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Documents used along the form

The FLORIDA CERTIFICATION OF IMMUNIZATION form, commonly known as the 680 form, is an essential document for school enrollment in Florida. Alongside this form, several other documents may be required to ensure compliance with state regulations regarding immunizations and health records. Below is a list of other forms and documents that are often used in conjunction with the 680 form.

  • DH Form 150-615: This form provides detailed immunization guidelines for schools, childcare facilities, and family daycare homes in Florida. It outlines the necessary vaccinations and schedules for compliance with state laws.
  • Health Assessment Form: Schools may require a health assessment form that includes a child’s medical history, physical examination results, and any ongoing health concerns. This helps schools understand the overall health needs of the child.
  • Emergency Contact Form: This document is essential for schools to have on file. It lists individuals who can be contacted in case of an emergency, ensuring that the school can reach someone quickly if a child requires immediate attention.
  • Medical Exemption Form: If a child cannot receive certain vaccinations for medical reasons, a medical exemption form must be filled out by a licensed physician. This document provides the necessary evidence for the exemption.
  • RV Bill of Sale: This document is essential for recording the sale of a recreational vehicle in Texas, ensuring both parties are legally protected during the transaction. For more details on how to fill out this important form, you can find it here.
  • Religious Exemption Form: Some families may seek a religious exemption from immunization requirements. This form typically requires a statement of belief and may need to be notarized to be accepted by schools.
  • Proof of Residency: Schools often require proof of residency to confirm that the child lives within the district. This may include utility bills, lease agreements, or other official documents showing the family’s address.
  • Consent for Medical Treatment: This form allows parents or guardians to authorize school personnel to seek medical treatment for their child in case of an emergency. It is crucial for ensuring that prompt care can be provided if needed.

These documents collectively support the health and safety of children attending school and help ensure that all immunization requirements are met. It is important for parents and guardians to be aware of these forms to facilitate a smooth enrollment process.

Similar forms

The Florida Certification of Immunization Form (DH 680) is similar to the Certificate of Live Birth. Both documents serve as official records that confirm essential information about an individual. The birth certificate establishes a person's identity and legal status, while the DH 680 verifies a child's immunization history. Each document requires specific details, such as names, dates, and signatures from authorized individuals. These records are often needed for enrollment in schools and other institutions, highlighting their importance in the early stages of life.

Another document akin to the DH 680 is the Certificate of Health Insurance Coverage. This certificate provides proof that an individual has health insurance, similar to how the DH 680 certifies immunization status. Both documents require verification from a healthcare provider or institution. They play crucial roles in ensuring that individuals meet specific health and safety requirements, whether for school attendance or healthcare services. Each certificate reflects the importance of maintaining health standards and provides a level of assurance to institutions regarding an individual's health compliance.

The Immunization Record is another document comparable to the DH 680. This record details the vaccinations an individual has received over time. Like the DH 680, it includes information about the types of vaccines administered and their dates. Both documents are essential for tracking immunization status, especially for children. Schools and daycare facilities often require these records to ensure that children are protected against preventable diseases, making them vital for public health.

The School Health Record also shares similarities with the DH 680. This document encompasses a broader range of health information about a student, including immunizations, physical exams, and health screenings. While the DH 680 focuses specifically on immunizations, the School Health Record provides a comprehensive view of a child's health status. Both documents are crucial for school administrators to ensure that students meet health requirements for attendance and participation in school activities.

In essence, the proper handling of health documentation is crucial for ensuring compliance with state regulations and safeguarding public health. This is similar to the process of completing an Auto Bill of Sale when transferring ownership of a vehicle, which also requires accurate information to validate the transaction and protect the rights of both the buyer and seller.

The Medical Exemption Form is another document that parallels the DH 680. This form is used when a child cannot receive certain vaccinations due to medical reasons. Like the DH 680, it requires a healthcare provider's signature and specific information about the child’s medical condition. Both documents serve to protect children’s health while ensuring compliance with immunization laws. They highlight the balance between public health needs and individual medical circumstances.

Finally, the Child Health Assessment Form bears resemblance to the DH 680. This form is used to evaluate a child's overall health and development, including immunization status. While the DH 680 specifically documents immunizations, the Child Health Assessment Form provides a more comprehensive health overview. Both documents are critical for assessing a child's readiness for school and ensuring they meet necessary health standards for participation in educational settings.

Steps to Filling Out 680

After gathering the necessary information, follow these steps to complete the 680 form accurately. Ensure that all required fields are filled out and that the appropriate certificate is signed and dated.

  1. Enter the child’s last name, first name, and middle initial in the designated fields.
  2. Fill in the child’s date of birth in the format MM/DD/YY.
  3. Provide the name of the parent or guardian.
  4. Optionally, include the child’s Social Security number and state immunization ID number.
  5. For each vaccine listed, enter the dose number and the corresponding date (MM/DD/YY) for doses 1 through 5.
  6. Select the appropriate box for the Certificate of Immunization that applies to the child (Part A, B, or C).
  7. If applicable, fill in the expiration date for a temporary medical exemption.
  8. For Part C, list any vaccines that are medically contraindicated and provide valid clinical reasoning.
  9. Sign and date the form where indicated.
  10. Include the physician or clinic name and the authorized signature.