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Immunization Record - Blue 680 Form

Prior to entry, attendance or transfer to preschools, schools (K-12), licensed childcare facilities, and family daycare homes, each child shall have on file a Florida Certification of Immunization, DH 680 documenting the following:

Public/Non-Public Schools K-12 (children entering, attending, or transferring to Florida schools):

• 4 or 5 doses of Diphtheria-Tetanus-Pertussis (DTaP) vaccine
• 2 or 3 doses of Hepatitis B (hep B) vaccine
• 3 or 4 doses of Polio vaccine
• 2 doses of Measles-Mumps-Rubella (MMR) vaccine
• 2 doses of Varicella vaccine* for kindergarten and grade one
• 1 dose of Varicella vaccine* for grades two through eight
  *Varicella vaccine is not required if there is a history of Chicken Pox documented by the healthcare provider.

Public/Non-Public Schools Seventh Grade: In addition to compliance with all other required immunizations, children entering, attending, or transferring to the seventh grade in Florida schools must complete the following:

• Effective 2009-2010 One tetanus-diphtheria-pertussis (Tdap) vaccine