Good Pediatrics

APPOINTMENTS: 941-955-7337
1961 Floyd Street, Suite A
Sarasota, FL 34239
Office Hours | View Map

Immunization Forms

Immunization forms
An updated Florida Certification of Immunization (DH Form 680) with the Florida State seal will be given to you at each well visit after your child receives the age appropriate vaccines required by the State of Florida to attend child care or school.

Lost Immunization Forms – 2 Options
1.   Go to and scroll down to the second section that says “New! Get your child’s DH 680 record” and click the link. This page will ask to you enter a fuzzy 4 digit code that is displayed on your screen into the box. Enter the code you see and click next. Here you will need your child’s State IMM ID and Certification from your healthcare provider. You may already have it. Enter the 2 codes in the appropriate boxes and click Retrieve Form.


2.   Call our office and we will give you an additional form. Please allow 24 hours for the office staff to have the form ready for you to pick up.

Is Your Child Sick?TM

Browse over 100 articles to help you manage your child's symptoms.