Immunization Requirements

Immunization	Age/Grade Required	Dose(s)
DTAP/Tdap Diphtheria Tetanus Pertussis	Before 7 years old After 7 years old Grade 7 Grade 8-12	Five doses, one after 4th birthday. If the fourth dose is received after 4th birthday, only four doses required Three doses of diphtheria and tetanus, one dose must be Tdap. One dose of Tdap if it has been 5 years since the last dose of tetanus One booster dose of Tdap or Td if it has been 10 years since the last dose
Poliomyelitis Polio vaccine	On or after 4th birthday	Four total doses with one dose on or after 4th birthday. Three doses are acceptable if the third dose is given on or after the 4th birthday.
MMR Measles Mumps Rubella	On or after 1st birthday Prior to 2009	Two doses One dose of measles and one dose of MMR are acceptable
Hepatitis B	K-12th	Three doses for all students K-12
Varicella Chicken Pox	On or after 1st birthday	Two doses for all students K-12 *A history of varicella (chicken pox) with documentation is acceptable in place of immunization.
Pneumococcal Pneumonia vaccine	On or after 12 months After 12 months After 24 months	Total of three doses with one dose on or after 12 months old Two doses if both given after 12 months old One dose if given on or after 24 months old
Hepatitis A	K-12th	Two doses with first dose on or after first birthday
Meningococcal Meningitis vaccine	7th-12th	One dose on or after 11th birthday A booster dose is recommended between age 16 and 18.

Exemptions from Immunizations

Exemptions from immunization requirements may be granted on a medical basis or for reasons of conscience. A medical exemption, signed by a physician, is required annually if not otherwise stated by the physician. Exemption for reasons of conscience must be submitted on an affidavit provided by the Texas Department of State Health Services. Exemption for reason of conscience is granted for two years. Exemptions are not recognized in times of epidemics.

Students will need to be immunized or not attend school if an epidemic is declared by the Commissioner of Health.

Provisional Enrollment for Missing Immunizations

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 will 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 required dose is administered.