• Texas Health and Human Services  

    Immunization Requirements are set by the Texas Department of State Health Services for all Texas public schools.

     > View Texas Department of State Health Services Website

    2018 Immunization Events:

    Back to School Shots English       Back to School Shots Spanish


    Texas law allows (a) physicians to write medical exemption statements that the vaccine(s) required would be medically harmful or injurious to the health and well-being of the child or household member, and (b) parents/guardians to choose an exemption from immunization requirements for reasons of conscience, including a religious belief. The law does not allow parents/guardians to elect an exemption simply because of inconvenience (for example, a record is lost or incomplete and it is too much trouble to go to a physician or clinic to correct the problem). Schools should maintain an up-to-date list of students with exemptions, so they may be excluded in times of emergency or epidemic declared by the commissioner of public health.

    Instructions for requesting the official exemption affidavit that must be signed by parents/guardians choosing the exemption for reasons of conscience, including a religious belief, can be found on the Exemption Information page of this website. Original Exemption Affidavit must be completed and submitted to the school.

    For children claiming medical exemptions, a written statement by the physician must be submitted to the school. Unless it is written in the statement that a lifelong condition exists, the exemption statement is valid for only one year from the date signed by the physician.

    Provisional Enrollment

    All immunizations should be completed by the first date of attendance. The law requires that students be fully vaccinated against the specified diseases. A student may be enrolled provisionally if the student has an immunization record that indicates the student has received at least one dose of each specified age-appropriate vaccine required by this rule. To remain enrolled, the student must complete the required subsequent doses in 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 is administered.

    Additional guidelines for provisional enrollment of students transferring from one Texas public or private school to another, students who are dependents of active duty military, students in foster care, and students who are homeless can be found in the TAC, Title 25 Health Services, Sections 97.66 and 97.69.

    For further help and guidance, please see the Provisional Enrollment Flowchart (PDF).


    Since many types of personal immunization records are in use, any document will be acceptable provided a physician or public health personnel has validated it. The month, day, and year that the vaccination was received must be recorded on all school immunization records created or updated after September 1, 1991.

    Tarrant County Immunization Service Locations


    Tarrant County Back-to-School Immunization for Children without Private Insurance


    For August 2018

    Arrive 15-20 minutes before clinic opens to get in line.

    There will be a wait. 

    You will not be served if all numbers have been given out for that day.

    536 W. Randol Mill Rd.
    Arlington, Texas 76011
    Monday – Friday, 8 a.m. – Noon & 2 – 4 p.m.


    Lake Worth 
    3800 Adam Grubb Rd.
    Lake Worth, Texas 76135
    Tuesday  and Thursday  8 am-4 pm



    6601 Watauga Rd.
    Watauga, Texas 76148
    Monday, Wednesday, Friday 8am-4pm


    3212 Miller Ave.
    Fort Worth, Texas  76119
    Mon Wed Fri



    La Gran Plaza Mall *
    4200 South Frwy.
    Fort Worth, Texas  76115
    Monday – Friday, 8 a.m. – Noon & 2 – 4 p.m.
    *Saturdays available, call for details


    closed temporarily as of 7/30/18