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Misconceptions

Here are ten common misconceptions about the Florida Certification of Immunization (Form 680) and clarifications for each:

  1. Form 680 is only for school-aged children. Many believe this form is exclusive to K-12 students. However, it also applies to children in daycare and preschool settings.
  2. All immunizations must be completed before submitting the form. This is incorrect. The form allows for temporary exemptions if immunizations are in progress.
  3. The child's Social Security number is mandatory. While the form includes a space for the child's SS#, it is optional and not required for submission.
  4. Only a physician can sign the form. This is a misconception. Authorized clinic staff can also sign the form if they are permitted to do so.
  5. Immunization records must be submitted with the form. The form itself serves as a certification. Additional records are not necessary unless specifically requested.
  6. Form 680 is the only document needed for school enrollment. This is not true. Schools may have additional requirements beyond the immunization certification.
  7. All vaccines listed on the form are mandatory. Not every vaccine is required for school attendance. Requirements can vary by grade level and state regulations.
  8. A temporary medical exemption is valid indefinitely. This is false. Temporary exemptions must have an expiration date and are only valid until that date.
  9. Parents can fill out the form without any medical guidance. While parents can complete the form, it's advisable to consult with a healthcare provider to ensure accuracy.
  10. Once the form is submitted, it cannot be updated. This is incorrect. Parents can submit updated forms as immunizations are completed or if there are changes in medical exemptions.

Steps to Writing 680

Completing the Florida Certification of Immunization Form 680 is an essential step for ensuring that your child meets the immunization requirements for school. After filling out the form, you will need to submit it to the appropriate school or childcare facility. Here are the steps to guide you through the process of filling out the form correctly.

  1. Gather necessary information: Collect your child’s full name, date of birth, and Social Security number (if available). You will also need the parent or guardian’s information.
  2. Fill in personal details: Write the last name, first name, middle initial, date of birth, and the parent or guardian’s name in the designated sections.
  3. Provide immunization details: For each vaccine listed, enter the dates when your child received each dose. Make sure to include all doses as required.
  4. Select the appropriate certificate: Choose between Part A, B, or C based on your child’s immunization status. Make sure to read the descriptions for each part to select the correct one.
  5. Sign the form: The parent or guardian must sign and date the form, confirming that the information provided is accurate to the best of their knowledge.
  6. Submit the form: Once completed and signed, submit the form to the school or childcare facility where your child will attend.

Common mistakes

Completing the Florida Certification of Immunization form, also known as the DH 680 form, can be straightforward, but there are common mistakes that individuals often make. Understanding these pitfalls can help ensure that the form is filled out correctly and efficiently.

One frequent error is incomplete information. Parents or guardians sometimes forget to fill in all the required fields, such as the child's full name, date of birth, or immunization dates. Each section must be completed to avoid delays in processing the form.

Another mistake involves the incorrect selection of vaccine doses. It is essential to enter the correct number of doses for each vaccine. Failing to do so can lead to confusion about the child's immunization status, which may affect school enrollment.

Some individuals overlook the need to sign and date the appropriate certificate on the form. Without a signature and date, the submission may be considered invalid. This step is crucial for verifying that the information provided is accurate and that the parent or guardian has reviewed the records.

In addition, people often fail to provide expiration dates for temporary medical exemptions. If a temporary exemption is claimed, it must include an expiration date. Omitting this detail renders the exemption invalid and may require additional steps to rectify.

Another common oversight is not reviewing the immunization records thoroughly before submission. Parents may assume that all records are accurate without double-checking. Errors in the records can lead to complications, especially if the child is required to receive additional vaccinations.

Some individuals may also confuse the different parts of the form, particularly when it comes to selecting the correct DOE code. Each code corresponds to a specific immunization status, and selecting the wrong one can misrepresent the child's vaccination status.

Additionally, neglecting to include the child's Social Security number or State Immunization ID number can be problematic, even though these fields are optional. Providing this information can help streamline the process and ensure accurate record-keeping.

