Child’s Proof of Immunization and Health Examination
Public school students are required to present the Florida Certification of Immunization, Form DH 680, or “Blue Card,” as proof of immunization. The "Blue Card" (Form DH 680), must be used to document the immunizations required for entry and attendance in Florida schools.
These forms are not available to the public and must be completed by a Florida physician or a
Florida county health department. If you do not have a copy of this form, you can submit your immunization record to your health care provider or county health department to have your child’s immunization history transferred to the DH 680 form.
If you are a Florida resident and your student has received immunizations in Florida, you can retrieve your child's DH 680 record, which contains the immunizations needed to attend Florida schools, through Florida SHOTS™ (State Health Online Tracking System) Florida's statewide, computerized immunization registry. Review the FAQs on the Florida Department of Health website for instructions to access and print a copy of your child's DH 680 records.
If you are moving to Florida it is recommended that parents/guardians obtain a copy of the student's complete immunization history before leaving the current state of residence. The
county health department that serves the area where the child will be residing will need this information.
Not Sure What Immunizations Are Required?
For a complete listing of immunizations required by the Florida Department of Health, view the "Latest Immunization Requirements" webpage.
Where Can I Get Immunizations for My Student?
Immunizations can be obtained from doctor’s offices, clinics, or hospitals. Pediatricians and family doctors or their nurses or medical assistants can give your student the shots they need to meet the requirements for school enrollment. In addition, some large chain pharmacies offer immunizations for older children and adults.
Contact your county health department to find the clinic location closest to the child's home or for additional information. To find a local clinic in Florida, please view the "Site Services" webpage developed by the Florida Department of Health.
What if I Need Assistance Paying for Vaccines?
If you need assistance paying for shots/vaccinations, you may be able to get free or reduced immunizations through this program:
A student may be exempt from immunizations for medical reasons or religious beliefs. Students claiming a medical or religious exemption must submit an official Florida exemption form. More information on exemptions and their requirements is outlined below.
- Medical Exemption: A Permanent Medical Exemption, documented on the Form DH 680, can be granted if a child cannot be fully immunized due to medical reasons. In this case, the child's physician must state in writing, the reasons for exemption based on valid clinical reasoning or evidence. A request for a medical exemption from immunization requirements must be presented to the facility/school on the Department of Health’s Permanent Medical Exemption From Immunization form (DH 680 Form).
- Religious Beliefs: An exemption many be issued if immunizations are in conflict with the religious tenets and practices of the child's parent or guardian. This exemption is issued by a County Health Department (CHD) and based on established religious beliefs or practices only. A request for a religious exemption from immunization requirements must be presented to the facility/school on the Department of Health’s Religious Exemption From Immunization form (DH 681 Form).
- Temporary Medical Exemption: A Temporary Medical Exemption (TME), documented on the Form DH 680, Florida Certification of Immunization, may be granted for those who are in the process of completing any necessary immunizations. The TME requires an expiration date after which the exemption is no longer valid, and the immunizations must be completed before or at that time.
Students who are making their initial entry into a Florida school must present a record of a physical examination completed within the past 12 months. Although a specific form is not required, it is recommended that Florida's standardized School Entry Exam form (DH 3040) be used to document completion of a physical examination. It must be completed by a health care provider licensed to perform physical examinations. For students transferring to a Florida school, a comparable form from another state would be acceptable, if completed within one (1) year.