Get Florida Immunization Information System Opt Out Form

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.