680 PDF Template

1. Incomplete Information: Failing to fill in all required fields, such as the child's last name, first name, or date of birth, can lead to delays or rejection of the form.

2. Incorrect Dates: Entering the wrong dates for immunizations can create confusion. Ensure that the dates are accurate and follow the specified format (MM/DD/YY).

3. Missing Signatures: Not signing the appropriate certificate (A, B, or C) can invalidate the form. Always remember to sign and date where required.

4. Ignoring Optional Information: While the child's SS# and state immunization ID# are optional, providing them can help streamline the process and avoid future issues.

5. Incorrect Vaccine Codes: Using the wrong vaccine codes can result in miscommunication. Double-check the codes against the provided list to ensure accuracy.

6. Not Reviewing Records: Failing to review the child's immunization records before completing the form can lead to errors. Always verify that the information is correct and complete.

7. Ignoring Guidelines: Overlooking the guidelines provided in DH Form 150-615 can lead to mistakes. Familiarize yourself with the instructions to ensure proper completion.

1. The 680 form is only for K-12 students. Many believe that the 680 form is exclusively for children in K-12 education. In reality, it is also applicable for children in daycare, preschool, and family daycare homes.

2. Immunization records are not necessary for school entry. Some think that schools do not require proof of immunization. However, the 680 form is a crucial document that schools need to ensure children are vaccinated according to state regulations.

3. All immunizations must be completed before filling out the form. It's a common misconception that parents must have all immunizations completed before they can submit the 680 form. The form allows for temporary exemptions and can document a child's progress toward completing their immunization schedule.

4. The 680 form is only valid if signed by a physician. While many parents believe that only a physician's signature is acceptable, the form can also be signed by authorized clinic personnel. This provides flexibility for families seeking immunization documentation.

5. Once submitted, the 680 form cannot be updated. Some parents think that once they submit the 680 form, it cannot be changed. In fact, updates can be made if a child receives additional vaccinations after the initial submission.

6. The 680 form is the only documentation needed for immunizations. Many believe that the 680 form is the sole requirement for immunization records. However, additional documentation may be required by specific schools or childcare facilities, so it’s essential to check their policies.

When filling out the Florida Certification of Immunization form (Form 680), there are several important dos and don'ts to keep in mind to ensure a smooth process. Here’s a helpful list:

• Do double-check all information for accuracy before submitting the form.
• Do make sure to sign and date the appropriate certificate (A, B, or C) on the form.
• Do include all necessary doses and dates for each vaccine listed.
• Do review the guidelines available at www.immunizeflorida.org/schoolguide.pdf for any additional instructions.
• Do ensure that any medical exemptions are clearly documented with valid reasoning.

• Don't leave any sections blank; incomplete forms may be considered invalid.
• Don't forget to include the child’s full name and date of birth at the top of the form.
• Don't provide false information, as this can lead to serious consequences.
• Don't submit the form without checking the expiration date for any temporary medical exemptions.
• Don't assume all vaccines are documented; verify that each required immunization is listed.

• Complete All Sections: Ensure you fill out every required field on the 680 form, including the child's name, date of birth, and immunization details.
• Sign and Date: After entering the information, sign and date the appropriate certificate (A, B, or C) to validate the document.
• Understand the Codes: Familiarize yourself with the DOE codes for immunization status. This will help you accurately indicate whether the child is fully immunized or requires exemptions.
• Check for Exemptions: If applicable, provide information for temporary or permanent medical exemptions, including valid clinical reasoning.
• Consult Guidelines: Refer to the Immunization Guidelines for Florida Schools and Childcare Facilities for detailed instructions on completing the form correctly.