Florida SHOTS School & Child-Care Facility Enrollment

Download the forms below to be faxed to 850-412-5801.

Documents below open in new window

Adobe Acrobat document - 80 KBAuthorized School and Licensed or Registered Child Care Facility or Other
 User Agreement For Access to Florida SHOTS
(DH-2115)
 To better serve all of our providers when faxing Florida Shots
 please fax to 850-412-5801

Additional Required Documentation:

Florida SHOTS requires that private schools and licensed child-care facilities provide a copy of their current Florida license or registration with their application. Credentials are verified before registry access is granted. Information is password-protected and stored on a secure server.