Printable 680 Form

Printable 680 Form

The 680 form, also known as the Florida Certification of Immunization, is a vital document that verifies a child's immunization status for school attendance. It includes details such as the child's name, date of birth, and immunization history, ensuring compliance with Florida's educational requirements. For parents and guardians, filling out this form accurately is essential; click the button below to get started.

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The 680 form, officially known as the Florida Certification of Immunization, plays a vital role in ensuring that children meet the necessary immunization requirements for school attendance in Florida. This form is grounded in several legal authorities, including specific sections of the Florida Statutes and the Florida Administrative Code. It captures essential information such as the child’s name, date of birth, and immunization history, allowing parents or guardians to document the vaccinations received. The form is divided into various parts, each serving a distinct purpose: Part A certifies that a child has received all required vaccinations for K-12 education, while Part B addresses temporary exemptions for those who are in the process of completing their immunization schedules. Additionally, Part C is reserved for permanent medical exemptions, where a physician must provide valid clinical reasoning for the exemption. Completing the 680 form requires careful attention to detail, including entering the specific doses and dates of each vaccine administered. For those unfamiliar with the process, guidance is available through the Florida Department of Health’s resources, ensuring that families can navigate the requirements smoothly. Overall, the 680 form is not just a bureaucratic necessity; it serves as a crucial tool for protecting public health and ensuring that children are safeguarded against preventable diseases as they embark on their educational journeys.

Misconceptions

Understanding the 680 form, also known as the Florida Certification of Immunization, is essential for parents and guardians. However, several misconceptions can lead to confusion. Here are nine common misunderstandings about this form:

  • The 680 form is only for school-aged children. In reality, this form is applicable for children in daycare, preschool, and all grades up to 12, not just those in K-12.
  • Parents must provide a Social Security number. The child’s Social Security number is optional. Parents can choose to leave this field blank without any penalty.
  • All immunizations must be completed before submission. The form allows for temporary exemptions. Parents can submit it even if the child has not completed all required immunizations.
  • A doctor’s signature is always necessary. While a physician's signature is required for medical exemptions, it is not mandatory for all submissions. Parents can sign for completed immunizations.
  • Only one type of certificate can be issued. There are three different parts of the form: Part A for complete immunization, Part B for temporary exemptions, and Part C for permanent medical exemptions. Each serves a different purpose.
  • The form does not need to be updated. Parents must keep the form current. If a child receives additional immunizations, the form should be updated to reflect the new information.
  • Immunization records are not necessary. It is crucial to have accurate immunization records to fill out the form correctly. Missing doses can lead to complications with school enrollment.
  • There is no expiration on exemptions. Temporary medical exemptions must have an expiration date. Without this date, the exemption is invalid.
  • Filling out the form is straightforward and requires no guidance. Many parents benefit from consulting the guidelines provided by the Florida Department of Health. These guidelines offer detailed instructions for accurate completion.

Being informed about these misconceptions can help ensure that the 680 form is completed correctly, facilitating a smoother process for school enrollment and compliance with immunization requirements.

Key takeaways

Understanding the 680 form is essential for ensuring proper immunization documentation for school attendance. Here are four key takeaways:

  • Accurate Information is Crucial: Fill out all sections carefully, including the child's full name, date of birth, and immunization dates. Incomplete or incorrect information can lead to delays in enrollment.
  • Certificates Must Be Signed: After entering the immunization details, sign and date the appropriate certificate (A, B, or C). This step confirms that the information provided is accurate and complete.
  • Know the Exemption Options: If applicable, be aware of the temporary and permanent medical exemption options. Each exemption requires specific documentation and reasoning, so ensure all necessary information is included.
  • Consult the Guidelines: For detailed instructions on completing the form, refer to the Immunization Guidelines available at the provided link. Familiarizing yourself with these guidelines will help avoid common mistakes.

Document Characteristics

Fact Name Description
Legal Authority The form is governed by Sections 1003.22, 402.305, and 402.313 of the Florida Statutes, along with 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, but these are not mandatory.
Immunization Records Parents must enter all appropriate doses and dates for vaccines on the form to document the child's immunization status.
Certificate Types The form includes different certificates (A, B, or C) depending on the child's immunization status and needs.
Guidelines Availability Immunization guidelines can be accessed online at www.immunizeflorida.org/schoolguide.pdf for further instructions on completing the form.
Exemption Types There are temporary and permanent medical exemptions available for children who cannot receive certain vaccinations for valid medical reasons.

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Dos and Don'ts

  • Do: Fill out all sections completely and accurately.
  • Do: Use the correct dates for each vaccine dose.
  • Do: Review the guidelines provided for any specific instructions.
  • Do: Sign and date the appropriate certificate at the end.
  • Do: Keep a copy of the completed form for your records.
  • Don't: Leave any required fields blank.
  • Don't: Use incorrect vaccine codes.
  • Don't: Forget to include the expiration date for temporary exemptions.
  • Don't: Submit the form without a parent or guardian's signature.
  • Don't: Ignore the guidelines if you have questions about the form.

Common mistakes

  1. Failing to provide complete personal information. Ensure that the last name, first name, middle initial, and date of birth are accurately filled out.

  2. Neglecting to include the parent or guardian's information. The form requires the name of the person completing it.

  3. Overlooking the immunization dates. All doses must have the correct MM/DD/YY format and should be listed in the appropriate sections.

  4. Using incorrect vaccine codes. Each vaccine must be matched with its corresponding code as specified in the form.

  5. Not signing and dating the certificate. The appropriate certificate (A, B, or C) must be signed and dated to validate the form.

  6. Forgetting to check the appropriate DOE code. It is crucial to select the correct code that reflects the child's immunization status.

  7. Leaving the expiration date blank for temporary medical exemptions. This date is necessary for the exemption to be valid.

  8. Not providing clinical reasoning for permanent medical exemptions. Each exemption must include valid reasons or evidence.

  9. Failing to review the immunization records thoroughly. It is essential to ensure that all information is accurate and complete before submission.