Dh 681 form pdf 2025

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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. Request your vaccination records.
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.
A religious exemption from vaccination must be obtained from a county health department. Religious exemption is not authorized or issued by schools or physicians. Every county health department issues a standardized approved religious exemption form (DH 681). This linked form is for informational purposes only.
California removed its personal and religious exemption option in 2015. Parent/guradian must complete an online educational module to receive a non-medical exemption. Connecticut removed its religious exemption option in 2021.
A religious exemption is issued ONLY by the local county health department. An appointment for a religious exemption can also be made at 954-467-4705. The religious exemption must be presented to the school on the Department of Healths Religious Exemption Form Immunization (DH 681 Form).

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All states allow exemptions for medical reasons, and almost all states (except California, Mississippi and West Virginia) grant religious or philosophical exemptions for people who have sincerely held beliefs that prohibit immunizations.

dh 681 form for adults