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Health Services
What's New
Summary of Services
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Influenza Prevention
& Response
West Nile
Medication Policy / Forms
Health Information
Immunization Requirements
Immunization requirements vary by grade level. Click on the links below to see a complete list of requirements for each grade level.

2018-2019 Immunization Requirements (English)
2018-2019 Immunization Requirements (Spanish)

Immunization Requirements for Children 0-4 Years Old (English)

Free/Low-Cost Immunization Clinics
Immunization Sources with Maps 2016
Immunization Sources 2016
Please note: In the past, these immunization clinics would not turn anyone away, even if they had private insurance. Due to recent changes to the Texas Vaccines for Children Program, these clinics can no longer provide immunizations to those with private insurance. If you have private insurance, it's important that you make an appointment with your doctor as soon as possible to get your child's immunizations updated.
TVFC Eligibility Letter
Private Insurance - Immunization Source List
Care Van Schedule

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.

Information on obtaining an exemption for immunizations is available at

Tdap (Adacel, Boostrix):

Increased Protection from Pertussis (Whooping Cough)
Most infants and young children are routinely vaccinated against pertussis, but because vaccine protection begins to fade in older children and adults, a new vaccine (called Tdap) has been developed against pertussis for these age groups. This vaccine combines the well-known tetanus-diphtheria (Td) booster with a pertussis booster to help protect against this potentially fatal illness.  Click here for a bilingual fact sheet about pertussis. (PDF)

Tdap Vaccine Information Sheet (English)
Tdap Vaccine Information Sheet (Spanish)

Meningococcal (Menactra, Menomune, Menveo):
Protection from Meningococcal Meningitis
Meningococcal meningitis, a form of meningococcal disease, is a serious bacterial infection. Unlike viral meningitis, it can potentially kill or disable an otherwise healthy young person within 1 day after the first symptoms appear.  Even people who are usually healthy can get meningitis. However, data from the Centers for Disease Control and Prevention (CDC) have shown that the risk of getting meningitis increases in teens and young adults. For more information click on the links below, or visit

Meningococcal Vaccine Information Sheet (English)
Meningococcal Vaccine Information Sheet (Spanish)

Varicella (Chickenpox):
Why a Second Dose is Needed
Chickenpox (also called varicella) is a common childhood disease. It is usually mild, but it can be serious, especially in young infants and adults. In most cases it causes a rash, itching, fever, and tiredness. In more serious cases it can lead to severe skin infection, pneumonia, brain damage, or even death. In 2006, the Advisory Committee on Immunization Practices (ACIP) issued recommendations to add a second dose of the varicella vaccine to the childhood and adolescent immunization schedule.  The recommendation came in response to several reports of outbreaks among immunized children. These events suggested that one shot may not be enough to provide sufficient immunity for some. In March 2009, the state of Texas included this recommendation in it’s list of requirements for school attendance, initially for only kindergarten and 7th grade students, then gradually for all students.  For more information on the Varicella (Chickenpox) vaccine click on the links below:

Varicella Vaccine Information Sheet (English)
Varicella Vaccine Information Sheet (Spanish)

Additional Immunizations Recommended for Children and Adolescents:
In addition to the required immunizations for school attendance for each grade level, the Texas Department of State Health Services and the Centers for Disease Control (CDC) have made additional vaccine recommendations for children and adolescents for added protection against dangerous and potentially life-threatening diseases. Click here for a chart of recommended immunizations for different ages.
Health Services
701 W. Belt Line Rd.
Richardson, Texas 75080
Fax 469-593-7407
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