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  • Immunization Report Form

Get Immunization Report Form

Arizona Immunization Program Office Vaccines for Children Program 150 N. 18th Avenue Suite 120 Phoenix, Arizona 85007 Email: ArizonaVFC azdhs.gov Phone: (602) 364-3642 Fax (602) 364-3276 Vaccines.

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Every child entering a Florida school for the first time needs the Florida Certification of Immunization form (also known as Form 680 or “blue card”). This form must be completed by a physician or a Florida county health department.

You can request a copy of your immunization records online at no cost through the Georgia Department of Public Health. Your healthcare provider or local public health department may also be able to provide you with a copy of your immunization records.

The Form DH 680, Florida Certification of Immunization, must be used to document receipt of Immunizations and is required for enrollment into the Florida school systems, programs, childcare facilities, and family daycare homes.

Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration.

Florida SHOTS is a free, statewide, centralized online immunization information system (IIS) that helps healthcare providers and schools keep track of immunization records to ensure that patients of all ages receive the vaccinations needed to protect them from dangerous vaccine-preventable diseases.

Contact the Immunization Section 1-877-888-7468. Immunization@FLHealth.gov. 850-922-4195. Florida Department of Health. Immunization Section. 4052 Bald Cypress Way, Bin A11. Tallahassee, FL 32399-1719.

Form DH 681, Religious Exemption From Immunization, is issued if immunizations are in conflict with the religious tenets and practices of the child's parent or guardian. This exemption is issued by a County Health Department (CHD) and based on established religious beliefs or practices only.

If you need your immunization record or Certificate of Immunization (COI), please contact the provider or county health department who administered your vaccines, or ask your current provider if they have access to Alabama's immunization registry, ImmPRINT, to locate your record.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232