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 Florida Shots Form Dh 1479 2007-2026

Dh680 PDF 2007-2026 Form

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What is the Florida Shots Form DH 1479

The Florida Shots Form DH 1479, also known as the Florida Immunization Record, is a crucial document that records a child's immunization history. This form is essential for parents and guardians to provide proof of vaccinations for school enrollment or other health-related requirements. It includes detailed information about the vaccines administered, including dates and types of vaccines, and is typically required by schools and childcare facilities across Florida.

How to use the Florida Shots Form DH 1479

The Florida Shots Form DH 1479 is used primarily to document immunizations for children. Parents or guardians should complete the form by filling in the child's personal information, including their name, date of birth, and the details of the vaccinations received. Once filled out, this form can be submitted to schools, daycare centers, or healthcare providers as proof of immunization. It is important to keep a copy of the completed form for personal records.

Steps to complete the Florida Shots Form DH 1479

Completing the Florida Shots Form DH 1479 involves several straightforward steps:

  • Gather the child's vaccination records and personal information.
  • Fill in the child's full name and date of birth at the top of the form.
  • List each vaccination received, including the vaccine name, date administered, and the healthcare provider's information.
  • Review the completed form for accuracy.
  • Sign and date the form if required, then submit it to the appropriate institution.

Legal use of the Florida Shots Form DH 1479

The Florida Shots Form DH 1479 is legally recognized as a valid record of immunization. It complies with state regulations that require proof of vaccinations for school entry. Parents and guardians must ensure that the information provided is accurate and truthful, as submitting false information can lead to legal repercussions. This form serves as a safeguard for public health by ensuring that children are vaccinated against preventable diseases.

Key elements of the Florida Shots Form DH 1479

Key elements of the Florida Shots Form DH 1479 include:

  • Child's Information: Full name, date of birth, and demographic details.
  • Vaccination Details: Types of vaccines received, administration dates, and the healthcare provider's signature.
  • Parent/Guardian Information: Name and contact details of the parent or guardian completing the form.
  • Certification: A section for the healthcare provider to certify that the information is accurate.

How to obtain the Florida Shots Form DH 1479

The Florida Shots Form DH 1479 can be obtained through various channels. Parents and guardians can request the form from their child’s healthcare provider, local health department, or educational institution. Additionally, many healthcare facilities provide access to the form online, allowing for easy printing. It is important to ensure that the most current version of the form is used to meet state requirements.

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