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Immunization Requirements

The Texas State Department of Health requires that all children entering Texas elementary or secondary schools of higher education must have been immunized against communicable diseases: Diphtheria/Tetanus/Attenuated Pertussis (DTaP/TdaP), Poliomyelitis, Measles/Mumps/Rubella (MMR), Haemophilus Influenzae (HIB), Pneumococcus (PCV), Meningitis (MCV), Varicella, Hepatitis A, and Hepatitis B.

2024/2025 Immunization Requirements-DSHS

Immunization Enrollment Policy

At the time of registration, state law requires that a student present evidence of current immunization or of being in active pursuit of adequate immunization. A student shall show acceptable evidence of vaccination prior to entry, attendance, or transfer to a public or private elementary or secondary school in Texas.

Since many types of personal immunization records are in use, any document will be acceptable provided a physician or public health personnel has validated it. Validation includes a signature, initials, or stamp. An immunization record generated from an electronic health record must include clinic contact information and the provider’s signature/stamp, along with the vaccine name and vaccination date (month, day, and year). An official record generated from a health authority is acceptable. An official record received from school officials, including a record from another state, is acceptable.

Immunization Exemption

Texas law allows (a) physicians to write medical exemption statements that the vaccine(s) required would be medically harmful or injurious to the health and well-being of the child or household member, and (b) parents/guardians to choose an exemption from immunization requirements for reasons of conscience, including a religious belief. The law does not allow parents/guardians to elect an exemption simply because of inconvenience (for example, a record is lost or incomplete and it is too much trouble to go to a physician or clinic to correct the problem). Schools should maintain an up-to-date list of students with exemptions, so they may be excluded in times of emergency or epidemic declared by the commissioner of public health.

Instructions for requesting the official exemption affidavit that must be signed by parents/guardians choosing the exemption for reasons of conscience, including a religious belief, can be found on the Exemption Information page of this website. An Original Exemption Affidavit must be completed and submitted to the school.

For children claiming medical exemptions, a written statement by the physician must be submitted to the school. Unless it is written in the statement that a lifelong condition exists, the exemption statement is valid for only one year from the date signed by the physician.