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The 680 form, officially known as the Florida Certification of Immunization, plays a crucial role in ensuring that children meet the immunization requirements for school attendance in Florida. This form is governed by specific legal statutes and administrative rules that outline its importance in public health and safety. Parents or guardians must provide essential information about their child, including their name, date of birth, and optional identification numbers. The form requires the documentation of various vaccine doses, including DTaP, Polio, MMR, and more, with specific dates for each dose. It is essential to complete the appropriate sections of the form, which include certifications for complete immunizations, temporary medical exemptions, and permanent medical exemptions. Each section has its own requirements and must be signed by a physician or authorized clinic representative. The guidelines for completing the 680 form are readily available, ensuring that parents have the resources they need to navigate this process effectively. Ultimately, this form not only facilitates school enrollment but also promotes a healthier community by tracking vaccination records.

Document Details

Fact Name Details
Legal Authority Sections 1003.22, 402.305, 402.313, Florida Statutes; Rule 64D-3.046, Florida Administrative Code
Form Purpose The form certifies that a child has received the necessary immunizations for school attendance in Florida.
Optional Information Child’s Social Security Number and State Immunization ID Number are optional on the form.
Immunization Documentation Details of vaccine doses and dates must be entered, including various vaccines like DTaP, Polio, and MMR.
Exemption Options Parents can apply for temporary or permanent medical exemptions if immunizations are contraindicated.
Completion Guidelines Refer to DH Form 150-615 for detailed instructions on completing the form and understanding immunization requirements.

Dos and Don'ts

When filling out the Florida Certification of Immunization Form (680), it's important to approach the task with care. Here’s a list of things you should and shouldn’t do:

  • Do ensure all personal information is accurate, including the child's name, date of birth, and parent or guardian details.
  • Do enter all vaccine doses and dates clearly, using the correct format (MM/DD/YY).
  • Do sign and date the appropriate certificate section (A, B, or C) to validate the form.
  • Do review the guidelines provided for any specific instructions related to immunizations.
  • Don’t leave any required fields blank, as this could delay processing.
  • Don’t use abbreviations or shorthand that may lead to confusion.
  • Don’t submit the form without checking for errors or omissions.
  • Don’t forget to include any necessary documentation for exemptions if applicable.

Documents used along the form

The Florida Certification of Immunization, commonly referred to as the 680 form, is an essential document for school enrollment and childcare in Florida. Alongside this form, several other documents are often required to ensure compliance with state regulations. Below is a list of related forms and documents that may be used in conjunction with the 680 form.

  • DH Form 150-615: This document provides immunization guidelines for Florida schools, childcare facilities, and family daycare homes. It outlines the necessary vaccinations and schedules for children.
  • New Jersey Promissory Note: To facilitate financial agreements, refer to the detailed New Jersey promissory note options for establishing clear repayment terms.
  • Health Assessment Form: A general health assessment that may be required for school entry. It includes information about the child's medical history and current health status.
  • Emergency Contact Form: This form collects essential contact information for parents or guardians. It is crucial for schools to have this information in case of emergencies.
  • Enrollment Application: A standard application form that parents complete when enrolling their child in a school or daycare. It includes personal information and educational history.
  • Proof of Residency: Documentation that verifies the child's residence within the school district. This may include utility bills, lease agreements, or mortgage statements.
  • Physical Examination Form: A form completed by a healthcare provider that indicates the child has undergone a physical examination. It often includes immunization records as part of the assessment.
  • Special Needs Assessment: If applicable, this document outlines any special educational needs or accommodations required for the child. It ensures that schools can provide the necessary support.
  • Medical Release Form: A form that grants permission for school personnel to seek medical treatment for the child in case of an emergency. It typically requires parental signatures.
  • Medication Authorization Form: This form allows parents to authorize school staff to administer medication to their child during school hours. It includes details about the medication and dosage.

These documents collectively support the health and safety of children in educational settings. Parents should ensure that all necessary forms are completed and submitted to facilitate a smooth enrollment process.

Similar forms

  • Form I-693: Report of Medical Examination and Vaccination Record - This form is used by individuals applying for certain immigration benefits in the U.S. It documents the results of a medical examination, including vaccination history. Like the 680 form, it requires detailed information about immunizations and is essential for school and immigration purposes.

  • Form DS-3025: Vaccination Documentation Worksheet - This document is utilized for U.S. passport applicants who are minors. It provides a record of vaccinations received, similar to the 680 form, which also tracks immunization history. Both forms serve to ensure that children are vaccinated according to public health standards.

  • CDC Vaccine Administration Record - This record is maintained by healthcare providers to document the administration of vaccines. It resembles the 680 form in that it captures detailed information about each vaccine given, including dates and types of vaccines, ensuring compliance with health regulations.

  • New York Certificate of Incorporation: This essential document is necessary for establishing a corporation legally within the state. It details vital elements such as the corporation's name, purpose, and share structure, and is especially important for understanding the formal requirements outlined by the New York State Department of State. For further information, you can visit nyforms.com/new-york-certificate-template/.
  • School Health Records - Many schools require a health record that includes immunization status. This document is similar to the 680 form as it provides a comprehensive overview of a child's vaccinations and is often required for school enrollment.

  • State Immunization Registry Records - States maintain immunization registries to track vaccination data for public health purposes. These records share similarities with the 680 form by documenting immunization history, ensuring that children receive the necessary vaccines in a timely manner.

Common mistakes

Completing the Florida Certification of Immunization, commonly referred to as the 680 form, is essential for ensuring that children meet the immunization requirements for school attendance. However, several common mistakes can hinder the process and lead to complications. Understanding these pitfalls can make a significant difference.

One frequent error occurs when parents or guardians fail to provide accurate dates for the immunizations. Each vaccine dose must be documented with the correct administration date in the specified format (MM/DD/YY). If any date is entered incorrectly or omitted entirely, it could result in delays in processing the form. Double-checking this information before submission can save time and frustration.

Another mistake involves misunderstanding the sections of the form. The 680 form includes multiple parts: Part A, Part B, and Part C, each serving a different purpose. Parents often mistakenly fill out the wrong part or neglect to complete all necessary sections. It is crucial to read the directions carefully and ensure that the appropriate part corresponds to the child’s immunization status.

Additionally, some individuals overlook the importance of signing and dating the certificate. This step is not merely a formality; it is a legal requirement. Without a signature, the form is considered invalid. Parents should remember to sign and date the certificate after completing the necessary information to ensure it is processed smoothly.

In some cases, individuals may incorrectly select the DOE codes that indicate the child's immunization status. Choosing the wrong code can lead to confusion and may require resubmission of the form. Understanding the specific codes—such as those for complete immunizations or exemptions—is vital for accurate reporting.

Lastly, parents sometimes forget to check for additional requirements that may apply, especially for children entering specific grades. For example, the 7th grade has unique immunization requirements that differ from those for K-12. Staying informed about these requirements can prevent unnecessary complications and ensure that children are ready for school.