The Form 680 you are creating is not certified.

Benefits of Using Certified Form 680s

An electronically signed and certified form 680 is available and accessible to any authorized health-care provider, school, or licensed child-care provider enrolled in Florida SHOTS.  With just a few quick changes to your personnel list, your office can create and certify (e-sign) electronic 680s for your patients.  The electronic signature means parents no longer need to wait while a provider signs the form.  And if a child is missing their 680 form, users can check Florida SHOTS to see if there is an electronically signed and certified form available from an authorized Florida SHOTS user.

• Once created, the historic record is kept in Florida SHOTS.  It contains all of the regular shot record information as well as a box in the lower right corner that shows the certifying (e-signing) office information.
• Certified forms will be accessible directly to schools, licensed child-care centers, and other medical providers that are authorized Florida SHOTS users.
• At your option, you can allow parents to access Certified forms from the Florida SHOTS website from their own computer.
• You can search for previously certified forms created by any authorized Florida SHOTS participant.
• You can search for all forms certified by your organization in a specific time.

How to Set Preferences to Produce Certified 680s

• Your local account administrator must update the personnel lists on the personnel maintenance page.  This requires two steps:
  1. Set up permissions for individuals whose names will be used to electronically sign the new 680 forms ("Certify Form 680").
  2. Set up permissions for users who will need access to issue the certified forms ("Create Certified Form 680").
• Once your office's preferences are set, create a new certified 680 every time you update an immunization.