Fill in a Valid 680 Template

Incomplete Information: Failing to fill in all required fields can lead to delays. Ensure that the last name, first name, middle initial, date of birth, and parent or guardian details are complete.

Incorrect Dates: Entering wrong dates for immunization doses is a common mistake. Double-check that the dates correspond to when the vaccinations were actually administered.

Missing Signatures: The form must be signed by the appropriate authority. Omitting a signature can invalidate the certification, so ensure that all necessary signatures are included.

Improper Use of Codes: Each vaccine has a specific code that must be used. Using incorrect codes can lead to misunderstandings about the immunization status.

Ignoring Guidelines: Not reviewing the provided guidelines before filling out the form can result in errors. Familiarize yourself with the instructions available at the recommended website.

The Florida Certification of Immunization, commonly referred to as the 680 form, serves as an official record of a child's immunization status. It is required for school enrollment in Florida, ensuring that children are vaccinated against certain diseases as mandated by state law. The form helps schools and childcare facilities verify that children have received the necessary immunizations to protect their health and the health of others.

Parents or guardians of children entering K-12 schools, daycare, or preschool programs in Florida must complete the 680 form. This includes children who are new to the school system or those advancing to a new grade level. It is essential for parents to provide accurate immunization records to ensure compliance with state requirements.

The 680 form requires several pieces of information, including:

• Child’s 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)
• Dates of each immunization received

Additionally, the form includes sections for certifying completion of immunizations, temporary medical exemptions, and permanent medical exemptions, along with the signatures of the certifying physician or clinic.

The 680 form can be obtained from various sources, including healthcare providers, schools, and online. For comprehensive instructions on completing the form, visit the Florida Department of Health’s website at www.immunizeflorida.org/schoolguide.pdf. This resource provides detailed immunization guidelines and information necessary for ensuring that your child meets all vaccination requirements.