Texas Immunization Requirements

  • Texas school and child-care facility immunization requirements are determined by the state legislature and set by the Texas Department of State Health Services, in conjunction with the Texas Education Agency. Maintaining adequate immunization rates in schools is critical to preventing disease outbreaks and ensuring the health of Texas children. 

    Students must present proof of immunization compliance at the time of enrollment according to Texas Administrative Code, Title 25 Health Services, Chapter 97, Subchapter B, Rules 97.61-77. These laws may be seen in their entirety at TDSHS Texas School & Child-Care Facility Immunization

    Students must have these vaccines before they may begin school; provisional enrollment and exemptions may be discussed with the nurse.

    2021-2022 Texas Minimum State Vaccine Requirements for Students Grades K-12

    Exemption Information



    3 and 4 year-olds (Early Childhood AND Pre-K)

    • 4 doses of DPT/DTaP
    • 3 doses of Polio
    • 3 doses of Hepatitis B
    • 3 doses of HIB (one of which must be given on or after the 1st birthday) or 1 dose of HIB after 15 months of age through 4 years
    • 1 dose of Pneumococcal on or after the 2nd birthday, if series of 4 not completed
    • 1 dose of MMR (must be received on or after the 1st birthday)
    • 1 dose of Varicella (on or after the 1st birthday) unless child has verification of previous chickenpox disease 
    • 2 doses of Hepatitis A (first dose on or after 1st birthday and 2nd dose no sooner than 6 months after the 1st dose)

    Kindergarten, First, Second, Third, Fourth, and Fifth Grade

    • 5 doses of DPT/DTaP (included one on or after the 4th birthday- unless the 4th dose was on or after the 4th birthday, then 4 doses) 7 yr. olds may have 3 doses as long as the 3rd dose was given on or after the 4th birthday
    • 4 doses of Polio (unless 3rd dose was on or after the 4th birthday, then 3 doses)
    • 2 doses of MMR received on or after the 1st birthday and doses are at least 28 days apart
    • 3 doses of Hepatitis B
    • 2 doses of Varicella - unless child has verification of previous chickenpox disease*
    • 2 doses of Hepatitis A (1st dose on or after 1st birthday and 2nd dose no sooner than 6 months after the 1st dose) 

    Sixth Grade 

    • 5 doses of DPT/DTaP (included one on or after the 4th birthday- unless the 4th dose was on or after the 4th birthday, then 4 doses)
    • 4 doses of Polio (unless 3rd dose was on or after the 4th birthday, then 3 doses) 
    • 2 doses of MMR received on or after the 1st birthday and doses are at least 28 days apart
    • 3 doses of Hepatitis B
    • 1 dose of Varicella - unless child has verification of previous chickenpox disease*

    Seventh Grade

    • 3 doses of DPT/DTaP (including one on or after the 4th birthday) & 1 booster dose of Tdap within the last 5 years
    • 4 doses of Polio (unless 3rd dose was on or after the 4th birthday, then 3 doses) 
    • 2 doses of MMR received on or after the 1st birthday and doses are at least 28 days apart
    • 3 doses of Hepatitis B
    • 2 doses of Varicella- unless child has verification of previous chickenpox disease*
    • 1 dose of meningococcal vaccine

    Eighth, Ninth, 10th, 11th, and 12th Grades

    • 3 doses of DPT/DTaP (including one on or after the 4th birthday) and one Tdap/Td booster dose within the last 10 years
    • 4 doses of Polio (unless 3rd dose was on or after the 4th birthday, then 3 doses)
    • 2 doses of MMR received on or after the 1st birthday and doses are at least 28 days apart
    • 3 doses of Hepatitis B
    • 2 doses of Varicella-unless child has verification of previous chickenpox disease;* 2 doses required if 1st dose given after the age of 13
    • 1 dose of meningococcal vaccine 
    • 1 dose of meningococcal vaccine 5 years prior to entering college