Re: Re: Vaccine Exemption Form

[Guest guest]

Here is a website for vaccine exemptions in Texas:

_http://www.909shot.com/state-site/Texas.htm_

(http://www.909shot.com/state-site/Texas.htm)

You need to request a vaccine exemption affidavit form in writing. Each child

’s name and date of birth must be included in the request. The requests must

be submitted through the mail or fax to:

Texas Department of Health

Bureau of Immunization and Pharmacy Support

1100 W. 49th Street

Austin, Texas 78756

Fax:

_http://www.vaccineinfo.net/exemptions/index.shtml_

(http://www.vaccineinfo.net/exemptions/index.shtml)

_http://www.dshs.http://wwhttp://www.dhttp://www.dshhttp://wwwhttp_

(http://www.dshs.state.tx.us/IMMUNIZE/school/school_exclusion.shtm)

Here is the information: Exemptions to Immunization Requirements: Chapter

§97.62 of the Texas Administrative Code (TAC) describes the conditions under

which individuals can seek exemptions from Texas immunization requirements.

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.

Guidelines for Requesting an Exemption for Reasons of Conscience

Written requests must be submitted through the U.S. Postal Service,

commercial carrier, fax, or by hand-delivery to:

Department of State Health Services

Immunization Branch (MC1946)

1100 West 49th Street

Austin, Texas 78756

(Fax)

Hand-delivered requests may be submitted to the DSHS, Immunization Branch,

between 8 a.m. and 5 p.m. Mondays through Fridays. ALL affidavit forms will be

mailed to you via U.S. Postal Service. No requests will be filled at the

time of hand-delivery.

Affidavit form requests will be processed and mailed within one week from

the receipt of the request. If additional information is needed in order to

process the affidavit, you will be notified;

The letter must include the following information:

Full name of each child for whom a form is requested (first, middle, and

last);

Date of birth of each child for whom a form is requested;

Parent or legal guardian's signature and complete return mailing address,

including zip code; and

Number of forms needed for each child (not to exceed five forms per child)

Electronic mail or telephone requests cannot be processed.

The official Texas Department of State Health Services affidavit form must

be notarized and submitted to school officials. The form must be submitted

within 90 days from the date it is notarized.

A public school will accept only official affidavit forms developed and

issued by the Texas Department of State Health Services (DSHS), Immunization

Branch. No other forms or reproductions will be allowed.

CReece

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