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Sign and date appropriate certificate A B or C on form. See DH Form 150-615 Immunization Guidelines - Florida Schools Childcare Facilities and Family Daycare Homes July 2010 for information and instructions on form completion. Guidelines are available at www. Permanent Medical Exemption Part C-Permanent Part C For medically contraindicated immunizations list each vaccine and state valid clinical reasoning or evidence for exemption. DOE Code 3 I certify the physical condition of this child is...
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What is form 680?
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.