A complete Florida Certification of Immunization (Blue Card) - Form DH-680 according to grade level.

State of Florida School Entry Health Exam (Yellow) - Form DH-3040 no older than 12 months.

Tuberculosis Clinical Screening, PPD or Chest X-ray.

• Five doses of DTP are required. However, if the 4th dose was given after the 4th birthday, a 5th dose is not needed.

• Students who started their immunizations after seven years of age should receive a total of three doses of adult tetanus-diphtheria (Td vaccine.  If age-appropriate, Tdap should be used to replace one dose of the Td, which will meet 7th grade requirement.
• The Tdap can be administered to students 10 years of age and above if prior Td booster was given at least 2 years ago. Students who received a dose of Td vaccine 2 to 5 years prior to entering 7th grade should be given a Temporary Medical Exemption and immunized at the appropriate time.

• Students are required to have 4 doses of POLIO unless they have their 3rd dose after their 4th birthday. If so, they only require 3 doses.
• Students may have the POLIO vaccine until 18 years of age.
• As long as a student is in school, even if they are over the age of 18, they may receive immunizations at the Health Department.

• The second dose of measles, mumps and rubella vaccine is recommended on or after the child’s fourth birthday and prior to entry into kindergarten.  MMR or measles, mumps, rubella and varicella (MMRV) vaccine, is preferred over separate injection of equivalent component vaccines.  (MMRV) vaccine is licensed and indicated for simultaneous vaccination against measles, mumps, rubella, and varicella among children 12 months through 12 years  of age).
• If a student has one dose of measles to get into school, the second dose must be given on an accelerated schedule of 45 calendar days after the first.
• If the student has one single measles and one MMR, delete the MMR date and use it as the 2nd measles, the 1st mumps, and the 1st rubella.
• The fist measles or MMR must be given after the 1st birthday (or within 5 days before or after the 1st birthday) to be accepted by the M-DCPS computer.

• Haemophilus influenza type b (Hib) vaccination is required for public/private preschool from two months through 59 months of age.  The  number of doses required for Hib vaccination varies, depending on the child’s age and type of vaccine received.

• HEPATITIS B can be given in a 3-dose series and in an accelerated 2-dose series. If the 2-dose accelerated series is given, the medical provider must indicate it in the Florida Certification of Immunization Form (Blue Card) - Form DH-680.
• There are generally 2 months between the 1st and the 2nd, and 3-4 months between the 2nd and the 3rd dose of HEPATITIS B.
• If the 2-dose series is administered, enter 6 (000000) zeros in the third dose box and expire after graduation from high school in order for the computer to accept the enty.

• Beginning with the 2009-2010 school year, students entering, attending or transferring to the following grades for the first time (Pre-K, 2nd, 3rd, 4th, 5th, 6th 7th, and 8th grades) in a Florida school will be required to have one dose of the varicella (chicken pox) vaccine.
• Beginning with the 2009-2010 school year, students entering, attending or transferring to Kindergarten and 1st grade will be required to have two doses of the varicella (chicken pox) vaccine.   
• The varicella vaccine is not required if the student has documented history confirming that he/she has previously been infected with varicella.  Please note, students that have been retained in the 8th grade must obtain one dose of the varicella vaccine or show documented history of a previous varicella infection.  In addition, students that have been retained in 1st grade must obtain two doses of the varicella vaccine or show documented history of a previous varicella infection.

• All children aged 0-24 months are required to have one dose of the pneumococcal vaccine.

• There are only two types of exemptions: MEDICAL and RELIGIOUS. A Doctor must fill out the DH-680 form (Blue Card), part C for the medical exemption on the back of the card. The Health Department is the only one that can grant a RELIGIOUS exemption. The parent must call SIP (Special Immunization Unit) at 786 845-0550 to make an appointment for obtaining the religious exemption.