Medical Exemption
Per the Texas Higher Education Coordinating Board rules regarding medical exemption:
(1) an affidavit or a certificate signed by a physician who is duly registered and licensed to practice medicine in the United States, in which it is stated that, in the physician's opinion, the vaccination required would be injurious to the health and well-being of the student;
Chapter 21, Subchapter T, Sections 21.610 through 21.614

Exemption for Reasons of Conscience
Texas law allows for an exemption from immunizations for reasons of conscience, including a religious belief. There are different processes for submitting an exemption depending on the type of institution of higher education.
There are two possible options for students enrolling in public junior colleges and community colleges.
  1. Students complete an online form available at the Texas DSHS website. After entering all the requested information, students print the form, sign and date it, and submit the form when registering for courses. NOTE: a public junior college or community college may require students to use this option.

    DSHS website to obtain the public junior college online exemption form:

  2. If not otherwise required by a public junior college (see #1 above), the student may use the process for other institutions of higher education (see next column).

college student studying in front of books
Students entering a 4-year college, university, or other institution of higher education who wish to submit an exemption affidavit for meningococcal vaccination must request the official Texas DSHS affidavit form. This may be done online or by mail/fax. Once requested, the affidavit form is mailed from DSHS to the student. The affidavit must be completed, notarized, and provided to the designated school official at the institution the student will be attending.
A written request must be submitted for the affidavit via one of the following:
  • Secure online request for affidavit:
  • Fax the written request to (512) 776-7544
  • Mail the written request to
    • Immunization Branch, Mail Code 1946
    • PO Box 149347
    • Austin, TX 78714
  • Or hand deliver to the Texas Department of State Health Services:
    • 1100 West 49th Street
    • Austin, TX 78756
Affidavit form requests will be processed upon receipt. All affidavit forms will be mailed via U. S. Postal Service, first class mail. Please allow up to 7 to 10 business days for delivery.
Upon receiving the affidavit,
  1. Check the box beside the vaccine(s) you do not want to receive.
  2. Go to a Notary Public and have it notarized.
  3. Only sign the form in the presence of a Notary Public.
  4. Give the original affidavit to your college or university.
Please do not make any copies of the affidavit form. Photocopies will print with the word "void" throughout the form, making the form null & void.