DH Form 680s

DH Form 680s

Florida SHOTS makes it easier than ever to provide DH 680 forms to your patients, parents, or caregivers.

Choosing Which Part of the D.H. 680 Form to Use

When creating a D.H. 680 form, you must first choose the correct part of the form to use for each patient.
As of June 2, 2017, Florida SHOTS revised the creation process of the D.H. 680 form within the system to more efficiently comply with Florida’s statutes. An overview of those changes is available here, and answers to frequently asked questions about those changes are available here.
Form choices are as follows:
  • Part A: For patients who are up-to-date for their age and meet the age-appropriate school requirements for grades K-12; or for the 7th-grade requirements only.
  • Part B: For temporary medical exemptions—An expiration date is required (generally 15 days after the next scheduled appointment). If a Part B is chosen and the patient has received all the vaccinations they can for now (i.e., they are currently up-to-date), the system will pre-populate a suggested expiration date equal to 15 days after the earliest next recommended due date amongst all series that are not complete.
  • Part C: For permanent medical exemptions including contraindications.


Electronic DH Form 680s

  • Schools and day care centers accept Florida SHOTS’ electronically certified DH Form 680s (authorized by administrative rule 64D-3.046 F.A.C.).
  • Patients can now log on to our secure server directly and print electronically certified copies of DH Form 680 from their home computers, if their healthcare provider is a participating physician and provides them with the State IMM Id and Certification PIN of their child's DH Form 680.
  • Electronically certified shot records are available for quick access with a Florida SHOTS-issued ID and pin number.


Learn How to Issue Electronically Certified 680s!        Download Instructions