Childhood Immunization Requirements

Immunizations and a school physical are required to return to school for students going into Kindergarten and Seventh grade, and for new students coming into Palm Beach County.

Parents are encouraged to visit their physician or medical provider for immunizations if possible.

Those without a pediatrician can call DOH-Palm Beach 561-625-5180, Monday – Friday, 8 a.m. - 5 p.m., to schedule an appointment.

• Complete your Request Online

To enroll a student in a Florida school you must provide the following documents:

Evidence of a Physical Exam

Must be completed within 12 months prior to the child's school entry date. Parents may submit the School Entry Health Exam (DH 3040) or provide a copy of an exam obtained from their current health care provider that includes the components of DH 3040.

• Parents should obtain a copy of their child's medical history/medical exam before leaving their current state of residency when moving to Florida.

Florida Certification of Immunization or Exemption

Prior to entry, attendance or transfer to preschools, school (public/private k-12), licensed childcare facilities, and family daycare homes, each child shall have on file a Florida Certification of Immunization, form DH 680.

• An electronic DH 680 may be issued by health care practitioners participating in the Florida State Health Online Tracking System (Florida SHOTS), the statewide immunization registry. When available through Florida SHOTS, a DH 680 may be electronically certified in lieu of provider signature for access by any Florida SHOTS authorized participant.
• Parents should obtain a copy of their child's complete immunization history before leaving their current state of residency when moving to Florida.

Religious Exemption

This exemption is only issued by a county health department and based on established religious beliefs or practices only.

• Form DH 681, Religious Exemption From Immunization, is issued if immunizations are in conflict with the religious tenets and practices of the child's parent or guardian.
• Form DH 681 must be presented to the school or facility prior to the child's entry, attendance, or transfer.

In addition to your pediatrician or DOH, your child can also get their back-to-school immunizations at one of the many local Federally Qualified Health Center clinics listed below: