Form DH 681 is the document Florida schools, daycares, and VPK programs accept in place of immunization records. Its official name is the Religious Exemption From Immunization. If a school has asked you for it, or you found the form number online, here is what it actually is.
What Form DH 681 is
Florida’s school immunization law, section 1003.22, Florida Statutes, includes a religious objection provision. The DH 681 is the state form that documents it. Your county health department issues it, and it works statewide.
- Who issues it: only your county health department, in person.
- When: on request. There is no waiting period or approval process.
- Where it works: K-12 public and private schools, plus licensed childcare and VPK.
- Expiration: none.
- Clergy letter: not required. No pastor letter, no church membership proof.
What Form DH 681 is not
It is not a download. The Florida Department of Health does not post a fillable DH 681 online, and no parent version exists. Anyone selling you a “DH 681 template” is selling something the county gives you directly.
It is not the medical exemption. That is Form DH 680, and your child’s physician handles it through the Florida SHOTS registry. Here is how the two paths compare.
It is not a college waiver. Florida colleges and universities follow a different statute with a different process. A DH 681 covers school and childcare, not campus housing requirements.
How to get a DH 681
- Confirm the religious path fits your family. The free quiz takes two minutes.
- Prepare your written objection in your own words.
- Visit your county health department and request the form.
- Deliver the issued form to your school or provider.
The steps are the same in all 67 counties. The logistics are not. Offices differ on walk-ins, hours, and what to bring. That county-by-county layer is exactly what the course covers.
Get the full step-by-step
The Florida Vaccine Exemption Course walks you through the whole process in plain language. It includes a request-letter helper you complete in your own words, a directory of all 67 county health departments, printable checklists, and what to do if a school pushes back.
It costs $49. One-time purchase, no recurring fees, free updates for as long as the course is offered.
This article is legal education, not legal advice. Reading it does not make Legal Lotus Learning, or its affiliates, your lawyer. Every family’s situation is different. If your case involves a dispute or unusual circumstances, talk with a licensed Florida attorney.
Last verified: July 3, 2026. Florida law on this topic is politically active. We re-check this article when the law changes.