Loading
Get Florida Immunization Information System Opt Out Form
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Florida Immunization Information System Opt Out Form online
This guide provides step-by-step instructions on how to complete the Florida Immunization Information System Opt Out Form online. By following these steps, users can ensure their immunization information is excluded from the system as per their preference.
Follow the steps to successfully complete the form online.
- Press the ‘Get Form’ button to access the Opt Out Form and open it in your preferred editing tool.
- Fill in the required fields such as your first name, middle name, last name, and date of birth. Ensure that all information is accurate to avoid any complications.
- Provide your mailing address, including street, city, state, and zip code. Double-check for errors in your address to ensure proper communication.
- Indicate the name and address of your doctor or clinic. This information is necessary for any future health records or consultations.
- Review the declaration statement stating that you are the individual or the parent/legal guardian of the individual listed above. Acknowledge your choice to exclude immunization information from the Florida Immunization Information System.
- Sign and date the form to validate your request. Make sure your signature corresponds with the name provided earlier.
- Upon completion, save your changes. You can then download, print, or share the document as needed.
Complete your Florida Immunization Information System Opt Out Form online today!
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.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.