In accordance with the Texas Department of Health immunization schedule, recommendations and adopted by the Texas Board of Health and published in the Texas Register annually, a child or 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, or institution of higher education. Children enrolled in child care facilities, pre-kindergarten, or early childhood programs shall have the following; diphtheria, pertussis, rubeola (measles), rubella, mumps, tetanus, Heaemophilus influenza type B, poliomyelitis, hepatitis B, and varicella (chicken pox), Hepatitis A, and invasive pneumococcal .
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. Children and students in these categories must submit evidence for exclusion from compliance as specified in the Health and Safety Code, 161.004(d), Health and Safety Code 161.0041, Education code, Chapter 38, Education code, Chapter 51, and the Human Resources code, Chapter 42.
- To claim an exclusion for medical reasons, the child or student must present a statement signed by the child’s physician, duly registered and licensed to practice medicine in the United States who has examined the child, in which it is stated that, in the physician’s opinion, the vaccine 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. 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.
- To claim an exclusion for reasons of conscience, including a religious belief, a signed affidavit must be presents by the child’s parent or guardian, stating that the child’s parent or guardian declines vaccinations for the reasons of conscience, including a person’s religious beliefs. The affidavit will be valid for two years. Affidavit MUST BE obtained by submitting a written request to the Texas Department of State Health Services, 1100 West 49th Street Austin, Texas 78756 (Rule 97.62 Title 25 of the Texas Administrative Code).
A student may be provisionally enrolled for 30 days, if the student has an immunization record that indicates the student has received at least one dose of each specified age-appropriate vaccine. 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 (Rule 97.66, Title 25 of the Texas Administrative Code).
In the event that office personnel or the school nurse finds a student is lacking an immunization, they will contact the parent who then has ten (10) school days to immunize their child. After that, the student will not be allowed to return to school until proof of immunization is given to the school. Proof of immunization may be in the form personal records from a licensed physician or public health clinic with a signature or rubber stamp validation.
Texas Minimum State Vaccine Requirements for Students
To view the most up-to-date immunization recommendations and requirements for school attendance, please visit the Department of State Health Services website.
Texas Immunization Requirements for students entering the 7th grade
Beginning August 1, 2009, the state of Texas added several required vaccines for all students entering 7th grade. One (1) dose of meningococcal vaccine, and one (1) dose of Tdap are required before school attendance. Students entering 7th grade are required to have a booster of Tdap only if it has been five (5) years since their last dose of tetanus-containing vaccine. Td is acceptable in lieu of Tdap if a contraindication to pertussis exists. Also two doses of Hepatitis A are required.
It is a Texas state law that immunizations must be up to date in order for a student to attend school. Your child will not be allowed to attend 7th grade without these immunizations. It is the responsibility of the parent/guardian to provide the updated records to your child's campus. Please consider getting these immunizations early and providing the record to your child's campus in order for them to be input into our computer system.
Download the following documents for more information.
Texas Immunization Requirements for college bound students
Passage of Senate Bill (SB) 1107, requires all entering students at Texas institutions of higher education to be vaccinated against bacterial meningitis within the last five years and at least ten (10) days prior to the first day of class. Download the following document for more information.
Protect Your Entire Family Against Pertussis
New Vaccine Now Available for Children 10 to 18 and Adults
School is back in session and your kids could be bringing home more than just homework.
Pertussis, also known as whooping cough, is a highly contagious disease spread through coughing. In 2005 there were more than 2,000 pertussis cases in Texas, and eight babies died from the disease.
The good news is pertussis can be prevented by a vaccine. And there is a new vaccine available for older children, teens, and adults.
Symptoms of Pertussis:
- Runny nose, sneezing & cough (similar to a cold)
- Severe coughing fits
- Coughing spells lasting for more than six weeks
Make sure children, teens, and adults receive the complete series of vaccines at the recommended ages. Ask your doctor or health care provider if your child is up to date with his/her vaccinations. It can help keep your kids in school – and out of the doctor’s office.
Download Pertussis vaccination information in printable format:
HB 1316 - New Vaccine Requirements for Child Care Attendance
Effective September 1, 2005, House Bill 1316 became law. This law requires that children attending child care facilities be vaccinated against invasive pneumococcal and hepatitis A disease. This change affects children attending pre-kindergarten, Head start, or other early childhood programs.
Please be aware that Texas Vaccine for Children eligibility guidelines has changed effective January 1, 2012.
- If your child has private insurance that covers immunizations, he/she will no longer be allowed to receive immunizations at the San Angelo Health Department and must be seen by their Health Care Provider or other vaccine provider. If you have private insurance and you are not sure whether immunizations are covered, contact the benefits coordinator to verify coverage.
- At this time the only children that may receive immunizations at the Health Department are those who have Medicaid, CHIPS, American Indians, Alaskan Natives, private insurance that does NOT cover vaccines, insurance that caps vaccine coverage at a certain amount, or have no insurance coverage for vaccines.
- Your child’s primary care physician
- LaEsperanza Health Clinic
2033 W. Beauregard Avenue
San Angelo, TX
Call for Clinic Hours and Fees
- San Angelo Health Department
2030 Pulliam, Suite 8
San Angelo, TX
Call for Clinic Hours, Fees, and Eligibility
- Local Pharmacies
*Please note that the flu vaccine is also available at the above locations.