Texas school and child-care facility immunization requirements are determined by the state legislature and set by the Texas Department of State Health Services, in conjunction with the Texas Education Agency.
Maintaining adequate immunization rates in schools is critical to preventing disease outbreaks and ensuring the health of Texas children.
Immunization Requirements for grades K through 12 2021-2022 English and Spanish
Immunization Requirements for Early Childhood Programs 2021-2022 English and Spanish
Medical Exemption- the law allows physicians to write a statement stating that the vaccine(s) required would be medically harmful or injurious to the health and well-being of the child. The written statement by the physician must be submitted to the school nurse. 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.
Conscientious Exemption- The law allows parents/guardians to choose an exemption from immunization requirements for reasons of conscience, including a religious belief. The completed and returned form from the Texas DSHS must be submitted to the school nurse in order for the student to be admitted. The school will only accept the original, official affidavit forms developed and issued by the Texas DSS. The affidavit is valid for two years.
Online Request for Exemption from Immunizations for Reasons of Conscience
- In the case of an outbreak, an um-immunized child may be prohibited from school attendance
- Any form presented for conscientious objection to immunization must be presented before the student may start school and must be updated every two years by the anniversary date