FLSHOTS logo Applicant Questionnaire Department of Health Logo

Please do not utilize this enrollment process if your organization already has an account established in Florida SHOTS.  Organizations with existing Florida SHOTS access should log in to Florida SHOTS, or contact the Florida SHOTS Help Desk at (877) 888-7468 (SHOT) if you are experiencing difficulty accessing your account.

1. Will the computer(s) in the location(s) used to access Florida SHOTS meet the following minimum requirements?
  • Windows 7 or higher
  • Internet Explorer 9 (or higher), Chrome, or Firefox (ver 51 or higher)
  • Adobe PDF Reader
  • 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, ARNP, 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 contact the Florida SHOTS enrollment desk at (877) 888-7468 (SHOT).