Re: Vaccine Exemption Forms

[Guest guest]

Just wanted to add to this.

I always fax my request in and have ALWAYS had it back within just a few

days. ALSO, you can request up to 5 forms per child. That way you are not

always having to request forms...UNLESS they add new vaccinations to the list.

Then the old ones are null and void.

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Loving DH...Jerry(miss you honey)

Mom of 4 special somebunnies...

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Josh, e, Madison &

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I love a child with Autism

It is with the heart that one sees rightly...What is essential is not seen

with the eye.

[Guest guest]

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.

The 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.

Sheila Ealey wrote: Can anyone tell me where I

can obtain an exemption form? The school my girls are in says I have to have an

official one from the state and then have it notarized. Thanks in advance for

any help.

Sheila Ealey

sheilaealey@...

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