Student Immunizations

Student Minimum Immunization Requirements 2019-2020

Required Immunizations (mandated for attendance)

State requirements posted on Texas Department of State Health Services web site click here. (English & Español)

The following charts summarize the vaccine requirements incorporated in Title 25 Health Services, §§97.61-97.72 of the Texas Administrative Code.

<ul <li="">Provisional Enrollment Flowchart

Requirements for Early Childhood (Pre-K 3 year olds & Pre-K 4 year olds)

Requirements for Grades K through 12

Additional state vaccine requirements for students entering 7th grade:
2 doses of Varicella
1 booster dose of tetanus, diphtheria, and pertussis (Tdap)
1 dose of Meningococcal

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.

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 a physician registered and licensed to practice medicine in the United States , who has examined the child 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.

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 Department of State Health Services must be submitted to the school nurse. The school will accept only the original affidavit forms developed and issued by the Texas Department of State Health Services. The affidavit will be valid for two years.

Sample Request for Exemption from Immunizations for Reasons of Conscience:

PDF Format

MS Word Format

Online exemption form request This is a secure web page for requesting exemption forms online. DSHS only has one exemption form. If you are an adult requesting the form for yourself complete the parent/guardian section and the child section with your information.

*Please note: In the case of an outbreak, an un-immunized child may be prohibited from school attendance.

For more information on exemptions:

Recommended Immunization Schedule


Flu Fact Sheet for Child-Care Settings
Cover Letter and Letter to Employees of Child-care Centers
Emily Lastinger brochure Flu information

Community Clinics that offer Influenza Vaccines:

La Feria Medical Clinic 129 West Commercial Avenue La Feria, TX 78559 (956) 797-9200

The Neighborhood Doctor 106 N. Main Street La Feria, TX 78559 (956) 797-2002

Cameron County Health Department 1390 W. Expressway 83 San Benito, TX, 78586 (956) 247-3693

College/University Requirements

New Texas state law requires that all students entering college or a university need to be vaccinated with the Meningococcal vaccine. Without the vaccine you cannot enter college.
For more information use the following link:
Bacterial Meningitis