Dh form 684 2026

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  1. Click ‘Get Form’ to open the dh form 684 in the editor.
  2. Begin by filling in the Private School Information section. Enter the date, name of the school, and details of the person completing the form, including their address, city, zip code, county, principal's name, position/agency, and phone number.
  3. In the Student Information section, list only those students who are not fully immunized for their grade. Indicate any type of exemption or compliance status for each student listed.
  4. Complete the Summary Information section by providing totals for each category: students enrolled, fully immunized, medical exemptions (temporary and permanent), religious exemptions, and those out of compliance.
  5. Once all sections are filled out accurately, review your entries for completeness before submitting. Save your document within our platform for easy access.

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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.
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.
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).
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.