680 PDF Form

1. Missing Information: One common mistake is failing to fill in all required fields. This includes the child's full name, date of birth, and parent or guardian's information. Incomplete forms can delay processing.

2. Incorrect Dates: Entering the wrong vaccination dates can lead to confusion. Double-check each date to ensure accuracy. A simple typo can result in a child being deemed ineligible for school.

3. Not Using the Correct Vaccine Codes: Each vaccine has a specific code. Using the wrong code can cause issues. Familiarize yourself with the codes listed on the form to avoid this mistake.

4. Forgetting to Sign: It’s essential to sign the certificate. A signature indicates that the information provided is accurate. Without it, the form is invalid.

5. Ignoring the Expiration Date: For temporary medical exemptions, failing to include an expiration date makes the exemption invalid. Always remember to fill this out if applicable.

6. Not Providing Additional Documentation: If a child has a permanent medical exemption, it’s crucial to provide supporting evidence. Just stating the exemption without details can lead to rejection.

7. Misunderstanding Requirements: Each school or daycare may have specific requirements. Not checking these can lead to submitting an incomplete form. Always verify the requirements beforehand.

8. Using Outdated Forms: Ensure that you are using the most current version of the form. Outdated forms may not be accepted, causing unnecessary delays.

What is the purpose of the Florida Certification of Immunization (Form 680)?

The Florida Certification of Immunization, commonly known as Form 680, serves as an official record of a child's immunization status. This form is required for school enrollment in Florida, ensuring that children are vaccinated against certain diseases. It helps schools verify that students have received the necessary immunizations to protect their health and the health of their classmates.

Who needs to complete Form 680?

Form 680 must be completed for all children entering kindergarten through 12th grade in Florida schools. Additionally, it is required for children attending daycare, family daycare homes, and preschool programs. Parents or guardians are responsible for providing accurate immunization records to ensure compliance with state health regulations.

What information is required on Form 680?

The form requires several key pieces of information, including the child's name, date of birth, and the immunization history. Parents must enter the dates of each vaccine received, as well as any applicable exemptions. Additionally, the form may ask for the child's Social Security number and state immunization ID number, though these are optional.

What are the different parts of Form 680?

Form 680 is divided into three parts. Part A certifies that a child has completed the required immunizations for K-12 or 7th grade. Part B is for those who are in the process of completing their immunizations but have not yet met all requirements. Part C provides a way for parents to request a permanent medical exemption if immunizations are medically contraindicated.

How can parents obtain Form 680?

Parents can obtain Form 680 from various sources. It is available at healthcare providers’ offices, local health departments, and schools. Additionally, the form can often be downloaded from the Florida Department of Health's website. It is important to ensure that the most current version of the form is used.

What should parents do if their child has not received all required immunizations?

If a child has not completed all required immunizations, parents should consult with their healthcare provider. The provider can help establish a vaccination schedule to ensure the child receives the necessary doses. In the meantime, parents can complete Part B of Form 680 to document the child's progress toward meeting immunization requirements.

What is a medical exemption, and how can it be obtained?

A medical exemption allows a child to be excused from certain immunizations due to specific health conditions. To obtain a permanent medical exemption, parents must have a licensed physician complete Part C of Form 680, providing valid clinical reasoning for the exemption. This documentation is crucial for the school to accept the exemption.

How often should Form 680 be updated?

Form 680 should be updated whenever a child receives a new immunization. Parents should keep the form current, especially before school enrollment or when transitioning to a new grade level. Regular updates help ensure that schools have the most accurate information regarding a child's immunization status.

• Purpose of the Form: The 680 form is used in Florida to certify that a child has received the necessary immunizations for school attendance.
• Legal Authority: The form is governed by specific Florida statutes and administrative codes, ensuring compliance with state health regulations.
• Personal Information: It requires basic information such as the child’s name, date of birth, and optional details like Social Security number and state immunization ID.
• Immunization Records: Parents or guardians must enter all relevant vaccine doses and dates in the designated sections of the form.
• Signatures Required: A signature from a parent or guardian is necessary, along with the date, to validate the information provided.
• Certificate Options: The form includes different certificates (A, B, or C) depending on the child’s immunization status, including complete immunization, temporary exemptions, or permanent medical exemptions.
• Temporary Medical Exemptions: For children who are incomplete on immunizations, Part B allows for a temporary exemption but must include an expiration date.
• Permanently Medically Exempt: Part C is designated for children who cannot receive certain vaccines due to medical reasons, requiring documentation from a physician.
• Guidelines and Resources: Additional information and instructions on completing the form can be found in the Immunization Guidelines available at the specified website.

When filling out the Florida Certification of Immunization (Form 680), it is essential to follow specific guidelines to ensure accuracy and compliance. Here are six important dos and don'ts:

• Do double-check all personal information for accuracy, including the child's name and date of birth.
• Do fill in all required vaccine doses and dates clearly and completely.
• Do sign and date the appropriate certificate section (A, B, or C) after reviewing the information.
• Do consult the Immunization Guidelines for any questions about vaccine requirements.
• Don't leave any sections blank; incomplete forms may cause delays in processing.
• Don't provide false information regarding immunizations; this can lead to serious consequences.