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Click ‘Get Form’ to open the DH 680 in the editor.
Begin by filling out the Private School Information section. Enter the date, name of the school, and details of the person completing the form, including their address, name, city, county, zip code, principal's name, position/agency, and phone number.
Next, move to the Student Information section. List any students who are not fully immunized. Indicate their grade and provide their names (last and first). Specify any medical exemptions (temporary or permanent) and note if they are out of compliance.
In the Summary Information section, summarize the total number of students in each category. Include counts for fully immunized students and those with medical exemptions for both kindergarten and seventh grade.
Once all sections are completed accurately, review your entries for correctness before submitting.
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Dh 680 Printable Form - Proof of immunizations must be on a form dh680 (florida form) that is required for school or daycare per florida guidelines/statute.
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