Get Florida Immunization Record

Filling out the Florida Immunization Record online is a straightforward process that ensures your child's vaccination information is accurately documented. This guide provides clear instructions to help you complete the form effectively and efficiently.

Follow the steps to complete the Florida Immunization Record online.

1. Click the ‘Get Form’ button to access the Florida Immunization Record and open it in your preferred editing tool.
2. Begin by entering the child’s legal name in the designated fields for last name, first name, and middle initial.
3. Input the date of birth using the format provided. Ensure that the gender is accurately marked as either 'M' for male or 'F' for female.
4. Fill in the social security number in the correct format, separating the parts with slashes.
5. Complete the address section, providing details such as the city, state, zip code, and phone number.
6. List any known allergies in the allotted space to ensure the health provider has all pertinent information.
7. Acknowledge that you have read or had explained the Vaccine Information Statement regarding the Tdap vaccine and that you have had the opportunity to ask questions.
8. Print the name of the consenting adult in the designated section and choose the relationship to the child. Circle the applicable option from the list provided.
9. Sign the form in the space provided and ensure to date it accordingly.
10. Finally, confirm all entered information is correct. You can then proceed to save the changes, download a copy, print the form, or share it as needed.

Complete your Florida Immunization Record online today to ensure your child’s vaccination status is documented accurately.