Florida uses Florida SHOTS, the State Health Online Tracking System, to help providers, schools, childcare facilities, and parents keep immunization records organized. If you need proof for school, daycare, college, work, travel, immigration, or your own file, this guide shows the official paths and the backup steps when a record is missing.
To get immunization records in Florida, start with the provider, pharmacy, school, or county health department most likely to have the record. Florida’s official registry is Florida SHOTS. Most providers who administer vaccines use or are connected to Florida SHOTS, and a provider or county health department can generate an immunization history when the record exists.
For school, childcare, and family daycare, Florida usually needs the certified DH Form 680. Parents can access a child’s certified DH 680 when the child’s provider gives a personal identification number connected to that child’s form.
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What Is Florida SHOTS for Immunization Records?
Florida SHOTS is Florida’s free, statewide, centralized online immunization registry. It helps health care providers, schools, childcare facilities, daycare centers, and parents keep track of immunization records. Florida DOH describes it as the system that supports electronic immunization records and certified DH Form 680 access for school, childcare, and daycare documentation.
Florida SHOTS is especially important for school, daycare, camp, and childcare records because Florida uses the DH Form 680.
Adult records may be available if providers, pharmacies, or county health departments entered the vaccines into Florida SHOTS.
Older shots, out-of-state vaccines, foreign vaccines, federal records, and unreported pharmacy doses may require backup sources.
How Do I Get My Immunization Records in Florida?
Use this practical order. It starts with the source most likely to have your official record and then moves to Florida SHOTS and backup documentation if the first route fails.
- Ask your current or former health care provider. Most Florida providers who give vaccines use or are connected to Florida SHOTS. Ask the office to print your immunization history or, for a child, to create and certify the DH Form 680.
- Ask your local county health department. County health departments can often help locate records in Florida SHOTS, issue school forms, and guide you if the record is missing or incomplete.
- Use the Florida SHOTS record request route. Florida SHOTS provides a patient/parent record request process. Use official Florida SHOTS pages rather than third-party form sites.
- Check pharmacy and clinic records. For flu, COVID-19, RSV, shingles, travel, or adult vaccines, check CVS, Walgreens, Publix, Walmart, Costco, urgent care portals, and clinic patient portals.
- Check school, college, or military records. If you are an adult, your high school, college health office, occupational health office, or military record may still have the proof you submitted earlier.
- Compare the record to your purpose. A Florida school may need DH Form 680, while an employer may accept a provider printout, pharmacy record, titer, or occupational health form.
- Fix missing doses at the source. If a vaccine is missing, contact the provider or pharmacy that gave it. Ask whether they can update Florida SHOTS or give you a signed record.
Florida DH Form 680: The Record Most Schools and Daycares Need
The DH Form 680, also called the Florida Certification of Immunization, is the key document for many Florida school, childcare, family daycare, and camp situations. Florida DOH says the form must be used to document immunizations required for entry and attendance in Florida schools, childcare facilities, and family daycare homes.
Florida SHOTS allows enrolled health care providers to create and certify electronic DH Form 680s. Florida DOH also says schools, licensed childcare facilities, and daycare centers enrolled in Florida SHOTS can access certified forms, and parents can access a child’s certified DH Form 680 using a personal identification number issued by the child’s health care provider.
| Florida form | Used for | Who usually issues it |
|---|---|---|
| DH Form 680 | Florida Certification of Immunization for school, childcare, daycare, and certain school-related requirements. | Health care provider or Florida county health department. |
| DH Form 680 Part B | Temporary medical exemption while a child is completing required immunizations. | Private health care provider, with an expiration date. |
| DH Form 680 permanent medical exemption | Permanent medical exemption when a child cannot be fully immunized due to medical reasons. | Private health care provider with written clinical reasoning. |
| DH Form 681 | Religious exemption from immunization requirements. | Florida county health department. |
How Adults Can Get Immunization Records in Florida
Adult immunization records can be harder than children’s school records because many adults received vaccines from multiple places over many years. Florida SHOTS may contain adult vaccines if they were reported, but your complete history may also be split between old providers, pharmacies, college health offices, military records, employers, or out-of-state registries.
Your primary care office may be able to access Florida SHOTS or provide a patient portal vaccine summary.
Adult vaccines such as flu, COVID-19, RSV, shingles, and travel shots are often easiest to find through pharmacy portals.
