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Form DH-680
Get your Form DH-680 in 3 easy steps
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01 Fill and edit template
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02 Sign it online
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03 Export or print immediately
What is a DH 680 Form?
DH Form 680 Certification of Immunization is a one-page blank required for admission to children's educational institutions (kindergarten through 12th grade). It contains information about all the key vaccinations that the child has received so far.
What do I need the Florida DH 680 Form for?
- The Florida DH 680 Form printable is a required document that each parent must provide when their child enters schools and other childcare facilities.
- Even if the kid is exempt from certain vaccinations for any reason, it must be indicated in the document.
- Without Immunization Record Florida DH 680 Form printable, you might be denied admission to a children's educational institution.
How to Fill Out Form DH 680 Florida Certification of Immunization?
- This document must be filled in by the physician who is seeing the kid. Enter the child's full name, date of birth, and parent or guardian's name.
- The table lists all vaccinations required for schoolchildren. You only need to enter the dates of vaccinations for each dose. Select a vaccine category (general or 7th grade).
- If the child has a temporary exemption from vaccinations, indicate its period. If there is a permanent withdrawal, list the specific vaccine and briefly describe the reason.
- Enter the name of the doctor or clinic that completed the form. The specialist must put their signature.
- After completing the Florida Immunization Form DH 680 download and print it. Or submit it electronically through Florida SHOTS.
Organizations that work with DH 680 Form PDF
- Сhildren's educational institutions
Fillable online Form DH-680