This chart is not intended as a substitute for consulting the TAC, which has other provisions and

details. The Department of State Health Services is granted authority to set immunization requirements

by the Education Code, Chapter 38, Health & Safety, Subchapter A, General Provisions.

A student shall show acceptable evidence of vaccination prior to entry, attendance, or transfer to a child-care facility or public or private

elementary or secondary school in Texas.

This chart summarizes the vaccine requirements incorporated in Title 25 Health

Services, §§97.61-97.72 of the Texas Administrative Code (TAC).

1Receipt of the dose up to (and including) 4 days before the birthday will satisfy the school entry immunization requirement.

2Serologic confirmation of immunity to measles, mumps, rubella, hepatitis B, hepatitis A, or varicella or serologic evidence of infection is

acceptable in lieu of vaccine.

10 mcg/1.0 ml of Recombivax®)

4Serologic proof of immunity or documentation of previous illness may substitute for vaccination. Previous illness may be documented with

a written statement from a physician, school nurse, or the child’s parent or guardian containing wording such as: “This is to verify that

(name of student) had varicella disease (chickenpox) on or about (date) and does not need varicella vaccine.”

5Hepatitis A vaccine is required for students attending a school located in a high incidence geographic area designated by the Texas

Department of State Health Services. Forty (40) counties affected by Hepatitis A requirement are: Bexar, Brewster, Brooks, Cameron,

Crockett, Culberson, Dimmitt, Duval, Edwards, El Paso, Frio, Grayson, Gonzales, Hidalgo, Hudspeth, Jeff Davis, Jim Hogg, Kenedy,

Kinney, La Salle, Maverick, McMullen, Moore, Nueces, Pecos, Potter, Presidio, Randall, Real, Reeves, Starr, Sutton, Terrell, Terry, Uvalde,

Val Verde, Webb, Willacy, Zapata, and Zavala.

Five doses of a diphtheria-tetanus-pertussis containing vaccine, one of

which must have been received on or after the fourth birthday; however,

birthday

Three doses, including one dose on or after the fourth birthday

One dose is required ten years after last dose of DTP/DTaP/DT

Four doses of polio vaccine one of which must have been received on or

Two doses of a measles-containing vaccine with the first dose on or after

the first birthday; second dose required upon entry into kindergarten

Three doses

(Two doses if vaccine given at 13 years of age or older)

Tdap/Td/DTP/DTaP or any combination of these

Tdap/Td

The law allows (a) physicians to write a statement stating that the vaccine(s) required is medically contraindicated or poses a

significant risk to the health and well-being of the child or any member of the child’s household, and (b) parents/guardians to

choose an exemption from immunization requirements for reasons of conscience, including a religious belief. Schools and

child-care facilities should maintain an up-to-date list of students with exemptions, so they can be excluded from attending

school if an outbreak occurs.

For children needing medical exemptions, a written statement by the physician should be submitted to the school or child-care

facility.

All immunizations should be completed by the first date of attendance. The law requires that students be fully vaccinated

against the specified diseases. A student may be enrolled provisionally if the student has an immunization record that indicates

the student has received at least one dose of each specified age-appropriate vaccine required by this rule. To remain enrolled,

the student must complete the required subsequent doses in each vaccine series on schedule and as rapidly as is medically

feasible and provide acceptable evidence of vaccination to the school. A school nurse or school administrator shall review the

immunization status of a provisionally enrolled student every 30 days to ensure continued compliance in completing the required

doses of vaccination. If, at the end of the 30-day period, a student has not received a subsequent dose of vaccine, the student

is not in compliance and the school shall exclude the student from school attendance until the required dose is administered.

Since many types of personal immunization records are in use, any document will be acceptable provided a physician or public

health personnel have validated it. The month, day, and year that the vaccination was received must be recorded on all school

immunization records created or updated after September 1, 1991.

Texas Department of State Health Services • Immunization Branch • P O Box 149347 • Austin, TX 78714-9347 • (800) 252-9152

Stock# 6-14 Rev. August 2007