X Denotes required immunizations per grade level
Students who are not in compliance with immunization laws are required to be excluded from school. (Immunizations given four days before a minimum interval or age will be counted as valid.) These immunization requirements apply to all new students and retained students.
  1. MMR (one shot): Measles, mumps and rubella must have been given on or after the child’s first birthday.
  2. MMR (two shots): The minimum interval between the 2 doses of MMR is 28 days.
  3. POLIO (3-5 doses):
    • Kindergarten: All kindergarteners need one polio on or after fourth birthday. If fourth dose of polio vaccine was administered on or after the fourth birthday, a fifth dose of polio vaccine is not required for entry into kindergarten.
    • First through twelfth grade: If third dose of polio was given on or after the fourth birthday, a fourth dose is not required. The final dose of the polio series should be administered on or after the fourth birthday regardless of the number of previous doses.
  4. DTP/DTaP (5 shots): If the fourth dose of DTP/DTaP was given on or after the fourth birthday, a fifth dose is not required. Students between ages 7 and 12 (before 7th grade) may be considered complete with three doses and evaluation by the Department of Health School Nurse.
  5. Tdap (one shot): One dose of Tdap is required for students entering, repeating or transferring into seventh, eighth, ninth, tenth and eleventh, and twelfth grade. Tdap can be administered regardless of the interval since the last Td vaccine was given.
  6. Td or Tdap: Tdap is the requirement for grades 7 – 12.
  7. Hib: Number of doses of Hib varies according to age and the type of vaccine received.
  8. Varicella (one shot or signed proof of disease): Varicella must have been given on or after child’s first birthday.

♦♦♦Pre-K students must have started the series, and have a current immunization certificate.

Certification of Immunization (DH 680): The form DH 680 will no longer be pre-printed on BLUE paper. The form can be printed on plain white paper as long as it is printed from the Florida State Health Online Tracking System (FL SHOTS).

FL SHOTS is Florida’s free, online immunization registry in which all schools and child care facilities are able to have access. For more information on enrolling your school in FL SHOTS, visit www.flshots.com or call 9- 1-877-888-SHOT (7468).

FL SHOTS also has a Parent Record Retriever which allows parents to print the certified DH 680 from their home computer. Parents will only have access to their own child’s records after the doctor’s office provides them with a special PIN number. The form is legal and valid for admittance to schools and daycare facilities and may be printed on standard white paper.

Temporary Medical Exemption (DOE code 2) must be filled in with a future expiration date. If date has passed, or is not filled in, certificate is not valid, and student should not be in school. This applies to all Temporary Medical Exemptions, regardless of grade level. Schools are to track students who enter on Temporary Medical Exemption, and exclude those students when certificates expire if a new certificate has not been presented.

Religious Exemptions (form DH 681) are allowed. They must be obtained at a Health Department Clinic. The above information is a guideline to be used as a quick reference for schools and non-medical personnel. For further information, refer to a physician or the “Immunization Guidelines for School and Childcare Centers”. Available website: www.immunizeflorida.com