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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 set by the state of Florida. This form is governed by various legal authorities, including specific sections of the Florida Statutes and the Florida Administrative Code. It is primarily used for documenting the immunization status of children entering school, daycare, or family daycare homes. Parents or guardians are required to provide essential information, such as the child's name, date of birth, and immunization history. The form includes sections for recording the dates of various vaccine doses, including DTaP, polio, MMR, and more. Additionally, it offers options for certifying complete immunization, temporary exemptions, or permanent medical exemptions. This ensures that children receive the necessary vaccinations while allowing for flexibility in cases of medical contraindications. Clear instructions are provided for completing the form, and guidelines are available online to assist parents in navigating the process. Understanding the significance of the 680 form is vital for ensuring the health and safety of children in educational settings.

How to Use 680

Completing the Florida Certification of Immunization (Form 680) is an important step for ensuring that your child is ready for school. This form requires specific information about your child's immunization history, which will be used to confirm their eligibility for school attendance. Follow these steps carefully to ensure that the form is filled out correctly.

  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 using the format MM/DD/YY.
  3. Provide the name of the parent or guardian.
  4. If available, include your child's Social Security number in the optional field.
  5. Optionally, enter your child's state immunization ID number.
  6. In the section labeled "Vaccine," list the appropriate vaccines and their corresponding doses and dates. For each vaccine, record the date for doses 1 through 5 in the format MM/DD/YY.
  7. Once all vaccine information is completed, select the appropriate certificate section: Part A, Part B, or Part C, depending on your child's immunization status.
  8. Sign and date the form where indicated, ensuring that the signature is from an authorized physician or clinic.
  9. Finally, submit the completed form to the appropriate school or childcare facility as required.

Key takeaways

Understanding the Florida Certification of Immunization, commonly referred to as the 680 form, is essential for parents and guardians. Here are key takeaways to consider when filling out and using this form:

  • Legal Authority: The form is governed by specific Florida statutes and administrative rules, ensuring compliance with state laws.
  • Personal Information: Accurate entry of the child's last name, first name, middle initial, date of birth, and parent or guardian details is crucial.
  • Optional Information: The child's Social Security number and state immunization ID number can be included but are not mandatory.
  • Vaccine Documentation: All appropriate vaccine doses and dates must be recorded in the designated areas on the form.
  • Certificate Signatures: A parent or guardian must sign and date the appropriate certificate (A, B, or C) on the form.
  • Immunization Guidelines: Familiarize yourself with the Immunization Guidelines provided in DH Form 150-615 for detailed instructions.
  • Temporary Medical Exemption: If applicable, include an expiration date for temporary medical exemptions to ensure validity.
  • Permanently Exempted Vaccines: For permanent medical exemptions, provide specific clinical reasoning or evidence for each vaccine listed.
  • Physician Verification: A licensed physician or clinic must authorize the form with their signature and name for it to be valid.
  • Submission: Ensure the completed form is submitted to the appropriate school or childcare facility as part of enrollment requirements.

By following these guidelines, parents and guardians can ensure that their child's immunization records are accurately documented and compliant with Florida's educational requirements.

Common mistakes

Filling out the Florida Certification of Immunization form, known as the 680 form, can be a straightforward process. However, many people make mistakes that can lead to delays or complications. Understanding these common errors can help ensure that the form is completed accurately.

One frequent mistake is leaving out the child’s full name. It is essential to include the last name, first name, and middle initial. Omitting any part of the name can cause confusion and may delay the processing of immunization records.

Another common error involves the date of birth. Entering the date in the wrong format can lead to issues. The form requires the date in MM/DD/YY format. If this format is not followed, the information may be considered invalid.

Some individuals also forget to include the child's Social Security number, which is optional. While it may not be mandatory, providing it can help with record-keeping and identification.

People often overlook the importance of signing and dating the appropriate certificate. Without a signature, the form may be deemed incomplete. This step is crucial for validating the information provided.

Inaccurate vaccine dates are another common mistake. Each dose must be documented with the correct date. If a dose is missing or the date is incorrect, it can lead to questions about the child’s immunization status.

