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Get Florida Immunization Information System Opt Out Form

Date of Birth Mailing Address: Street Mailing Address: City State Zip Code Name of Doctor or Clinic Address of Doctor or Clinic The Colorado Immunization Information Syst.

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An appointment for a religious exemption can also be made at 954-467-4705. The religious exemption must be presented to the school on the Department of Health's Religious Exemption Form Immunization (DH 681 Form). No other information should be solicited from the parent or guardian.

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.

A religious exemption from vaccination must be obtained from a county health department. Religious exemption is not authorized or issued by schools or physicians. Every county health department issues a standardized approved religious exemption form (DH 681). This linked form is for informational purposes only.

It is morally wrong to receive a vaccine that used fetal cells in the development stage—the most commonly cited religious objection to the vaccines; The body is a temple that should not receive foreign or unnatural substances, and God will protect the body from sickness; and.

IF YOU DO NOT WANT TO PARTICIPATE IN THE FLORIDA SHOTS, IMMUNIZATION INFORMATION SYSTEM (IIS) – PLEASE READ THE FOLLOWING: By completing the form below, you are stating that you DO NOT want the Florida SHOTS, IIS to record, maintain, or provide this patient's past or present immunization information.

Public/Non-public Schools Kindergarten Through 12th Grade Four or five doses of DTaP. Four or five doses of IPV. Two doses of MMR. Three doses of Hep B. One Tetanus-diphtheria-acellular pertussis (Tdap)

The Form is issued ONLY by county health departments and ONLY for a child who is not immunized because of his/her family's religious tenets or practices. Religious exemption from immunization requirements is located at: .floridahealth.gov/programs-and-services/immunization/schoolguide.pdf.

The Form DH 680, Florida Certification of Immunization, must be used to document receipt of immunizations required for entry and attendance in Florida schools, childcare facilities, and family daycare homes.

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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