Download 680 Template

• Misconception 1: The 680 form is only for school-aged children.

This is not accurate. While the form is commonly used for K-12 students, it also applies to children in daycare and preschool. The form is essential for documenting immunization status for various educational settings.

• Misconception 2: Completing the 680 form is optional for parents.

In reality, the 680 form is often required for school enrollment and attendance. Schools and childcare facilities typically mandate proof of immunization, making the completion of this form necessary for compliance.

• Misconception 3: All immunizations must be completed before submitting the form.

This is misleading. The 680 form allows for partial immunization records. Parents can submit the form even if their child has not completed all required immunizations, as long as they indicate which vaccines have been administered and outline a plan to complete them.

• Misconception 4: The 680 form is only valid for a single school year.

This is incorrect. The form remains valid as long as the immunization records are up to date and meet the current requirements set by the state. However, parents should verify any changes in immunization laws or school policies that may affect the validity of the form.

When completing the Florida Certification of Immunization (Form 680), it is essential to follow specific guidelines to ensure accuracy and compliance. Here are ten key takeaways regarding the form:

1. Legal Authority: The form is governed by various sections of the Florida Statutes and the Florida Administrative Code, which outline the requirements for immunization documentation.
2. Personal Information: Fill in the child's last name, first name, middle initial, date of birth, and optionally, the parent's or guardian's information, including the child's Social Security number and state immunization ID.
3. Immunization Records: Enter all relevant vaccine doses and dates in the designated sections. Ensure that the information is accurate and up to date.
4. Certificate Signing: Sign and date the appropriate certificate (A, B, or C) at the end of the form to validate the immunization records provided.
5. Temporary Medical Exemption: If applicable, complete Part B for children who are not fully immunized. This section requires an expiration date for validity.
6. Permanently Medically Exempt: Use Part C for children with valid medical contraindications. Include specific reasons for exemption and ensure a physician's signature is obtained.
7. Immunization Codes: Familiarize yourself with the vaccine codes listed on the form. Each vaccine has a corresponding code that must be accurately recorded.
8. Guidelines Reference: Refer to the Immunization Guidelines for Florida Schools, Childcare Facilities, and Family Daycare Homes for detailed instructions on completing the form.
9. Submission: Ensure that the completed form is submitted to the appropriate school or daycare facility to fulfill immunization requirements for enrollment.
10. Keep Copies: Retain copies of the completed form for personal records. This can be beneficial for future school enrollments or medical needs.

Following these guidelines will help ensure that the immunization documentation process is completed correctly and efficiently.

When filling out the Florida Certification of Immunization (Form 680), it is essential to follow specific guidelines to ensure accuracy and compliance. Below is a list of things to do and avoid during the completion process.

• Do ensure all required fields are filled in completely, including the child's name, date of birth, and immunization details.
• Do double-check the vaccine dates to confirm they are accurate and in the correct format (MM/DD/YY).
• Do use the appropriate certificate section (A, B, or C) based on the child's immunization status.
• Do provide a valid expiration date for temporary medical exemptions in Part B.
• Do sign and date the form to validate the information provided.

• Don't leave any optional fields blank if you have the information available; it helps maintain complete records.
• Don't use incorrect codes for vaccines; refer to the form instructions for the correct designations.
• Don't submit the form without reviewing it for errors or omissions.
• Don't provide vague reasons for medical exemptions; specific clinical reasoning is necessary.
• Don't forget to keep a copy of the completed form for your records.

1. Incomplete Personal Information: Many people forget to fill out all required fields, such as the child’s last name, first name, or date of birth. This information is crucial for the proper identification of the child.

2. Missing Immunization Dates: It's common for parents to overlook entering all the necessary vaccine doses and their corresponding dates. Each dose must be documented accurately to ensure compliance with school requirements.

3. Incorrect Vaccine Codes: Using the wrong codes for vaccines can lead to confusion. Each vaccine has a specific code that must be used, and failing to do so may result in the form being rejected.

4. Not Signing the Form: A signature is required to validate the form. Some individuals forget to sign, which can delay the immunization process for their child.

5. Ignoring Expiration Dates for Exemptions: When applying for a temporary medical exemption, it’s essential to include an expiration date. Omitting this detail renders the exemption invalid.

6. Failure to Review Guidelines: Many people do not take the time to review the guidelines provided on the form or the linked resources. Familiarizing oneself with these guidelines can prevent many common mistakes.

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

   The Florida Certification of Immunization, commonly referred to as Form 680, serves as an official record of a child's immunization status. This form is crucial for school enrollment in Florida, as it verifies that children have received the necessary vaccinations required by state law. The form is applicable for children attending K-12 schools, daycare facilities, and other educational institutions.

2. What information is required to complete Form 680?

   To properly fill out Form 680, several key pieces of information are needed. This includes the child's full name, date of birth, and, optionally, their Social Security number and state immunization ID number. Parents or guardians must also provide details of the immunizations received, including the type of vaccine and the dates of administration. The form includes sections for different immunization codes and allows for the certification of complete or incomplete immunization status.

3. What are the different parts of Form 680, and what do they signify?

   Form 680 is divided into three main parts, each serving a specific purpose:

   • Part A: This section certifies that the child has completed all required immunizations for K-12 education, excluding specific middle school requirements.
   • Part B: This part is for children who are in daycare or preschool and may not have completed their immunizations. It indicates that the child has started the immunization schedule and is on track to complete it.
   • Part C: This section is for children who have a permanent medical exemption from receiving certain vaccinations due to health reasons. It requires a physician's certification that outlines the medical contraindications.
4. How can parents or guardians obtain Form 680?

   Parents or guardians can obtain Form 680 from various sources. It is typically available at healthcare providers' offices, schools, and local health departments. Additionally, the form can be downloaded from the Florida Department of Health's website. For those needing guidance on completing the form, the Immunization Guidelines for Florida Schools and Childcare Facilities provide comprehensive instructions and are accessible online.