Instructions for completing dh form 684 - Florida Department of: Fill out & sign online

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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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