Florida Department of Health Forms

This document is a temperature log specifically designed for vaccines in Fahrenheit, with a focus on the state of Florida. It helps to ensure that vaccines are stored and transported at the correct temperature to maintain their efficacy.

This document is a temperature log specifically designed for storing vaccines in Florida. It is used to record the temperature in Celsius to ensure the vaccines are stored properly.

This form is used for applying for a Yellow Fever Uniform Stamp in Florida.

This document is for applying to become a provider or center for administering the yellow fever vaccine in Florida.

This type of document is used to update the address of a Yellow Fever vaccine provider in Florida.

This brochure provides information about baby shots immunization in Florida, specifically in Haitian Creole language.

This document is a DVD request form for the film "Someone You Love: The HPV Epidemic" in Florida.

This form is used for reporting the annual compliance of kindergarten and seventh-grade students' immunizations in the state of Florida. It is required to ensure that students meet compulsory immunization requirements.

This form is used for applying to the Insulin Distribution Program in Florida.

This Form is used for applying to the Epilepsy Medication Program in Florida.

This form is used for claiming reimbursement for medical expenses through various healthcare accounts like Healthcare FSA, Limited Purpose FSA, HRA, and Post Deductible HRA. It is specific to Florida residents.

This form is used for reporting injuries that occur at body piercing salons in the state of Florida.

This document is used to place an order for supplies in Tampa, Florida.

This form is used for Osteopathic Physicians in Training who are applying for initial or renewal registration in the state of Florida.

This form is used for osteopathic physicians who want to apply for a temporary certificate to practice in an area of critical need in Florida.

This form is used for creating an aggregate prehospital report and gathering profile information of EMS providers in Florida.

This document is for applying for a Florida Certificate of Nonviable Birth. It is used to record the nonviable birth of a fetus in the state of Florida.

This form is used for expressing a person's wishes to not be resuscitated in case of a medical emergency in the state of Florida.

This Form is used for reporting immunization compliance for kindergarten and seventh-grade students in Florida. It is available in English and Spanish.

This document is a checklist for submitting a variance application for a public swimming pool in Florida. It provides a list of required documents and information needed for the application process.

This document is for obtaining consent, permission, and release for the use of photo, video, and/or audio in the state of Florida.

This form is used for applying to and dispensing prescription drugs through the Prescription Drug Donation Program in Florida.

This form is used for submitting medical referrals in the Florida WIC Program.

This form is used by visiting physicians in Florida who need temporary medical privileges for teaching in certain medical or surgical programs, plastic surgery, and educational symposiums. Specific to DH-MQA1079, it's needed for physicians providing instruction without permanent licensure in the state.

This form is used for registering for immunizations in Putnam County, Florida and also for authorizing the release of immunization records. Ideal for residents needing to update their vaccinations or to make their vaccine history accessible.

This document provides guidelines on how to respond after potential exposure to rabies in Escambia County, Florida. It offers the necessary steps to follow and treatment (Post Exposure Prophylaxis) options to prevent the onset of this potentially fatal disease.

This form is used for applying to amend a Florida death or fetal death certificate.