- Can be found in our Google document.
- Medical: 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.
- 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.
- Instructions from Texas DSHS to obtain the affidavit
- Click on" Exclusions from Immunization Requirements", Then
- "Sample Letter" to print form
- Online Request: for Exemption from Immunizations for Reasons of Conscience
- Please note: In the case of an outbreak, an un-immunized child may be prohibited from school attendance.
- Any form presented for conscientious objection to immunization must be presented before the student may start school and must be updated every two years by the anniversary date.
- Because the student had the disease: Parents of students who had the chickenpox 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.
- 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:
- Varicella (chicken pox)
- Hepatitis A
- Hepatitis B
Vaccine Information Statements (VISs) are information sheets produced by the Centers for Disease Control and Prevention (CDC). VISs explain both the benefits and risks of a vaccine to adult vaccine recipients and the parents or legal representatives of vaccines who are children and adolescents. Federal law requires that VISs be handed out whenever certain vaccinations are given (before each dose).
For more information, please visit the immunize.org website.