Finally, failing to follow the guidelines provided for completing the form can lead to errors. The form comes with specific instructions that should be reviewed carefully. Ignoring these guidelines can result in misunderstandings or incomplete submissions.

Form Data

Fact Name Description
Legal Authority The form is governed by Sections 1003.22, 402.305, and 402.313 of the Florida Statutes, as well as Rule 64D-3.046 of the Florida Administrative Code.
Purpose This form certifies that a child has received the necessary immunizations required for school attendance in Florida.
Completion Instructions Parents or guardians must enter all appropriate doses and dates of immunizations. They must also sign and date the appropriate certificate on the form.
Exemption Options The form allows for temporary and permanent medical exemptions, which must be documented with valid reasoning.
Additional Resources For detailed guidelines on completing the form, refer to DH Form 150-615 and visit www.immunizeflorida.org/schoolguide.pdf.

Frequently Asked Questions

  1. What is the purpose of the 680 form?

    The 680 form, officially known as the Florida Certification of Immunization, serves as a record of a child's immunization status. It is required for school attendance in Florida, ensuring that children have received the necessary vaccinations to protect their health and the health of others in the community.

  2. Who needs to complete the 680 form?

    The form must be completed for children enrolling in K-12 schools, daycare facilities, and family daycare homes in Florida. It is essential for both new students and those transferring from other schools or states.

  3. What information is required on the 680 form?

    The 680 form requires several key pieces of information, including:

    • Child's full name and date of birth
    • Parent or guardian's name
    • Child's Social Security number (optional)
    • State immunization ID number (optional)
    • Details of vaccinations received, including dates and types of vaccines
  4. What are the different parts of the 680 form?

    The 680 form is divided into three parts:

    • Part A: Certifies that the child has completed all required immunizations for K-12 attendance.
    • Part B: Used for children who are in the process of completing their immunizations, providing a temporary exemption.
    • Part C: For children with permanent medical exemptions, detailing the specific vaccines that are contraindicated and the reasons for the exemption.
  5. How do I obtain the 680 form?

    The 680 form can be obtained from various sources, including healthcare providers, schools, and the Florida Department of Health's website. Parents and guardians should ensure they have the most current version of the form.

  6. What should I do if my child has not completed their vaccinations?

    If your child has not completed their vaccinations, you can still fill out Part B of the 680 form. This part allows you to document the immunizations your child has received and indicates that they are on a schedule to complete the necessary vaccinations. It is important to follow up with a healthcare provider to ensure that your child receives the remaining immunizations.

  7. Is there a deadline for submitting the 680 form?

    Yes, the 680 form should be submitted before the start of the school year or before enrollment in a daycare facility. Each school or daycare may have specific deadlines, so it is advisable to check with the institution directly.

  8. Where can I find more information about immunization requirements in Florida?

    For additional details on immunization requirements, parents and guardians can visit the Florida Department of Health's website. The site offers resources, guidelines, and information about the immunization schedule, as well as the necessary forms and instructions for completion.

Documents used along the form

The Florida Certification of Immunization, commonly known as the 680 form, is an essential document for students entering schools and childcare facilities. Alongside this form, several other documents often come into play to ensure that a child's immunization records are complete and compliant with state requirements. Below is a list of some of these important documents.

