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You are here: Home / Immunization Affidavit

Immunization Affidavit

According to Child Care Licensing, all children are required to be fully immunized to attend a child care center.  In the event that a child is not fully immunized, and/or receiving delayed/staggered immunizations, the Texas Department of Health provides exemptions for the following circumstances.

Exemptions to Immunization Requirements:

Chapter §97.62 of the Texas Administrative Code (TAC) describes the conditions under which individuals can seek exemptions from Texas immunization requirements. Exclusions from compliance are allowable on an individual basis for medical contraindications, reasons of conscience, including a religious belief, and active duty with the armed forces of the United States.

To allow your child’s attendance in a licensed child care center, you must request, complete and submit an affidavit for immunization from the Texas Department of Health to the preschool office.

Requests for the affidavit shall be made online. The form will be sent to you via US mail within two weeks.  The form lists all of the required immunizations and parents check the boxes for those shots that the child has not received.  The form must be notarized and will be good for two years.

***The Preschool Director, Sandy Pennington, is a notary public and can notarize the document for you. Remember, a notary’s purpose is to witness a person signature.  Please do not sign the form in advance.***

For the online request, please visit the IMMUNIZATION AFFIDAVIT page on the TDH website

For general information about the immunization exemption and the affidavit, please see the SCHOOL & CHILD CARE REQUIREMENTS page on the TDH website.

Please contact the PRESCHOOL OFFICE if you have any questions.  Thank you.

 

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First United Methodist Preschool
1201 Lavaca St. | Austin, TX 78701
(512) 478-5709
preschool@fumcaustin.org

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