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Instructions for completing dh form 684 - Florida Department of

Instructions for completing dh form 684 - Florida Department of 2026

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The document outlines the requirements for private schools in Florida to submit an Immunization Annual Report of Compliance (DH Form 684) for kindergarten and seventh grade students by October 1 each year. It details the necessary information to be provided, including school and student details, types of immunization exemptions, and compliance categories. The mission is to enhance public health through effective immunization reporting.

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Click ‘Get Form’ to open it in the editor.
Begin with Section A: Private School Information. Clearly print all identifying details such as the school name, mailing address, principal's name, and contact number.
Move to Section B: Student Information. List students who are not fully immunized, indicating their grade and exemption type. Ensure you categorize them correctly based on the provided exemption types.
In this section, if a student has a Temporary Medical Exemption, ensure that the DH Form 680, Part B is current. For Permanent Medical Exemptions, verify that the physician's documentation is included.
Complete Section C: Summary Information by providing totals for each category of students enrolled in kindergarten and seventh grade. Make sure these totals match your earlier entries.
Once completed, save your form and submit it to the local county health department by October 1.

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What is the medical exemption form for immunizations in Florida?

Should students or student health offices complete the form? Students should complete the AAMC Standardized Immunization Form in conjunction with either the student health office at their medical school or with their primary care provider.

What is a Form 680 in Florida for immunizations?

Physical Exam Requirement: Students entering a Florida school for the first time must have proof of a physical exam completed within a year before enrollment that is completed and signed by a healthcare provider licensed to perform physical exams in the United States.

How to get a medical exemption for vaccines in Florida?

Documenting Immunization Record 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.

What is a fl 680 immunization record?

If you received a Notice of Motion (form FL-680) or an Order to Show Cause (form FL-683), it means the Local Child Support Agency (LCSA) has filed papers asking for a court date (a hearing). At the hearing, the court may make orders for child support or other issues.

What is a FL 680 form?

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. Form DH 681 must be presented to the school or facility prior to the childs entry, attendance, or transfer.