When creating a D.H. 680 form, you must first choose the correct part of the form to use for each patient.
Remember:
Part A (K-6th) Code 1 Select this option for children with the required immunizations, entering kindergarten through 6th grade.
Part A (7-12th Grade) Code 8 Select this for children with the required immunizations, entering 7th through 12th grade. Florida SHOTS will verify that the child also meets the requirements for a Code 1 before generating a certified Code 8.
Part B Select this for children who are up-to-date, but still require one or more immunizations to attend school or daycare. This is a temporary medical exemption and needs an expiration date.
Part C (Permanent Medical Exemption) This is for children who are technically up-to-date, but because they have a permanent medical reason for not receiving one or more specific vaccines. Part C may be issued in conjunction with Part A or Part B. Both Part A and C, or B and C, would be selected if you have a patient with a permanent medical exemption. Rarely, children may have a permanent medical exemption to all vaccines, and in this case, only a Part C is issued.
Electronic DH Form 680
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 health care 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.