2019-2020 Texas Vaccine Requirements

The State of Texas sets vaccination requirements for children attending school in Texas and requires students to show acceptable evidence of vaccination prior to entry, attendance, or transfer to a public or private elementary or secondary school in Texas.

  • Vaccine requirements for students enrolled in kindergarten through 12th grade are set by the state and are available in English and Spanish via the state of Texas' website at:

  • Vaccine requirements for students enrolled in prekindergarten and early childhood programs are set by the state and are available in English and Spanish via the state of Texas' website at:

  • Acceptable evidence of vaccination includes immunization records that have been validated by a physician or public health personnel signature or stamp, those generated by a public health authority, or those received from another school district.

  • The month, day, and year that the vaccination was received must be recorded on the record. 

  • For students in 7th through 12th grades, proof of meningococcal vaccine on their immunization record must indicate one of the following: MCV4, MenACWY, Menveo, or Menactra.  

Students who do not meet eligibility for provisional enrollment, who do not present a valid Department of State Health Services (DSHS) affidavit of exemption for reasons of conscience, or who do not have a medical exemption for immunization will be excluded from school until immunization requirements are met. The school nurse will make every effort to provide resources for families whose students' immunization records are not current according to state law.

Student immunization records are maintained electronically.  To view the record on file for your child, please login to Family Access.  
For questions about immunization requirements, please visit the DSHS Immunization Branch website by clicking on Texas School and Child-Care Facility Immunization Requirements . You may also call the Immunization Branch at (800) 252-9142.


Exceptions to Immunization

Students who have had the chicken pox disease (varicella) are not required to be vaccinated against the disease.  A written statement from a parent or legal guardian, school nurse, or physician indicating that the student had the disease with the date of the illness is acceptable in lieu of immunization. 
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; rubella; mumps; hepatitis A; hepatitis B; or varicella. 



The Department of State Health Services provides a resource for individuals seeking local flu vaccine clinics at DSHS Flu Vaccine Clinic Locator. This resource also lists other vaccines provided at participating vaccine clinics. 
Vaccine Information Statements providing information about specific vaccines including benefits and risks are available through the Department of State Health Services at Vaccine Information Statements.

Exemption from Immunization Requirements

The State allows for two types of exemption from immunization requirements:

  • Medical exemption:  To claim an exclusion from immunization requirements, the student must present an exemption statement to the school, dated and signed by a physician, that states the vaccine required is medically contraindicated or poses a significant risk to the health and well-being of the student or any member of the student's household.  The exemption statement is good for one year from the date signed unless it is written in the statement that a lifelong condition exists.

  • Reasons of conscience:  To claim an exclusion for reasons of conscience, including a religious belief, the parent or legal guardian must present to the school a completed, signed and notarized affidavit on a Department of State Health Services form stating that the parent or legal guardian declines vaccinations for reasons of conscience.  The affidavit must be submitted to the school within 90 days of notarization and is good for two years from the date of notarization.

Parents claiming exclusion from immunization requirements must submit a request to DSHS online, by fax, or in writing. To order an affidavit online, click the Online Affidavit Request for Exemption from Immunizations for Reasons of Conscience. More information about affidavits for reasons of conscience is available at DSHS instructions for obtaining an affidavit for reasons of conscience.  

Free and Low Cost Immunization Clinics

Many free and low-cost immunization clinics partner with the Texas Vaccines for Children (TVFC) program to provide low-cost vaccines to eligible children.  Children eligible for the these vaccines are up to and including 18 years of age who meet one or more of the following criteria:

  • Eligible for Medicaid
  • Enrolled in the Children's Health Insurance Program (CHIP) 
  • American Indian or Alaska Native
  • Uninsured Children
  • Underinsured children whose health insurance does not fully cover vaccines

Dallas County Immunization Clinics
Dallas County Immunization Clinics serve children 18 years and younger.

Cost is $10 at the first visit and $5 for subsequent visits.  
No child eligible for Texas Vaccines for Children will be denied services.
For more information, call 214-819-2163.
A full list of county clinics is available at Dallas County Immunization Clinic Locations

​Stemmons Immunization Clinic
2377 N. Stemmons Freeway, Rm. 159 (first floor) in Dallas
The clinic is open from 8 a.m. to 4 p.m. Monday, Tuesday, Thursday, and Friday, and from 8 a.m. to 6 p.m. on Wednesday.
Telephone is 214-819-2163 or 214-819-1903

John West Branch Immunization Clinic
3312 N. Buckner Blvd. Suite 200 in Dallas
The clinic is open from 8 a.m. to 4 p.m. Monday through Friday
Telephone: 214-321-5747

Mesquite Public Health Clinic
1616 N. Galloway, Mesquite
Open 8-11 a.m. and 1-4 p.m. Monday through Wednesday.  
Telephone:  972-329-8326
All immunizations for children are $14, including flu vaccine. For additional information about the clinic including eligibility requirements, flu shots and adult immunizations, visit the website at Mesquite Public Health Clinic.
Summer hours for 2019 are August 12 through August 23, Monday through Friday from 8 a.m. to 4 p.m.
All children must be accompanied by a parent or legal guardian and have a copy of their most recent immunization record.  

CareVan:  Caring for Children Foundation of Texas, Inc.
CareVan is a TVFC provider administering vaccines for eligible children ages 2 months through 18 years of age. 
All vaccinations are free and no appointments are necessary. 
All children must be accompanied by a parent or legal guardian and have a copy of their most recent immunization record.  

For complete CareVan schedules and other information, please refer to the website: CareVan.Org

The Doctor Spot:  Lifesavers Foundation
The Doctor Spot is a mobile pediatric clinic offering free medical services, including immunizations, to poor and medically underserved children in southeast Dallas County.  
For information on the clinic location and schedule, click The Doctor Spot Schedule.  

Telephone: 972-834-2473.

The Doctor Spot and Mesquite ISD are hosting a Free Immunization Week for MISD students of all ages August 5-9, 2019.  The schedule is as follows:

  • Monday, August 5, 8:30 a.m.-4:00 p.m. at Poteet High School
  • Tuesday, August 6, 12:30-3:30 p.m. at Horn High School
  • Wednesday, August 7, 8:30 a.m.-4:00 p.m. at Mesquite High School
  • Thursday, August 8, 12:30-3:30 p.m. at West Mesquite High School
  • Friday, August 9, 8:30 a.m.-4:00 p.m. at North Mesquite High School