Get Florida Dh 680 Form Printable 2020-2024

A Florida SHOTS™ Form DH 680, certified with electronic signature, may be printed by enrolled health care providers and is also accessible to any school, licensed childcare facility, or daycare center enrolled in Florida SHOTS™.

The Florida SHOTS™ (State Health Online Tracking System) is a free, statewide, centralized online immunization registry that assists health care providers, schools, and parents with keeping track of immunization records.

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.

CREATING A PIN ONLY Open the patient's record in Florida SHOTS. On the menu bar select “Create Pin” located under the Form 680 header. The “CREATE FORM 680 CERTIFICATION PIN” page will open. The following information is found on this page: • Patient Name – The patient name will automatically appear.

Florida law requires that all children receive vaccines protecting against diphtheria, tetanus, polio, measles, mumps, rubella, and other diseases for child care center or school attendance.

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.

Transferring Immunization Records from Another State to Florida. The Florida Certification of Immunization, also known as the “Blue Card” or “DH 680 form,” is required for each child entering a Florida school for the first time. This form must be completed by a physician or a Florida county health department.

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.