Form 680 pdf 2025

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Immunization Requirements for Entry into Florida Schools Students from Pre-kindergarten through 12th grade who are coming into a Florida school for the first time must present an immunization record (DH 680) and a current Florida School Entry Physical Examination, Form (DH 3040).
Ask your doctor, pharmacist or other vaccine provider for an immunization record form or download and use this form [4 pages]. Bring this record with you to health visits, and ask your vaccine provider to sign and date the form for each vaccine you receive.
The DH 681 Form, Religious Exemption From Immunization, is issued upon written request of the parent of the student stating objections to the examination on religious grounds, if immunizations are in conflict with the religious tenets and practices of the childs parent or guardian.
Unless a doctor has a reason to authorize a medical exemption, your only options with current vaccine policy are to (1) comply with accepted vaccine standards and all mandates, or (2) have religious objections to vaccination because partial exemptions and exemptions for personal or philosophical reasons are not
Submit your request directly to Florida SHOTS: You can request your vaccination records directly from Florida SHOTS by filling out the Florida Department of Health form DH3203 Authorization to Disclose Confidential Information form online, electronically sign and submit it.
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Form DH 681, Religious Exemption From Immunization, is issued if immunizations are in conflict with the religious tenets and practices of the childs parent or guardian. This exemption is issued by a County Health Department (CHD) and based on established religious beliefs or practices only.

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