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Each state decides which vaccines are required for your child’s enrollment and attendance at a school in that state. These laws often apply not only to children attending public schools but also to those attending private schools and day care facilities.

All states provide medical exemptions, and some state laws also offer exemptions for religious or philosophical reasons. State laws also establish mechanisms for enforcement of school vaccination requirements and exemptions.

• Keep track of your child’s vaccine record, as schools and childcare facilities in your state may require proof of vaccination.

• Talk to a staff member to learn what vaccines the school or childcare facility requires. They will be able to provide you with specific information about their requirements.

• If you would like to know your state’s immunization requirements, contact your state’s immunization program or state health department.

In Texas, state law requires children to be vaccinated against certain diseases as a condition for enrollment and attendance in public, private schools, and day care facilities. These requirements are determined by the Texas Department of State Health Services (DSHS). Texas law provides exemptions for vaccines due to medical reasons, such as a child having a medical condition that contraindicates immunization. Additionally, Texas allows for exemptions based on reasons of conscience, including a religious belief. Parents or guardians who wish to claim an exemption for their child must submit a signed affidavit to the school stating the reason for the exemption. It is important for parents to maintain an up-to-date vaccine record for their children, as schools and childcare facilities will require proof of vaccination or an official exemption affidavit. To find out the specific immunization requirements or to obtain an exemption affidavit, parents should contact the school or childcare facility directly or reach out to the Texas DSHS Immunization Unit.


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