Department of Health Proposed Rule

fl-31292411: 64D-3.046 — The purpose is to update the immunization and document requirements for child care and school entry, including DH 680, Florida...

Comment Period Closed

Public comment closed · opened August 24, 2026.

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Summary

The purpose is to update the immunization and document requirements for child care and school entry, including DH 680, Florida Certification of Immunization, DH 681, Religious Exemption from Immunization, and the Immunization ....

The agency’s own summary, as published.

The rule, in full

477 words as published, August 24, 2026. View the original →

31292411, 64D-3.046 - Florida Administrative Rules, Law, Code, Register - FAC, FAR, eRulemaking Home About Us Contact Us Help Florida Department of State and Division of Library and Information Services Home Advanced Search MyFLRules Rules Open for Comments Notice: 31292411 Notice of Proposed Rule Department: DEPARTMENT OF HEALTH Division: Division of Disease Control Chapter: CONTROL OF COMMUNICABLE DISEASES AND CONDITIONS WHICH MAY SIGNIFICANTLY AFFECT PUBLIC HEALTH Overview RULE: 64D-3.046   Immunization Requirements: Public and Nonpublic Schools, Grades Preschool, Kindergarten Through 12, and Adult Education Classes PURPOSE: The purpose is to update the immunization and document requirements for child care and school entry, including DH 680, Florida Certification of Immunization, DH 681, Religious Exemption from Immunization, and the Immunization Guidelines—Florida Schools, Child Care Facilities and Family Day Care Homes. The language and form for opting out of inclusion in Florida SHOTS will be updated and other forms will be updated and appropriately incorporated by reference.

Summary

This proposed rule removes from requirements immunizations that are not required by section 1003.22, Florida Statutes, and updates the Certification of Immunization and the Immunization Guidelines to conform with this change. The rule will also update the Religious Exemption form, providing for the inclusion of moral and ethical beliefs. The department is also updating and clarifying the provision related to opting out of inclusion in Florida SHOTS and making other minor edits to update references to the department’s Immunization Section and to update and incorporate compliance reporting forms and those required for participation in Florida SHOTS by reference as required by law. RULEMAKING AUTHORITY: 381.003(1), (2), 381.005(3), 1003.22(3), FS. LAW: 381.003(1), 381.005(1)(i), 1003.22, FS. PRINT PUBLISH DATE: 8/24/2026   Vol. 52/164

Comments

From 8/24/2026 To 9/14/2026 (21 Days) The public comment period for this notice has already expired. REFERENCE MATERIALS: Ref-02341 64D-3.046 Ref-02342 64D-3.046 Ref-02410 64D-3.046, DH Form 680 Ref-20005 DH8037-DCHP-08/2026, Florida Certification of Immunization Ref-20006 DH8033-DCHP-08/2026, Religious Exemption from Immunization Ref-20007 DH8035-DCHP-08/2026, Immunization Annual Report of Compliance for Kindergarten and Seventh Grade Compulsory Immunization Ref-20008 DH8036-DCHP-08/2026, Kindergarten and Seventh Grade Annual Report of Compliance County Summary Ref-20009 DH8029-DCHP-08/2026, Florida SHOTS Notification and Opt-Out Form (English) Ref-20010 DH8030-DCHP-08/2026, Florida SHOTS Notification and Opt-Out Form (Spanish) Ref-20011 DH8031-DCHP-08/2026, Florida SHOTS Notification and Opt-Out Form (Haitian-Creole) Ref-20012 DH8038-DCHP-08/2026, Private Provider User Agreement for Access to Florida SHOTS Ref-20013 DH8034-DCHP-08/2026, Authorized School and Licensed or Registered Child Care Facility User Agreement for Access to Florida SHOTS Ref-20016 DH8032-DCHP-08/2026, Immunization Guidelines—Florida Schools, Child Care Facilities and Family Day Care Homes 2026 Home Advanced Search MyFLRules Rules Open for Comments About Us Contact Us Help  Privacy Policies Accessibility Statement Copyright @ 2010 State of Florida Department of State Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

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