Parents, if your child receives an immunization, please have your child bring a copy of it to the Clinic, OR you may upload the shot record through HAC:
Login to HAC using the parent Gateway GID to submit medical records and to track the submission status. For guidance on how to upload records using HAC, you can refer to the 'HAC Uploads Instructions' document."
There are three conditions for exemption for Texas students:
If a health care provider determines that it is not safe for them to get a certain vaccine
If they are in the United States military
If they have a religious or personal belief that goes against getting immunized
Only a doctor (MD/DO) can write a note explaining why someone can't get vaccinated. Schools and childcare centers must accept it. The signed note is only valid for one year unless your doctor states that you have a life-long condition.
To get an exemption from vaccinations for reasons of conscience, including religious beliefs, the child's parent, legal guardian, or a student 18 years or older must complete several steps. A completed, signed, and notarized affidavit in a form must be provided by the department to the school or childcare facility. The affidavit should state that the child's parent, legal guardian, or a student 18 years or older is refusing vaccinations because of their conscience, including religious beliefs.
Submitting an Exemption for Reasons of Conscience
Give the form to the school or childcare center within 90 days after it's signed and stamped by a notary. The paper is good for two years after the notary date. A child or student not immunized because of their conscience or religion might not be allowed to go to school if there is an official emergency or epidemic.
This affidavit is used to request exclusion from required school immunizations for reasons of conscience, including religious belief. A parent or legal guardian may request this affidavit on behalf of their child or student using the forms and methods outlined below. The request must include the following information:
Full name of child or student
Child's or student's date of birth (month/day/year)
Complete mailing address, including telephone number
Number of requested affidavit forms (not to exceed five)
If requesting an Affidavit by Mail, send a written request for an affidavit through the United States Postal Service (USPS).
Fax written requests for affidavits to 512-776-7544.
Requests affidavits in person at:
Texas Department of State Health Services
1100 West 49th Street
Austin, Texas 78756
NOTE: No requests will be filled at the time of hand delivery. All affidavit forms will be mailed to you via USPS.