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The Florida Certification of Immunization, commonly referred to as the 680 form, serves as a vital document for parents and guardians navigating the requirements for school attendance in the state of Florida. This form encapsulates crucial information about a child’s immunization history, including details such as the child’s name, date of birth, and any relevant identification numbers. Parents are tasked with documenting the dates of various vaccinations, which can range from DTaP to MMR, ensuring that all required doses are recorded accurately. The form also includes sections for certifying the completion of immunizations, providing temporary or permanent medical exemptions, and requires signatures from authorized health professionals. By adhering to the guidelines outlined in the Florida Administrative Code, this form not only facilitates compliance with state laws but also plays a significant role in safeguarding public health. For those seeking further clarity, additional resources and instructions can be found through the Florida Department of Health’s website, offering comprehensive support for completing the form correctly.

Misconceptions

Misconceptions about the Florida Certification of Immunization (Form 680) can lead to confusion for parents and guardians. Understanding these misconceptions is important for ensuring that children meet immunization requirements for school attendance. Below are nine common misunderstandings:

  1. Form 680 is only for K-12 students. Many believe this form is exclusively for K-12 students, but it is also used for children in daycare, preschool, and kindergarten.
  2. All immunizations must be completed before submitting the form. This is not true. The form allows for temporary exemptions, meaning children can start school even if they are not fully vaccinated.
  3. Parents must provide a Social Security number. The child's Social Security number is optional on the form, so parents can choose not to include it.
  4. Once the form is submitted, it cannot be changed. Changes can be made if new immunizations are received. Parents should keep the form updated to reflect the child's current immunization status.
  5. Only a physician can fill out the form. While a physician's signature is required for certain exemptions, other qualified healthcare providers can also complete the form.
  6. The form is only valid for a limited time. The validity of the form is not based on time but rather on the child's immunization status. It should be updated as needed.
  7. Immunization records are not necessary for submission. Accurate immunization records must be documented on the form to verify compliance with school requirements.
  8. All vaccines are required for school attendance. Some children may have exemptions due to medical reasons, and these should be documented properly on the form.
  9. Parents can ignore the form if they are unsure about immunizations. It is crucial for parents to complete the form to ensure their child can attend school. If unsure, they should consult with their healthcare provider.

Understanding these misconceptions can help parents navigate the immunization process more effectively. It is always advisable to consult with a healthcare professional for guidance on immunizations and the completion of Form 680.

680: Usage Instruction

Filling out the 680 form is an important step in ensuring that a child’s immunization records are accurately documented for school attendance in Florida. This form requires specific information about the child, their immunization history, and the parent or guardian's details. Below are the steps to successfully complete the form.

  1. Begin by entering the child's last name, first name, and middle initial in the designated fields.
  2. Next, provide the child's date of birth in the format MM/DD/YY.
  3. Fill in the parent or guardian's name in the appropriate section.
  4. If applicable, include the child's Social Security number and state immunization ID number. These fields are optional.
  5. Proceed to the section that requires you to enter the vaccine doses. For each vaccine listed, record the date of each dose in the format MM/DD/YY under the corresponding dose number.
  6. Once all doses are entered, review the certificate options and select the appropriate box for the type of immunization certification you are providing (Part A, B, or C).
  7. Sign and date the form in the designated area, ensuring that the signature is from an authorized individual.
  8. Finally, check that all information is accurate and complete before submitting the form.

Common mistakes

  1. Incomplete Information: Many individuals fail to provide all required details, such as the child's full name, date of birth, or parent/guardian information. Ensure every section is filled out completely.

  2. Incorrect Vaccine Dates: Entering wrong dates for immunizations is a common error. Double-check the dates to ensure they match the child's vaccination records.

  3. Missing Signatures: The form must be signed by the appropriate authority. Without a signature, the form is invalid. Remember to sign and date the certificate before submission.

  4. Improper Certificate Selection: Selecting the wrong certificate (A, B, or C) can lead to confusion. Review the guidelines carefully to choose the correct option based on the child's immunization status.

  5. Neglecting to Review Guidelines: Failing to consult the Immunization Guidelines can result in mistakes. Take the time to read the provided guidelines to understand the requirements for completion.

File Specifics

Fact Name Description
Legal Authority The 680 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 a child's immunization status for school attendance in Florida.
Child Information The form requires the child's last name, first name, middle initial, date of birth, and optionally, the child's Social Security number and state immunization ID number.
Vaccine Information It includes spaces for recording various vaccine doses and dates, such as DTaP, Polio, MMR, and Hepatitis B.
Certificate Types There are three parts to the certificate: Part A for complete immunizations, Part B for temporary exemptions, and Part C for permanent medical exemptions.
Expiration Dates For temporary medical exemptions, an expiration date must be provided; otherwise, the exemption is invalid.
Signature Requirement The form must be signed by a physician or authorized clinic representative to validate the information provided.
Guidelines Reference For detailed instructions, the form refers users to DH Form 150-615 and provides a link to the Immunization Guidelines for Florida Schools.
Issuance Date The current version of the form is dated July 2010, and it is essential to use the most recent version for compliance.

Dos and Don'ts

When filling out the 680 form, keep the following guidelines in mind:

  • Do ensure all personal information is accurate, including the child's name and date of birth.
  • Do enter all immunization doses and dates clearly in the appropriate sections.
  • Do sign and date the certificate as required.
  • Do review the immunization records thoroughly before submission.
  • Don't leave any sections blank; all applicable fields must be completed.
  • Don't use abbreviations or shorthand that may confuse the reviewer.
  • Don't submit the form without verifying the expiration date for temporary exemptions.
  • Don't forget to include any additional documentation if required for exemptions.

Similar forms

The Certificate of Immunization (Form 680) shares similarities with the Certificate of Vaccination. Both documents serve as official records that confirm an individual's vaccination status. The Certificate of Vaccination typically includes information about the vaccines received, the dates of administration, and the healthcare provider's details. Like the 680 form, it is often required for school enrollment and may be used to demonstrate compliance with state vaccination laws.

Another document comparable to the 680 form is the Health Record. Health Records maintain comprehensive details about an individual's medical history, including immunizations. These records may be requested by schools, employers, or healthcare providers to ensure that a person meets health requirements. Both the Health Record and the 680 form contain vital health information that can impact educational and employment opportunities.

To navigate the complexities of the mechanics lien process in California, it is essential to utilize the proper forms, similar to how various immunization records track compliance with health requirements. A All California Forms can provide the necessary documentation for those needing to assert their rights on projects, ensuring that contractors, subcontractors, and suppliers are equipped with the tools needed to protect their financial interests.

The Immunization Exemption Form also shares characteristics with the 680 form, particularly in its purpose of documenting vaccination status. This form is used when a parent or guardian seeks an exemption from vaccination requirements for medical, religious, or philosophical reasons. Similar to the 680 form, it requires signatures from healthcare providers and must be submitted to educational institutions to validate the exemption request.

The School Health Assessment Form is another document that resembles the 680 form. This form is often required by schools to assess a child's overall health and immunization status before enrollment. It includes sections for documenting vaccinations, health screenings, and any medical conditions. Both forms are essential for ensuring that children are healthy and ready to participate in school activities.

Finally, the Immunization Record Card is akin to the 680 form as it provides a concise summary of an individual's vaccination history. This card is typically issued by healthcare providers and can be used for personal reference or to fulfill school and travel requirements. Both the Immunization Record Card and the 680 form serve as proof of vaccination, highlighting the importance of immunizations in maintaining public health.