Texas Immunization Exemption Form - A You must request a vaccine exemption afidavit form by submitting a request through the U S Postal Service commercial carrier fax or online Phone and email requests are not accepted Personal pick up at DSHS is not permitted ALL afidavit forms will be mailed to you via the U S Postal Service
If you have any concerns about the validity of an exemption affidavit form please contact DSHS at SchoolImm dshs texas gov View additional news and updates related to Texas School Child Care Facility Immunization Requirements
Texas Immunization Exemption Form
Texas Immunization Exemption Form
To order printed copies of publications via mail, please see the Immunizations Unit Literature Order Form. Public / Private Schools Child-Care Facilities Exemption Requests
Request for Exemption from Immunizations for Reasons of Conscience To submit your request online go to co request dshs texas gov In order to expedite your request please print neatly or type All information except the middle name is required Valid dates of birth are required future dates are not accepted Thank You Date
Update To The Conscientious Exemption Affidavit Form Texas DSHS
1 The COVID 19 vaccine is NOT included on the vaccine exemption request affidavit as it is not a required vaccine at this time for people enrolled in child care Pre K facilities K 12 schools colleges or universities 2 Texas DSHS staff continue to process conscientious exemption requests
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In accordance with Texas Administrative Code 97 62 Texas law allows for an exemption from immunizations for reasons of conscience including a religious belief To claim an exemption due to reasons of conscience a student s parent or legal guardian must request sign and submit an official DSHS affidavit form to the child s school
Texas Immunization Exemption Form 2021
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Span Class Result Type
Immunization exemption affidavit form a A person claiming an exemption from a required immunization based on reasons of conscience including a religious belief under Section 161 004 of this code Section 38 001 51 9192 or 51 933 Education Code or Section 42 043 Human Resources Code must complete an affidavit on a form provided by
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The following are the types of forms and documents to explore Forms for the General Public Consent Forms for the Public Minors and Adults Immunization Record Request Withdrawal Form Providers and Organizations Newborn Registration Form Manuals for Providers and Organizations Bidirectional Data Exchange Onboarding Guide
A person claiming an exemption from a required immunization based on reasons of conscience, including a religious belief, under Section 161.004 (Statewide Immunization of Children) of this code, Section 38.001 (Immunization; Requirements; Exceptions), 51.9192 (Bacterial Meningitis Vaccination Required for Certain Students; Exceptions), or 51.933...
Forms And Publications School Immunizations Texas DSHS
Thank you for submitting your exemption request Received on Thursday March 23 2023 at 7 43 PM Your affidavit exemption request form will be mailed to the USPS address you provided Note that it may take up to three weeks for affidavits to be mailed to you
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Texas Immunization Exemption Form
The following are the types of forms and documents to explore Forms for the General Public Consent Forms for the Public Minors and Adults Immunization Record Request Withdrawal Form Providers and Organizations Newborn Registration Form Manuals for Providers and Organizations Bidirectional Data Exchange Onboarding Guide
If you have any concerns about the validity of an exemption affidavit form please contact DSHS at SchoolImm dshs texas gov View additional news and updates related to Texas School Child Care Facility Immunization Requirements
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