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Raise Your Hand Texas

Immunization Requirements

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Please click on any topic below or the menu on the right to find information on school health topics.

News and Releases

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

As of July 28, 2016, Sections 97.61-97.72 of the Texas Administrative Code has been revised. 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 Immunization Branch at 1-800-252-9152.

Required Immunizations

State Requirements

Immunization Requirements for Early Childhood Schools

Immunization Requirements for Grades K-12

Immunization Requirements for Health Career Education

Immunization Exemptions

Medical Exemption

Conscientious Exemption

Chicken Pox Disease

Immunity Documented by Lab Result

Additional Immunization Recommendations

Where to find Free and Low Cost Immunizations



Required Immunizations (mandated for attendance)

State Requirements Children must have documentation of receiving all age-appropriate immunizations.

For more information about vaccine-preventable diseases, you may read the Vaccine Information Statements from the Texas DSHS.

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DSHS Immunization information

For Early Childhood Schools

2016-2017 Immunization Requirements Pre-K English / Spanish PDF file


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For Grades K through 12

2016-2017 Immunization Requiremetns Kg-12th English/Spanish PDF filePDF file


College Requirements

Meningitis Vaccine (MCV4) College Requirement Information 

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For Career Education Courses

Additional immunizations or tests may be required for enrollment in the Career Education Health Services Clinical Rotation. Please contact the Career Education department at (469)752-8180 for more information.

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Exemptions from Immunizations

For medical reasons: 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.

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For reasons of conscience, including religious beliefs: 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 accept only the original official affidavit forms developed and issued by the Texas DSHS. The affidavit will be valid for two years.

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Because the student had the disease: Parents of students who had the chicken pox disease (varicella) may submit a signed form to the campus nurse that indicates the date that the child had the disease.  It may also be documented by the physician on the immunization record.  The form is available here:

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Immunity Documented by Lab Result (Immunity by Titer)

Students who have had a lab test that shows they are immune to the following diseases may present a copy of the laboratory results in lieu of documentation of the vaccines:

  • Measles
  • Mumps
  • Rubella
  • Varicella (chicken pox)
  • Hepatitis A
  • Hepatitis B

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Additional Recommended Immunizations (best health practices for the safety & well-being of the child)

Human Papillomavirus Vaccine

Currently, the HPV vaccine is not required for school or daycare attendance in Texas. It may be recommended by your physician.

Influenza Vaccine

The PISD agrees with the CDC's recommendation that healthy children aged 6 months and older should get a flu vaccine.

Meningococcal Vaccine

The PISD follows the Texas Immunization Requirements for meningococcal vaccine.  It is currently required before entry to grade seven.

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Where to Find Free or Low Cost Immunizations:

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