Skip To Main Content

Immunization Requirements

A student must be fully immunized against certain diseases or must present a certificate or statement that, for medical reasons or reasons of conscience, including a religious belief, the student will not be immunized.

The immunizations required are:
• Diphtheria, tetanus, and pertussis;
• Measles, mumps, and rubella;
• Polio;
• Hepatitis B;
• Varicella (chicken pox);
• Meningococcal;
• Hepatitis A


The school nurse can provide information on age-appropriate doses or on an acceptable physician-validated history of illness required by TDSHS. Proof of immunization may be established by personal records from a licensed physician or public health clinic with a signature or rubber-stamp validation.

2024/2025 Immunization Requirements-DSHS

Provisional Enrollment

All immunizations should be completed by the first date of attendance. The law requires that students be fully vaccinated against the specified diseases. A student may be enrolled provisionally if the student has an immunization record that indicates the student has received at least one dose of each specified age-appropriate vaccine required by this rule. To remain enrolled, the student must complete the required subsequent doses in each vaccine series on schedule and as rapidly as is medically feasible and provide acceptable evidence of vaccination to the school.

A school nurse or school administrator shall review the immunization status of a provisionally enrolled student every 30 days to ensure continued compliance in completing the required doses of vaccination. If, at the end of the 30-day period, a student has not received a subsequent dose of vaccine, the student is not in compliance and the school shall exclude the student from school attendance until the required dose is administered.


When a student’s provisional enrollment has expired, the student may not attend school. The campus will:
1. Send written notice home to the parent/guardian
2. Conduct due process supporting the withdrawal
3. Withdraw the student due to not being fully immunized
4. Re-enroll the student when proper immunization documentation (physician’s signed statement, a properly
validated health clinic record, or an official school health record) is provided
5. Students whose absences exceed 3 days of suspension will be referred to the attendance specialist. (See also
Compulsory Attendance)