Health Requirements

School & Child-Care Facility Requirements

school children

Welcome! This page is a resource for schools, preschools, and child-care facilities to help you understand the immunization requirements for attendance at your facility.

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Immunization Requirements

The following charts summarize the vaccine requirements incorporated inLink to domain outside of TDH.Title 25 Health Services, §§97.61-97.72 of the Texas Administrative Code. They are not intended as substitutes for consulting the Texas Administrative Code, which has other provisions and details. The Texas Department of State Health Services is granted the authority to set immunization requirements byLink to domain outside of TDH.Texas Education Code, Chapter 38 andLink to domain outside of TDH.Human Resource Code, Chapter 42.

Requirements for Schools

  • There will be changes to the School Requirements for the 2009-10 school year.
  • Current School Requirements are valid until 7/31/09.
  • New school requirements become effective 8/1/09.

Requirements for Child-Care Facilities

Vaccination Coverage Levels

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Exclusions from Immunization Requirements

Frequently Asked Questions:

"Exemption from Immunization for Reasons of Conscience" Frequently Asked Questions (FAQs), Stock # E11-13159, Rev. 04/09

Sample letter for requesting an exemption form:

Sample Request for Exemption from Immunizations for Reasons of Conscience, Stock # EF11-13140, Rev. 03/09.

Exemptions to Immunization Requirements:

Link to domain outside of TDH.Chapter §97.62 of the Texas Administrative Code (TAC) describes the conditions under which individuals can seek exemptions from Texas immunization requirements. Exclusions from compliance are allowable on an individual basis for medical contraindications, reasons of conscience, including a religious belief, and active duty with the armed forces of the United States.

Guidelines for Requesting an Exemption for Reasons of Conscience

  • Written requests must be submitted through the U.S. Postal Service, commercial carrier, fax, or by hand-delivery.

    Mailing Address:
    Immunization Branch
    Department of State Health Services
    Immunization Branch (MC 1946)
    P.O. Box 149347
    Austin, TX 78714-9347

    Hand Delivery:
    Department of State Health Services 
    Immunization Branch (MC 1946)
    1100 West 49th Street
    Austin, TX  78756


  • Hand-delivered requests may be submitted to the DSHS, Immunization Branch, between 8 a.m. and 5 p.m. Mondays through Fridays. ALL affidavit forms will be mailed to you via U.S. Postal Service. No requests will be filled at the time of hand-delivery.
  • Affidavit form requests will be processed and mailed within one week from the receipt of the request. If additional information is needed in order to process the affidavit, you will be notified.
  • The letter must include the following information:
    • Full name of each child for whom a form is requested (first, middle, and last);
    • Date of birth of each child for whom a form is requested;
    • Parent or legal guardian's signature and complete return mailing address, including zip code; and
    • Number of forms needed for each child (not to exceed five forms per child)
  • Electronic mail or telephone requests cannot be processed.
  • The official Texas Department of State Health Services affidavit form must be notarized and submitted to school officials. The form must be submitted within 90 days from the date it is notarized.
  • The school will accept only official affidavit forms developed and issued by the Texas Department of State Health Services (DSHS), Immunization Branch. No other forms or reproductions will be allowed.

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Related Websites & Resources

School Health Program
The School Health Program will provide leadership and support to communities in their efforts to meet the health services and health education needs of their children in a school setting.

Link to domain outside of TDH. Texas Education Agency
Providing leadership, guidance and resources to help schools meet the educational needs of all students in Texas.

Link to domain outside of TDH. CDC Vaccines & Immunizations
Information about Vaccine-preventable diseases from the CDC.

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Last Updated June 25, 2009