School Entry Health Requirements

All students registering for school in Palm Beach County will need to follow the following physical examination and immunization (vaccination) health requirements. The Florida Department of Health monitors and reviews immunization requirements and advises schools about compliance.

Physical Examinations
P-5.06 (A) and F.S. 1003.22(1)

A school entry health exam is required for all students new to the District and those in Pre-K, kindergarten, and seventh grade, who are not claiming an exemption. Physical exams should be on State of Florida School Entry Health Exam Form DH 3040, be completed within 12 months prior to the date of entry into the District, Pre-K, kindergarten, or seventh grade, and provided to the school within 30 days of entry.

Out of state health exams may be accepted as long as they meet the same assessment requirements in Form DH3040 and have the physician's signature and office stamp.

Required Immunizations
P-5.06 (B) and F.S. 1003.22 (4)

entering kindergarten, seventh grade, or registering for school in Palm Beach County for the first time must receive vaccinations and provide a Florida Certification of Immunization (DH 680 form) to the school upon registration. A Florida Certification of Immunization form DH 680 indicating compliance with the current required schedule of immunizations must be presented prior to admittance and/or attendance in school.

A Certificate of Religious Exemption form DH 681 can only be obtained from the Florida Department of Health (Palm Beach County Health Department) and can be presented to the school if the student is seeking exemption on religious grounds. Students who are homeless, transfers, or entering juvenile justice may be eligible for a 30-day exemption. See FAC64D-3.046(4).

Vaccinations for students entering kindergarten or any grade as a new student in the County:

  • Diphtheria/Tetanus/Pertussis (DTaP Series) – Five doses. 
  • Hepatitis B (Hep B Series) – Three doses.
  • Polio (OPV or IPV) – Four doses (the last one after age 4).
  • Measles/Mumps/Rubella (MMR) – Two doses.
  • Varicella – Two doses or a provider verification of Chickenpox disease history on Form DH680.

In addition to the K-12 vaccines, students entering seventh grade must have:

  • Tetanus/Diphtheria/Pertussis booster (Tdap) – One Dose

If a student is currently enrolled in Palm Beach County schools and entering the seventh grade, an updated DH 680 form must be provided prior to the start of school.

Vaccinations and the DH 680 form is available through local medical providers, local physicians, or the Florida Department of Health (Palm Beach County Health Centers).

Vaccinations are also available through the Florida Department of Health Palm Beach County Immunization Van. For a list of dates and times for the van, call (561) 840-4568. Be sure to bring your child’s current immunization records when receiving vaccines.

Complete list of exemptions allowed per Fla. Stat. 1003.22:

  • Children with a temporary or permanent medical exemption (requires a completed DH Form 680 by a medical provider).
  • Children with a religious exemption (requires a completed DH Form 681).
  • Homeless children.
  • Children in Foster Care. 
  • Children entering a juvenile justice program.
  • Children transferring into the County.
  • Children of military families as defined by Fla. Stat. 1000.36

Useful Links

The School District of Palm Beach County