Minimum State Requirements
Exemptions for Medical Reasons
To claim an exclusion for medical reasons, the child or student must present an exemption statement to the school or child-care facility, dated and signed by a physician (M.D. or D.O.), properly licensed and in good standing in any state in the United States who has examined the child or student. The statement must state that, in the physician's opinion, the vaccine required is medically contraindicated or poses a significant risk to the health and well-being of the child or student or any member of the child's or student's household. 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.
Exclusions for Armed Forces Service Members
To claim an exclusion for armed forces, persons who can prove that they are serving on active duty with the armed forces of the United States are exempted from the requirements in these sections.
Note: Armed forces exclusions apply to active-duty military only. Dependents of service members are NOT excluded from Texas vaccination requirements.
Requesting an Exemption for Reasons of Conscience
To claim an exclusion for reasons of conscience, including a religious belief, the child's parent, legal guardian, or a student 18 years of age or older must present to the school or child-care facility a completed, signed and notarized affidavit on a form provided by the department stating that the child's parent, legal guardian, or the student declines vaccinations for reasons of conscience, including because of the person's religious beliefs.
The form must be submitted to the school or child-care facility within 90 days from the date it is notarized. The affidavit will be valid for a two-year period from the date of notarization. A child or student who has not received the required immunizations for reasons of conscience, including religious beliefs, may be excluded from school in times of emergency or epidemic declared by the commissioner of the department.
Obtaining an Affidavit
A person claiming exclusion for reasons of conscience, including a religious belief, from a required immunization may only obtain the affidavit form by submitting a request (via online form, mail, fax or hand-delivery) to the department. The request must include following information:
- Full name of child or student
- Child's or student's date of birth (month/day/year)
- Complete mailing address, including telephone number
- Number of requested affidavit forms (not to exceed 5).
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.
Email or telephone requests cannot be processed. Requests for affidavit forms must be submitted to the department through one of the following methods:
Obtaining an Affidavit Online
Affidavits may be requested via the Immunization Unit Affidavit Request website.
Obtaining an Affidavit By Mail
A written request for an affidavit may be sent through the United States Postal Service (or other commercial carrier) to:
Texas Department of State Health Services
Immunization Branch, Mail Code 1946
P.O. Box 149347
Austin, Texas 78714-9347
Obtaining an Affidavit By Fax
Fax written requests for affidavits to: (512) 776-7544.
Obtaining an Affidavit In Person
Requests for an affidavit may be made in-person at:
Texas Department of State Health Services
1100 West 49th Street
Austin, Texas 78756
NOTE: No requests will be filled at the time of hand-delivery.
All affidavit forms will be mailed to you via U.S. Postal Service.
Immunization Awareness Program
Sec. 38.019. IMMUNIZATION AWARENESS PROGRAM. (a) A school district that maintains an Internet website shall post prominently on the website:
(1) a list, in English and Spanish, of:
(A) the immunizations required for admission to public school by rules of the Department of State Health Services adopted under Section 38.001;
(B) any immunizations or vaccines recommended for public school students by the Department of State Health Services; and
(C) health clinics in the district that offer the influenza vaccine, to the extent those clinics are known to the district; and
(2) a link to the Department of State Health Services Internet website where a person may obtain information relating to the procedures for claiming an exemption from the immunization requirements of Section 38.001.
(a-1) The link to the Department of State Health Services Internet website provided under Subsection (a)(2) must be presented in the same manner as the information provided under Subsection (a)(1).(b) The list of recommended immunizations or vaccines under Subsection (a)(2) must include the influenza vaccine, unless the Department of State Health Services requires the influenza vaccine for admission to public school.