Texas Vaccine Exemption FAQs for Conscience Reasons
This document provides detailed FAQs regarding obtaining a vaccine exemption for reasons of conscience in Texas. It outlines the process, requirements, and important information for parents and guardians. It's an essential resource for anyone seeking to understand vaccine exemptions in Texas schools.
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How do I fill this out?
To fill out this form, start by requesting the exemption affidavit through the appropriate channels. Ensure all student details are accurate and include a complete return mailing address. Finally, submit the signed and notarized affidavit to the relevant educational institution.

How to fill out the Texas Vaccine Exemption FAQs for Conscience Reasons?
1
Submit a request for the exemption affidavit form.
2
Provide student details and a return mailing address.
3
Receive the form by mail.
4
Sign and notarize the affidavit.
5
Submit the completed affidavit to your child's school.
Who needs the Texas Vaccine Exemption FAQs for Conscience Reasons?
1
Parents of school-age children seeking vaccine exemptions.
2
Students who require exemption for vaccination due to conscience.
3
Guardians who manage the vaccination process for minors.
4
Individuals transitioning schools and needing to submit exemption forms.
5
Health professionals assisting families with vaccination records.
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What are the instructions for submitting this form?
To submit the exemption affidavit request, you can use the following methods: Mail your request to the Department of State Health Services, P.O. Box 149347, Austin, TX 78714-9347. Alternatively, you can send a fax to (512) 776-7544. For secure online requests, visit the Texas DSHS exemption request web form. Ensure to include your mailing address and information for each student.
What are the important dates for this form in 2024 and 2025?
In 2024 and 2025, ensure timely submission for vaccination exemptions to meet school registration deadlines. Mark your calendars for any updates from Texas health authorities regarding changes in vaccine policies.

What is the purpose of this form?
The purpose of this form is to provide legal exemption from vaccination requirements for students based on personal beliefs. It serves as a formal notification to schools and child-care facilities regarding a student's exempt status. The form is crucial for ensuring students receive appropriate recognition for their exemptions.

Tell me about this form and its components and fields line-by-line.

- 1. Name: Full name of the student requesting the exemption.
- 2. Date of Birth: The birth date of the student for identification.
- 3. School Name: The educational institution the student attends.
- 4. Signature: Acknowledgment by the parent/guardian affirming the request.
What happens if I fail to submit this form?
Failure to submit the exemption form may result in the student being required to meet normal vaccination requirements. This could lead to potential exclusion from school until compliance is achieved. It's vital for parents to complete and submit the necessary documents promptly to avoid any issues.
- Non-Compliance with School Policy: Students may be required to receive vaccinations or face enrollment issues.
- Potential Health Risks: Unvaccinated students may face health risks during outbreaks.
- Delayed Enrollment: Failure to submit can lead to deferrals in school enrollment.
How do I know when to use this form?

- 1. When enrolling in school: Required to establish exemption status during registration.
- 2. Upon changing schools: Needed to ensure smooth transition with vaccination records.
- 3. In response to an outbreak: Documenting exemption requirements becomes crucial.
Frequently Asked Questions
How do I request a vaccine exemption affidavit?
You can request the affidavit by mailing or faxing your request to DSHS.
What information do I need to provide for the exemption affidavit?
You will need to provide the student’s name, date of birth, and return mailing address.
How long does it take to process the exemption request?
Requests are typically processed within two weeks of receipt.
Can I request multiple exemptions at once?
Yes, you can request up to five exemption affidavits per student.
What should I do if I lose the original affidavit?
You must submit a new request to obtain a replacement affidavit.
Is there a provisional enrollment period while waiting for the exemption?
No, students cannot be admitted without the exemption affidavit.
What if my student changes schools?
The affidavit should be sent along with other school records to the new school.
Are there additional reasons for vaccination exemption?
Yes, exemptions can also be based on medical reasons or evidence of immunity.
Can a parent request an exemption for an unborn child?
No, the request must be made after the child is born.
Do I need a new exemption form if I already have a religious exemption?
If your religious exemption was filed before September 1, 2003, no new form is needed.
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