Form DH-680


(4.5 / 5) 64 votes
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Get your Form DH-680 in 3 easy steps

  • 01 Fill and edit template
  • 02 Sign it online
  • 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.

Form DH-680 on PDFLiner

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?

  1. 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.
  2. 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).
  3. 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.
  4. Enter the name of the doctor or clinic that completed the form. The specialist must put their signature.
  5. 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

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Fillable online Form DH-680
(4.5 / 5) 64 votes
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