1. Public School Reporting
      1. Electronic Reporting:
    2. Private School Reporting
    3. Method
    4. PUBLIC SCHOOL DISTRICTS (COUNTIES)
    5. ACCEPTED FOR ELECTRONIC REPORTING FOR KINDERGARTEN
    6. PUBLIC SCHOOL DISTRICTS (COUNTIES)
    7. ACCEPTED FOR ELECTRONIC REPORTING FOR SEVENTH GRADE

 
 
Charlie Crist
Governor
 
 
Ana M. Viamonte Ros, M.D., M.P.H.
State Surgeon General
 
 
Bureau of Immunization
Division of Disease Control
4052 Bald Cypress Way, Bin A-11
Tallahassee, FL 32399-1700
(850) 245-4342
 
 
 
INTEROFFICE MEMORANDUM
 
DATE:
  
 
TO:
County Health Department Directors/Administrators
 
FROM:
Jean L. Kline, R.N., B.S.N., M.P.H.
Deputy Secretary for Health
 
SUBJECT:
Compulsory School Immunizations
Annual Reports and Surveys – 2007-2008 School Year
 
ACTION
REQUIRED:
Review and comply with standards
DUE DATE:
October 31, 2007
 
 
In October of each year, all public and private schools submit reports in compliance with the
compulsory school immunization law, indicating the status of their kindergarten and seventh
grade students, pursuant to the requirements of section 1003.22,
Florida Statutes
, and section
64D-3.011 (3),
Florida Administrative Code
.
 
Public School Reporting
 
Electronic Reporting:
 
 
The Department of Health accepts electronic reporting from public school districts that achieved
a standard of less than five percent variance between electronic and manual reporting over a
three-year period. These school districts have adequately resolved and updated immunization
data (that is, temporary medical exemptions) into their electronic database.
 
The list of school districts approved for electronic-only reporting of kindergarten or
seventh grade compliance will be updated annually until all school districts are reporting
data electronically (see Attachments 1 and 2).
These school districts do not need to submit the Department of Health’s Immunization
Annual Report of Compliance for Kindergarten and Seventh Grade, Form 684, to the
county health departments.
 
Manual Reporting:
 
 
County health departments are responsible for collecting Form 684. The completed forms from
public school districts with a kindergarten and/or seventh grade, not included on the attached
lists and not approved for electronic-only reporting, are due by October 1, 2007.
 
Private School Reporting
 
Private schools with a kindergarten and/or seventh grade are required to submit Form 684 to
the county health departments by October 1, 2007.

 
Compulsory School Immunizations
Annual Reports and Surveys – 2007-2008 School Year
Page Two
 
 
 
Method
 
County health departments should distribute supplies of Form 684 (sample attached) to public
and private schools with a kindergarten and/or seventh grade.
 
Do not send Form 684 to the public school districts accepted for electronic-only
kindergarten and seventh grade reporting (see Attachments 1 and 2).
All private schools with kindergarten and/or seventh grade should be provided with
Form 684 for manual reporting to the county health departments. For a list of private
schools, visit the Non-Public Schools Directory, available on the Department of
Education’s website at http://www.fldoe.org.
A separate Form 684 should be completed for each kindergarten and/or seventh grade
and is due in the county health departments by October 1, 2007.
The county health departments will summarize the data from the Form 684s on the
Department of Health’s Kindergarten and Seventh Grade Annual Report of Compliance.
County health departments should complete a separate Form 685 (sample attached) for
each grade: one for kindergarten and one for seventh grade.
Please Note: DOE Code C should be used to review and document 7
th
grade status for
completion of Tetanus Diphtheria.
Count children entering K - 6 as fully immunized who are complete for Kindergarten
requirements but were given a temporary medical exemption until 7
th
grade.
The completed Form 685 are due October 31, 2007 and may be submitted by e-mail to
Candis_Pesquera@doh.state.fl.us
, or by U.S. mail to the Florida Department of
Health, Bureau of Immunization, 4052 Bald Cypress Way, Bin A-11, Tallahassee, Florida
32399-1719.
 
