to Part C of the 680 form, which outlines permanent medical exemptions.
• Temporary Medical Exemption Letters: Issued by healthcare providers, these letters specify temporary exemptions from vaccinations. They parallel Part B of the 680 form, which addresses temporary exemptions for incomplete immunizations.
• Immunization Waiver Forms: These forms allow parents to opt out of vaccinations for personal beliefs. They share similarities with the 680 form in that they must be completed and submitted to schools.
• Hold Harmless Agreement: For individuals entering into activities with potential risks, the crucial Hold Harmless Agreement details the responsibilities and liabilities agreed upon by the parties involved.
• Health Insurance Provider Immunization Records: Insurance companies often provide records of vaccinations covered under health plans. These records serve a similar function to the 680 form by documenting immunization history.
• Travel Vaccination Records: Required for international travel, these records document vaccinations received for travel purposes. They are similar to the 680 form in that they provide proof of immunizations for specific requirements.

There are several misconceptions about the Florida Certification of Immunization Form, commonly referred to as the 680 form. Understanding these misconceptions can help parents and guardians navigate the immunization process more effectively. Below are eight common misunderstandings.

• Misconception 1: The 680 form is only for children entering kindergarten.

This is not true. The 680 form is required for all students entering K-12, including those in daycare and preschool. It ensures that children meet the necessary immunization requirements for school attendance.

• Misconception 2: Completing the 680 form guarantees school enrollment.

While the 680 form is essential, it does not automatically guarantee enrollment. Schools may have additional requirements, such as proof of residency or other documentation.

• Misconception 3: Parents can fill out the form without any medical records.

It is important to have accurate medical records when completing the 680 form. Parents should provide documented proof of immunizations to ensure the information is correct.

• Misconception 4: The 680 form is the only document needed for immunization compliance.

In some cases, additional documentation may be required, especially for children with medical exemptions. It is advisable to check with the specific school or daycare for their requirements.

• Misconception 5: The expiration date on a temporary medical exemption is not important.

This is incorrect. The expiration date is crucial as it indicates how long the exemption is valid. Without a valid expiration date, the exemption is considered invalid.

• Misconception 6: All immunizations must be completed before submitting the form.

Not necessarily. The 680 form allows for partial immunization records. Parents can indicate that their child has started the immunization schedule, as long as they are working towards completion.

• Misconception 7: The form can be submitted without a healthcare provider's signature.

A signature from a healthcare provider is required to validate the information on the form. This signature confirms that the immunizations listed are accurate and complete.

• Misconception 8: The 680 form is only relevant for public schools.

This is a misunderstanding. The 680 form is also necessary for private schools and childcare facilities in Florida. All educational institutions require proof of immunizations for enrollment.

1. What is the purpose of the 680 form?

   The 680 form, also known as the Florida Certification of Immunization, is used to document a child's immunization history. It is required for school attendance in Florida, ensuring that children are up-to-date on their vaccinations. This form helps schools verify that students meet the state's immunization requirements.

2. Who needs to fill out the 680 form?

   The form must be completed for children entering K-12 schools, daycare facilities, and preschool programs in Florida. It is essential for both new students and those transferring from other schools. Parents or guardians typically fill out the form, providing information about the child's immunization status.

3. What information is required on the 680 form?

   The 680 form requires several pieces of information, including:

   • Child's full name and date of birth
   • Parent or guardian's name
   • Child's social security number (optional)
   • State immunization ID number (optional)
   • Details of each vaccine received, including dates

   Additionally, the form includes sections for certifying immunization completion and any exemptions.

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

   The form is divided into three main parts:

   • Part A: Certification of immunization for K-12, confirming that a child has received all required vaccinations.
   • Part B: Temporary medical exemptions for children who are not fully immunized but are on a schedule to complete vaccinations.
   • Part C: Permanent medical exemptions for children who cannot receive certain vaccines due to medical reasons.
5. How do I obtain the 680 form?

   The 680 form can be obtained from various sources, including:

   • Your child's school or daycare facility
   • Healthcare providers, such as pediatricians or clinics
   • Florida Department of Health websites

   It's important to ensure that you are using the most current version of the form, as guidelines may change.

6. What should I do if my child has not completed their vaccinations?

   If your child has not completed their vaccinations, you can still fill out the 680 form. In this case, you would complete Part B, indicating that your child is on a schedule to receive the necessary immunizations. Make sure to keep track of upcoming vaccination appointments to ensure compliance with school requirements.

7. Are there exemptions to the immunization requirements?

   Yes, there are exemptions available. The 680 form allows for both temporary and permanent medical exemptions. A temporary exemption is for children who are in the process of receiving vaccinations, while a permanent exemption is for those who cannot receive certain vaccines due to medical contraindications. Documentation from a physician is required for both types of exemptions.

8. Where can I find more information about immunization requirements in Florida?

   For more information, you can visit the Florida Department of Health's website. They provide detailed guidelines on immunization requirements for schools, childcare facilities, and family daycare homes. You can also access the Immunization Guidelines for Florida Schools at www.immunizeflorida.org/schoolguide.pdf.