If childhood records are gone, an employer or college may accept antibody titers for MMR, varicella, or hepatitis B.
Adult record checklist
- Florida SHOTS or provider immunization history.
- Pharmacy vaccine printouts from CVS, Walgreens, Publix, Walmart, Costco, or local pharmacies.
- College health portal records or nursing/medical program records.
- Occupational health records from hospitals, clinics, schools, or government employers.
- Military records, VA records, or federal employment health records if applicable.
- Titer results if the requesting organization accepts proof of immunity.
Florida School Immunization Requirements and Records
Florida DOH lists required immunizations for childcare, preschool, and K-12 students. For kindergarten through 12th grade, Florida DOH lists DTaP, IPV, MMR, hepatitis B, Tdap, and varicella requirements, with an additional Tdap requirement for 7th grade. The official DH Form 680 is used to document required immunizations for school and childcare entry.
| Use case | What Florida usually wants | Practical tip |
|---|---|---|
| Childcare or family daycare | DH Form 680 or accepted exemption documentation. | Ask the provider or county health department before enrollment week. |
| Kindergarten entry | Certified DH Form 680 showing required doses. | Request it early because school offices become busy before August. |
| 7th grade entry | Updated record including Tdap requirement. | Do not assume an old elementary school form is enough for middle school. |
| Transfer from another state | Florida DH Form 680 created from out-of-state records. | Bring all prior records to a provider or county health department for review. |
| Private school | Immunization certification or allowed exemption under Florida rules. | Florida private schools also follow state immunization documentation rules. |
Why Florida Immunization Records May Be Missing
A missing Florida immunization record does not always mean the vaccines were never given. It usually means the data is not in the place you are checking, the record does not match your current information, or the vaccine was given outside the Florida SHOTS reporting path.
Paper records from childhood may not be fully entered into Florida SHOTS.
Changed last names, hyphenated names, nicknames, or incorrect birth dates can make matching harder.
Vaccines from Georgia, Alabama, New York, New Jersey, Puerto Rico, or another state may be in that state’s IIS.
A pharmacy dose may exist in the pharmacy app but not appear on a provider’s record.
Florida SHOTS materials describe Florida as an opt-out state for child records, which can affect registry access.
VA, military, or federal employment vaccines may be stored in federal systems instead of ordinary local records.
How to fix a missing Florida vaccine record
- Identify the missing vaccine and date range. Write down what is missing before calling anyone.
- Contact the place that gave the vaccine. Ask for a vaccine history printout and whether they can update Florida SHOTS.
- Ask your provider to review Florida SHOTS. A provider may be able to reconcile records and generate a cleaner history.
- Use the county health department. County health departments are often the best route for school forms and record review.
- Check other state registries. If the vaccine was given outside Florida, contact that state’s immunization registry.
- Ask the requesting organization about titers. If proof is for a job or college, titers may solve missing MMR, varicella, or hepatitis B history.
Hard Florida Immunization Record Cases and Backup Options
Your Florida doctor retired or the clinic closed
Start with Florida SHOTS through a current provider or county health department. Then look for the clinic’s successor practice, hospital network, or medical records custodian. If the office joined a larger group, the records may now be under the health system’s patient portal. For a child’s school form, a county health department or current pediatric provider may be able to create a DH Form 680 from available records.
You moved to Florida from another state
Bring all out-of-state records to a Florida provider or county health department. The provider may be able to review the dates and create Florida school documentation when appropriate. If your old records are missing, contact the immunization registry in the state where the vaccines were administered.
You were vaccinated outside the United States
Bring the original foreign vaccine record, plus any translation if needed, to a Florida provider, county health department, school nurse, college health office, employer health office, or civil surgeon. The receiving organization may need vaccine names, dates, dose spacing, and sometimes titers.
You need proof today
Call the provider or pharmacy that most recently gave the vaccine and ask for a same-day printout or portal record. For school, ask whether the school can directly access Florida SHOTS or whether they need a certified DH Form 680. For employment, ask occupational health whether a pharmacy record or titer is acceptable while you locate the official record.
You need COVID-19 vaccine proof
Check the provider or pharmacy that administered the COVID-19 vaccine first. For many adults, pharmacy records are faster than older paper cards. If you received the vaccine through a government, employer, or mass clinic, contact that organization’s records office.