  • DH Form 150-615: This form provides detailed immunization guidelines specifically for Florida schools, childcare facilities, and family daycare homes. It serves as a reference for parents and guardians on how to complete the 680 form correctly.
  • Certificate of Medical Exemption: This document is used when a child cannot receive certain vaccinations due to medical reasons. It must be signed by a licensed physician and include specific details about the medical contraindications.
  • Immunization Record: This is a personal record that tracks all vaccinations a child has received. It is often used as supporting documentation when filling out the 680 form.
  • DH Form 680A: This form is an alternative certification for children who have received immunizations outside of Florida. It helps ensure that out-of-state records are recognized and accepted.
  • School Entry Health Exam Form: Required for school entry, this form documents a child’s overall health status and any necessary health assessments, which may include immunization verification.
  • Temporary Medical Exemption Form: Similar to the permanent exemption, this form allows for a temporary delay in vaccinations due to medical reasons. It must also be signed by a healthcare provider and specify the duration of the exemption.
  • Vehicle Bill of Sale: This document is essential for completing the sale or transfer of a vehicle. For more information, check out the Vehicle Bill of Sale Forms.
  • Parent Consent Form: This document is often required for schools or clinics to obtain permission from parents or guardians to administer vaccinations. It outlines the vaccines to be given and any potential side effects.

These documents work together to ensure that children are properly immunized and that their health records are accurate and up to date. Understanding each of these forms can help streamline the process of enrolling a child in school or childcare programs.

Document Sample

FLORIDA CERTIFICATION OF IMMUNIZATION

Legal Authority: Sections 1003.22, 402.305, 402.313, Florida Statutes; Rule 64D-3.046, Florida Administrative Code

 

 

 

 

 

 

 

 

 

 

LAST NAME

 

FIRST NAME

 

MI

 

DOB (MM/DD/YY)

 

 

 

 

 

 

 

 

 

 

PARENT OR GUARDIAN

 

CHILD’S SS# (optional)

 

STATE IMMUNIZATION ID# (optional)

 

 

 

 

 

 

 

 

 

 

Directions:

Enter all appropriate doses and dates below.

Sign and date appropriate certificate (A, B,or C) on form.

See DH Form 150-615, Immunization Guidelines - Florida Schools, Childcare Facilities and Family Daycare Homes (July 2010) for information and instructions on form completion. Guidelines are available at: www.immunizeflorida.org/schoolguide.pdf.

VACCINE

DOE

Dose 1

 

Dose 2

 

Dose 3

 

Dose 4

 

Dose 5

 

CODE

MM/DD/YY

 

MM/DD/YY

 

MM/DD/YY

 

MM/DD/YY

 

MM/DD/YY

DTaP/DTP

A

 

 

 

 

 

 

 

 

 

DT

B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tdap

P

 

 

 

 

 

 

 

 

 

Td

Q

 

 

 

 

 

 

 

 

 

Polio

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hib

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MMR (Combined)

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Separate)

G, H

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Measles (dose 1)

 

Measles (dose 2)

 

Mumps (dose 1)

 

Mumps (dose 2)

 

 

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rubella (dose 1)

 

Rubella (dose 2)

 

 

 

 

 

 

Hepatitis B

J

 

 

 

 

 

 

 

 

 

Varicella

K

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Varicella Disease

L

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

PneumoConju N

Select appropriatebox(es)

Certificate of Immunization forK-12

Part A-Complete

DOE Code 1: Immunizations are complete K-12 (Excluding 7th grade/middle school requirements)

DOE Code 8: Immunizationsare complete for 7th grade

I have reviewed the records available,and to the best of my knowledge, the above named child has adequately been immunized for school attendance, as documented above.

Temporary Medical Exemption

Expiration date: _____________

Part B-Temporary

 

Part B (For children in daycare, family daycare homes, preschool, kindergarten and grades 1 through 12 who are incomplete for immunizations in Part A) Invalid without expiration date. DOE Code 2

I certify that the above named child has received the immunizations documented above and has commenced a schedule to complete the required immunization. Additional immunizations are not medically indicated at this time.

Permanent Medical Exemption

Part C-Permanent

Part C (For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption.) DOE Code 3 ________________________________________________________________________________________

I certify the physical condition of this child is such that immunizations as indicated in Part C above are medically contraindicated.

Physician or Clinic Name:

Physician or

_________________________________________________

Authorized Signature: ____________________________________

_________________________________________________

Issued By:_____________________________________________

_________________________________________________

Date: _________________________________________________

DH 680 (Jul 2010) Stock Number: 5740-000-0680-6