31292411, 64D-3.046 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

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

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