In addition, Bureau of immunization (BOI) field staff will be conducting kindergarten and seventh
grade validation surveys during the winter months. A survey protocol has been prepared and
randomly selected schools will be notified well in advance of this audit.
 
If you have any questions concerning this information, please contact your BOI field staff
representative (see Attachment 3), or Ms Candis Pesquera at (850) 245-4342 or SUNCOM 205-
4342, extension 2395.
 
BJS/cha/ccp
Attachments
cc: Lillian Rivera, R.N., M.S.N.
Deputy State Health Officer
Russell W. Eggert, M.D., M.P.H., Director
Division of Disease Control
Annette Phelps, A.R.N.P., M.S.N., Director
Division of Family Health Services
Charles H. Alexander, Chief
Bureau of Immunization
Bambi J. Lockman
Department of Education (without Attachment Form 685)
County Health Department Nursing Directors
Bureau of Immunization Field Staff

 
 
  
  
  
  
  
  
  
  
  
  
Attachment 1
 
 
 
 
PUBLIC SCHOOL DISTRICTS (COUNTIES)
ACCEPTED FOR ELECTRONIC REPORTING FOR KINDERGARTEN
 
 
The 65 public school districts (counties) listed below have consistently achieved a
standard of less than five percent variance in their electronic data and manual reporting
for kindergarten during the years of dual reporting. Their electronic data is acceptable
and they are exempt from submitting Form 684 for public school kindergarten for the
school year 2007-2008
1
.
 
 
 
Alachua Baker
Bay Bradford
Brevard Broward
Calhoun Charlotte
Citrus Clay
Collier Columbia
Miami-Dade DeSoto
Dixie Duval
Escambia Flagler
Gilchrist Glades
Gulf Hamilton
Hardee Hendry
Hernando Highlands
Hillsborough Holmes
Indian River Jackson
Jefferson Lafayette
Lake Lee
Leon Levy
Liberty Madison
Manatee Marion
Martin Monroe
Nassau Okaloosa
Okeechobee Orange
Osceola Palm Beach
Pasco Pinellas
Polk Putnam
St. Johns St. Lucie
Santa Rosa Sarasota
Seminole Sumter
Suwannee Taylor
Union Volusia
Wakulla Walton
Washington
1
Only two counties still required to file by paper form are Franklin and Gadsden.

 
 
  
  
  
  
  
  
  
  
  
  
Attachment 2
 
 
 
 
PUBLIC SCHOOL DISTRICTS (COUNTIES)
ACCEPTED FOR ELECTRONIC REPORTING FOR SEVENTH GRADE
 
 
The 65 public school districts (counties) listed below have consistently achieved a
standard of less than five percent variance in their electronic data and manual reporting
for seventh grade during the years of dual reporting. Their electronic data is acceptable
and they are exempt from submitting Form 684 for public school seventh grade for the
school year 2007-2008
2
.
 
 
Alachua Baker
Bay Bradford
Brevard Broward
Calhoun Charlotte
Citrus Clay
Collier Columbia
Miami-Dade Desoto
Dixie Duval
Escambia Flagler
Gadsden Gilchrist
Glades Gulf
Hamilton Hardee
Hendry Hernando
Highlands Hillsborough
Holmes Indian River
Jackson Jefferson
Lafayette Lake
Lee Leon
Levy Liberty
Madison Manatee
Marion Martin
Monroe Nassau
Okaloosa Okeechobee
Orange Osceola
Palm Beach Pasco
Pinellas Polk
Putnam St. Johns
St. Lucie Santa Rosa
Sarasota Seminole
Sumter Suwannee
Taylor Volusia
Wakulla Walton
Washington
 
2
Only two counties still required to file by paper form are Franklin and Union.

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