Parental Opt-Out Form

You do not need to complete any form to participate in Florida SHOTS.

If you include your child’s record in Florida SHOTS, your healthcare provider will:

• Have access to an automated, updated immunization history for your child through the convenience of Florida SHOTS
• Be able to provide an automated immunization form, needed for school or day care entry and attendance
• Receive an automated reminder from Florida SHOTS records for immunizations that are due
• Have an automated notification that your child has experienced an adverse event to a specific shot or that your child has a contraindication to a vaccine

Florida is an opt-out state. If you choose to opt out, your child’s record will not be accessible through Florida SHOTS. 

• Opt-Out Form in English
• Opt-Out Form en Español
• Opt-Out Form in Creole