Titer Tests as Proof When Florida Vaccine Records Are Missing
A titer test is a blood test that checks for antibodies showing immunity. It does not recreate your vaccine record, but it can sometimes prove immunity when records are lost. Titers are most often discussed for MMR, varicella, and hepatitis B, especially for health care jobs, nursing school, medical programs, and college health requirements.
| Situation | Common titer | Before you pay |
|---|---|---|
| Nursing or health care program | MMR, varicella, hepatitis B surface antibody | Ask the program for exact lab names and accepted result format. |
| Hospital or clinic job | MMR, varicella, hepatitis B | Ask occupational health whether titers or vaccine dates are required. |
| College entry | Usually MMR or varicella when allowed | Check the college portal before ordering labs independently. |
| K-12 Florida school | Varies | Follow DH Form 680 and Florida school instructions first. |
Official Florida Immunization Record Resources
Use official sources first. This page is an independent guide and is not part of Florida DOH, Florida SHOTS, CDC, any county health department, any school district, or any health care provider.
Official Florida SHOTS page explaining how patients and parents can request immunization records.
Open Florida SHOTS Record HelpOfficial Florida DOH page listing school vaccine requirements and DH Form 680 information.
Open Florida DOH ImmunizationsFlorida SHOTS information for patients and parents about records and DH Form 680 access.
Open Florida SHOTS FAQsOfficial Florida DOH page explaining DH Form 681 religious exemptions and medical exemptions.
Open Florida ExemptionsFlorida Department of Education information on school health and immunization documentation rules.
Open Florida DOE School HealthCDC directory for state immunization registry contacts when records may be in another state.
Open CDC IIS ContactsOne option to research antibody titer testing when a school or employer accepts titers.
Open LabCorpAnother option to research antibody titer testing before submitting proof.
Open Quest DiagnosticsSource Verification for This Florida Guide
This article was checked against Florida SHOTS patient/parent record guidance, Florida Department of Health immunization pages, Florida DOH exemption guidance, Florida Department of Education school health information, CDC IIS contacts, and major lab websites for titer context. Because vaccine rules, school forms, portal access, and accepted proof can change, verify final requirements directly with Florida DOH, Florida SHOTS, your county health department, provider, school, employer, college, civil surgeon, or licensing board.
Florida Immunization Records FAQs
Start with your health care provider, pharmacy, school, college, or county health department. Florida’s official registry is Florida SHOTS, and providers or county health departments can often access or generate an immunization history when the record exists.
Florida SHOTS is the State Health Online Tracking System, a free statewide immunization registry used by providers, schools, childcare facilities, and parents to track vaccine records.
In many situations, you need to request records through your provider, county health department, or the Florida SHOTS record request process. Parents can access a child’s certified DH Form 680 when the child’s provider gives a personal identification number.
DH Form 680 is the Florida Certification of Immunization. Florida uses it to document required immunizations for school, childcare, family daycare, and similar settings.
A Florida health care provider or county health department can usually create or certify DH Form 680 when valid immunization information is available.
Florida DOH says parents can access a child’s certified Form DH 680 using a personal identification number issued by the child’s health care provider.
Florida DOH lists DTaP, IPV, MMR, hepatitis B, Tdap, and varicella requirements for K-12, with specific dose rules by grade. Childcare and preschool have additional age-based requirements such as Hib and pneumococcal conjugate vaccines.
DH Form 681 is Florida’s religious exemption form. Florida DOH says it is issued by a county health department when immunizations conflict with the religious tenets or practices of the child’s parent or guardian.
Yes. Florida DOH explains that temporary medical exemptions and permanent medical exemptions are documented on DH Form 680 by a private health care provider when medically appropriate.
Pharmacy vaccines may appear if they were reported correctly, but you should also check the pharmacy account directly. If a pharmacy dose is missing, ask the pharmacy for a record and whether it can update Florida SHOTS.
Bring your out-of-state records to a Florida provider or county health department. If old records are missing, contact the immunization registry in the state where the vaccines were given.
Ask a current provider or county health department to check Florida SHOTS. Then look for the retired doctor’s successor practice, hospital network, or medical records custodian.
Sometimes. Colleges, health care employers, and programs may accept titers for MMR, varicella, or hepatitis B. Ask the organization requesting proof before paying for testing.
No. ImmunizationRecord.org is an independent informational guide. Use Florida DOH, Florida SHOTS, your county health department, provider, school, employer, or college as the final authority.