FLSHOTS logo Applicant Questionnaire Department of Health Logo

Separate enrollment forms are not needed to add additional providers (users) or to include other (additional) sites within your existing organization. Please email all requests to add additional sites to the Florida SHOTS Helpdesk.

To find out if your organization already participates in Florida SHOTS, please contact the Florida SHOTS Helpdesk at 877.888.7468, opt.2, for assistance.

1. Will the computer(s) in the location(s) used to access Florida SHOTS meet the following minimum requirements?
  • Windows 10 or higher
  • Internet Explorer 11 (or higher), Edge, Chrome, or Firefox (ver 51 or higher)
  • Adobe PDF Reader (or equivalent)
  • Access to the Internet
          Yes   No
2. Do you hold a valid and active medical license under Chapters 458, 459, or 464, F.S. (ME, OS, APRN, RN, PN, PA, ACN, LL, or CNS), or are you a chiropractor licensed under Chapter 460, F.S. (CH) who administers physicals for school enrollment? See also: http://www.flsenate.gov/statutes/
          Yes   No
Note to Pharmacists To enroll in Florida SHOTS, Pharmacists should visit Pharmacists | Florida SHOTS (flshotsusers.com)