Fill Your 680 Template

1. Incomplete Information: One common mistake is failing to fill out all required fields. Each section of the form must be completed, including the child's full name, date of birth, and immunization details. Leaving any section blank can lead to delays or rejection of the form.

2. Incorrect Dates: Entering incorrect vaccination dates is another frequent error. Ensure that the dates for each dose are accurate and follow the format MM/DD/YY. Double-checking these dates can prevent complications with school enrollment.

3. Missing Signatures: Not signing the form is a critical oversight. The form requires a signature from a parent or guardian, as well as an authorized physician or clinic representative. A missing signature renders the document invalid.

4. Failure to Review Guidelines: Many individuals do not refer to the provided immunization guidelines. The form references DH Form 150-615, which contains essential information for completing the form correctly. Ignoring these guidelines can lead to mistakes that could have been easily avoided.

When filling out the Florida Certification of Immunization (Form 680), it is essential to follow these key takeaways:

• Complete Information: Ensure all sections are filled out accurately, including the child's full name, date of birth, and immunization details.
• Signature Requirement: Sign and date the appropriate certificate (A, B, or C) on the form to validate the immunization records.
• Temporary and Permanent Exemptions: Be aware of the options for temporary and permanent medical exemptions, and provide valid reasons if applicable.
• Consult Guidelines: Refer to the Immunization Guidelines for Florida Schools and Childcare Facilities for detailed instructions and additional information.

These steps will help ensure compliance with state requirements for school attendance.

• Do double-check all personal information for accuracy before submitting the form.
• Don't leave any required fields blank. Each section must be completed.
• Do ensure that all vaccine doses and dates are clearly written and legible.
• Don't use abbreviations or shorthand that could lead to confusion.
• Do sign and date the appropriate certificate at the end of the form.
• Don't forget to include any optional information, like the child's SS# or state immunization ID#, if available.

Misconceptions about the Florida Certification of Immunization (Form 680) can lead to confusion for parents and guardians. Here are eight common misunderstandings:

• Misconception 1: The form is only for children entering kindergarten.

In reality, the Form 680 is required for children in daycare, preschool, and all grades up to 12. It serves as proof of immunization for school attendance at various educational levels.

• Misconception 2: All immunizations must be completed before submitting the form.

This is not entirely true. There are options for temporary medical exemptions or incomplete immunization schedules, allowing children to attend school while they complete their vaccinations.

• Misconception 3: The form can be filled out by anyone.

The form must be completed and signed by a healthcare provider or authorized clinic personnel. This ensures that the information provided is accurate and verified.

• Misconception 4: Parents can choose to ignore the immunization requirements.

While parents have the right to make healthcare decisions for their children, schools typically require proof of immunization to ensure the health and safety of all students.

• Misconception 5: The form is the same for all states.

Each state has its own requirements and forms. The Florida Form 680 is specific to Florida and may differ from forms used in other states.

• Misconception 6: The expiration date for temporary exemptions is not important.

It is crucial to include an expiration date for temporary medical exemptions. Without it, the exemption is considered invalid, and the child may not be allowed to attend school.

• Misconception 7: A child's social security number is mandatory on the form.

The inclusion of a child's social security number is optional. Parents can choose to provide it, but it is not a requirement for the form to be valid.

• Misconception 8: The form does not need to be updated once submitted.

Parents should keep the form updated as their child receives additional immunizations. This ensures that the school has the most current and accurate health information.

The Florida Certification of Immunization, commonly referred to as the 680 form, is essential for documenting a child's immunization status for school entry. Along with this form, several other documents may be required to ensure compliance with health regulations. Below is a list of these forms and documents, each with a brief description.

• DH Form 150-615: This form provides comprehensive immunization guidelines for Florida schools, childcare facilities, and family daycare homes. It outlines the required immunizations and offers instructions on how to complete the 680 form.
• Florida Horse Bill of Sale: This form is essential for transferring ownership of a horse, detailing the horse’s description, sale price, and the names of both buyer and seller. For more information, you can visit Florida Documents.
• Health Records: These records include detailed medical histories and vaccination records that may be needed to verify a child's immunization status.
• Medical Exemption Form: This document is used when a child cannot receive certain vaccinations due to medical reasons. It must be completed and signed by a licensed physician.
• Religious Exemption Form: Parents or guardians can use this form to request an exemption from immunization requirements based on sincerely held religious beliefs.
• Proof of Residency: Schools may require documentation to verify the child's residency within the district, such as utility bills or lease agreements.
• Enrollment Forms: These forms are necessary for registering a child in school and may include personal information, emergency contacts, and health information.
• Physical Examination Form: This document confirms that a child has undergone a recent physical examination, which may be required for school entry.
• Consent for Treatment Form: Parents or guardians may need to sign this form, allowing healthcare providers to administer vaccinations or other medical treatments to their child.
• School Health Assessment Form: This form assesses a child's overall health and may include vision and hearing screenings, along with other health evaluations.

Having these documents ready can help streamline the enrollment process and ensure that a child's immunization records are complete and compliant with state regulations. Always check with the specific school or childcare facility for any additional requirements that may apply.

• Florida DH Form 150-615: This document provides guidelines for completing the immunization requirements for Florida schools and childcare facilities. It includes detailed instructions similar to those found on the 680 form.
• CDC Immunization Record: The CDC provides a standardized immunization record that tracks vaccinations for children. Like the 680 form, it captures essential vaccine information and dates.
• State Vaccination Certificate: Many states issue vaccination certificates that serve as proof of immunization for school entry. These certificates, like the 680 form, typically require details about the child and their immunization history.
• School Health Forms: Schools often require health forms that include vaccination status. These forms share similarities with the 680 form in that they document immunization compliance for school attendance.
• Childhood Immunization Schedule: This schedule outlines the recommended immunizations for children at various ages. It parallels the 680 form by indicating which vaccines are necessary for school readiness.
• Medical Exemption Forms: These forms are used when a child is exempt from vaccinations for medical reasons. Like Part C of the 680 form, they require documentation and justification for the exemption.
• Daycare Immunization Records: Daycare facilities often require immunization records similar to the 680 form to ensure compliance with health regulations. They also track vaccination status and required doses.

• Motor Vehicle Bill of Sale Form - When transferring vehicle ownership, refer to the essential Motor Vehicle Bill of Sale documentation to ensure the transaction is properly recorded.

• Health Insurance Immunization Records: Health insurance providers may issue records that summarize a child’s vaccinations. These records are akin to the 680 form, as they provide a comprehensive overview of immunization history.

Detailed Instructions for Writing 680

After gathering the necessary information, you can begin filling out the Florida Certification of Immunization (Form 680). Ensure that you have all relevant immunization records on hand to complete the form accurately.

1. Enter the Child’s Information: Fill in the last name, first name, middle initial, and date of birth (MM/DD/YY).
2. Parent or Guardian Details: Provide the name of the parent or guardian.
3. Child’s Social Security Number: This is optional, but you may include it if available.
4. State Immunization ID: This is also optional. Include it if applicable.
5. Record Immunization Doses: For each vaccine listed, enter the date of each dose received (up to five doses) in the appropriate columns.
6. Select the Appropriate Certificate: Choose Part A, B, or C based on the child's immunization status.
7. Complete the Certification: If using Part A, check the appropriate DOE Code to indicate if immunizations are complete.
8. Sign and Date: The parent or guardian must sign and date the form. If applicable, a physician or clinic representative should also sign.
9. Submit the Form: Ensure that the completed form is submitted to the appropriate school or childcare facility.