Immunization Requirements

2016-2017 Texas Minimum State Vaccine Requirements for Students in Grades K-12

The 2016-2017 Texas Minimum State Vaccine Requirements for students in grades K-12 are not yet finalized. No new vaccine requirements have been proposed. However, please note that proposed changes to the meningococcal requirement for students entering grades 7-12 will require students in these grades to show proof of one dose of quadrivalent meningococcal conjugate vaccine (MCV4 or MenACWY) on or after the student’s 11th birthday. Additionally, the graded implementation of the hepatitis A requirement will extend to grades K-7. For additional information, please contact the DSHS Immunization Branch at 1-800-252-9152.

Required immunizations for school-age children are listed below. Please contact the H.I.S.D. Nurses' Office at (903) 655-5043 for additional information.

English - Parent Letter
Immunization Requirements
Español - Letra del padre
Requisitos de la inmunización




Exemptions to Immunization Requirements:

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.

Frequently Asked Questions Concerning the Conscientious Exemption
Preguntas más frecuentes Exención de vacunación por razones de conciencia.

Sample letter for requesting an exemption form:

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

(512) 776-7544

  • 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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