Children will usually not need any additional vaccines if the Florida Certificate of Immunization is up to date. We recommend that children under the age of 19, who are recent arrivals to the U.S., and who do not possess a vaccination record, visit our office before going to the Florida Department of Health. It is common that children are re-vaccinated unnecessarily by the health department. Blood titres are a safe and effective method of determining the immune status of the child, and are readily available through our office. It is important to avoid unnecessary vaccines in children!! The future of their health depends on it!