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Immunization Requirements


2017-2018 Immunization Requirements for School Enrollment.

All students must provide an up to date immunization record before enrolling in school. Unless they meet the Texas Department of Health rules for provisional enrollment. Click the link to learn more 

What is provisional enrollment?

Provisional enrollment is a component of the rules adopted by the Texas Department of State Health Services (DSHS) for the minimum immunization requirements for school entry. Provisional enrollment allows a student meeting certain specific criteria to be admitted to school on a temporary basis for up to 30 days. During this 30-day period, the parent is responsible for ensuring that the student receives the necessary vaccine(s) as fast as is medically feasible, and/or providing a complete and current immunization record to the school. Texas schools are also responsible for ensuring that immunization records are sent to requesting Texas schools within the 30-day period.

What specific circumstances must a child fall under to qualify for provisional enrollment?

Provisional enrollment allows a student to enroll in school under the following situations:

1. Transfer Students

Students transferring from one Texas public or private school to another can be enrolled provisionally for no more than 30 days while awaiting the transfer of the immunization record.

2. Homeless Students

Students who are defined as homeless according to the federal McKinney-Vento Act, 42 U.S.C. §11434a can be admitted provisionally for 30 days if acceptable evidence of vaccination is not available. The school shall promptly refer the student to appropriate public health programs to obtain the required vaccinations.

3. Students In-Progress

Students who have received at least one dose of each specified age-appropriate vaccine required by the DSHS rules. To remain enrolled, students must complete the required subsequent doses of each vaccine series on schedule and as rapidly as is medically feasible and provide acceptable evidence of vaccination to the school. A school nurse or school administrator shall 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 the required dose(s) is (are) administered.

4. Military Dependents

A dependent of a person who is on active duty with the armed forces of the United States can be enrolled provisionally for no more than 30 days if he/she transfers from one school to another and is awaiting the transfer of the immunization record.

Can a child without an immunization record be enrolled provisionally if they are not homeless, are not transferring from a Texas school or are not progressing towards obtaining immunizations as fast as is medically feasible?

No. The child must obtain the first doses of the required vaccines and then they can be admitted provisionally as long as they are progressing towards receiving the remaining required vaccines as fast as is medically feasible.                            

Information for Parents - Texas Vaccines for Children

The Texas Vaccines for Children (TVFC) program provides low-cost vaccines to eligible children from birth through 18 years of age who meet one or more of the following criteria:

  • Eligible for participation in the Medicaid program
  • Enrolled in the Children's Health Insurance Program (CHIP) 1
  • American Indian or Alaska Native (As defined by 25 U.S.C. 1603)
  • Uninsured Children: Children who do not have health insurance
  • Underinsured Children: Children with private insurance but coverage 2:
    • Does not include vaccines
    • Only includes select vaccines

Click this link  to learn more!

Requesting Immunization Records for a Child or Adult

Click this link to learn more

Information about the ImmTrac2 Registry

ImmTrac2, the Texas Immunization Registry, is a no-cost service offered by the Texas Department of State Health Services (DSHS). It is a secure and confidential registry available to all Texans. ImmTrac2 safely consolidates and stores immunization information from multiple sources electronically in one centralized system. Texas law requires written consent for ImmTrac2 participation and limits access to the registry to only those individuals who have been authorized by law. ImmTrac2 contains over 120 million immunization records and continues to rapidly grow with increased participation.

The immunization information in ImmTrac2 is provided by a variety of sources, including private health-care providers, pharmacies, public health clinics, Medicaid claims administrators, and the Vital Statistics Unit (VSU). Regardless of the number of sources, each client’s immunization information is consolidated into one electronic record. Authorized professionals such as doctors, nurses, and public health providers can access clients’ vaccination histories.

The registry is a major component of the DSHS initiative to increase vaccine coverage across Texas.

For the latest information, please visit the ImmTrac2 webpage.  

To access the ImmTrac2 portal, please visit the ImmTrac2 Portal Webpage.


Immunization Information for Parents and the Public

Click this link to learn more