Additionally, failing to select the correct certificate box can cause confusion. It is vital to indicate whether the child is complete for K-12 or if they require additional immunizations for 7th grade. This selection directly impacts the child’s eligibility for school attendance.

Some parents may not review their records thoroughly before submission. This oversight can lead to errors in the immunization history. It is crucial to double-check all entries to ensure accuracy.

Lastly, when applying for exemptions, individuals sometimes provide insufficient information. For both temporary and permanent medical exemptions, clear clinical reasoning must be documented. Without this, the exemption may not be accepted.

By being aware of these common mistakes, parents and guardians can complete the 680 form accurately. Taking the time to ensure all information is correct will help facilitate a smoother process for school enrollment and compliance with immunization requirements.

Documents used along the form

The FLORIDA CERTIFICATION OF IMMUNIZATION, commonly referred to as the 680 form, serves as a vital document for ensuring that children meet the necessary immunization requirements for school attendance in Florida. While the 680 form is essential, several other documents often accompany it to provide a comprehensive view of a child's health and immunization status. Here are five key forms and documents frequently used alongside the 680 form.

  • DH Form 150-615: This form provides detailed immunization guidelines for Florida schools, childcare facilities, and family daycare homes. It outlines the necessary immunizations and schedules, ensuring that parents and guardians have clear instructions for compliance.
  • Vehicle Ownership Transfer Documentation: When acquiring a vehicle in California, ensure that you complete the necessary forms like the California Templates to facilitate the legal transfer of ownership.
  • Medical Exemption Form: This document is used when a child is medically unable to receive certain vaccines. It requires a physician's signature and must specify the medical reasons for the exemption, ensuring that schools are informed of any health-related issues.
  • Religious Exemption Form: Some parents may choose to exempt their children from vaccinations due to religious beliefs. This form requires a statement of faith and may need to be notarized, allowing families to assert their rights while still complying with school policies.
  • Health Assessment Form: Often required by schools, this form provides a comprehensive overview of a child’s health status. It may include information about physical exams, allergies, and any ongoing medical conditions that schools should be aware of.
  • School Enrollment Form: This form is typically completed upon a child's enrollment in school. It includes essential information such as the child's name, date of birth, and emergency contact details, alongside any immunization records that may be required.

In summary, while the 680 form is critical for documenting a child's immunization status, it is often supported by various other forms and documents that provide additional context and information. Ensuring that all necessary paperwork is completed and submitted can facilitate a smoother enrollment process for children entering school.

Frequently Asked Questions

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. This form is essential for school enrollment, ensuring that children have received the required vaccinations for their age group.

Who needs to fill out the 680 form?

Parents or guardians of children enrolling in K-12 schools, daycare facilities, or preschool programs in Florida must complete the 680 form. It is necessary for both new enrollments and for students who are transitioning to different educational levels.

What information is required on the 680 form?

The form requires the following information:

  • Child's full name (last name, first name, middle initial)
  • Date of birth
  • Parent or guardian's name
  • Child's Social Security number (optional)
  • State immunization ID number (optional)
  • Details of immunizations received, including vaccine types and dates

What are the different sections of the 680 form?

The 680 form has three main sections:

  1. Part A: For children who have completed their immunizations.
  2. Part B: For children who are in the process of completing their immunizations.
  3. Part C: For children who have a permanent medical exemption from immunizations.

How do I know if my child's immunizations are complete?

To determine if your child's immunizations are complete, review their vaccination records. You can also consult with your child's healthcare provider. The 680 form provides specific codes to indicate whether immunizations are complete or if there are exemptions.

What should I do if my child has a medical exemption?

If your child has a medical exemption, you must fill out Part C of the 680 form. This section requires a detailed explanation of the medical condition that prevents immunization, along with a signature from a licensed physician or clinic.

Where can I find more information about completing the 680 form?

For detailed instructions on completing the 680 form, refer to the Immunization Guidelines available at www.immunizeflorida.org/schoolguide.pdf . This resource provides guidance on required immunizations and additional information for parents and guardians.

How often do I need to update the 680 form?

You should update the 680 form whenever your child receives new vaccinations or if there are changes in their immunization status. This ensures that the school or childcare facility has the most current information on your child's health.