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Health Services
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& Response
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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
Immunization Sources
Due to recent changes to the Texas Vaccines for Children Program (TVFC), these clinics cannot provide immunizations to individuals with private insurance. If you have private insurance, it's important to 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

Regarding exemptions related to religious and/or reasons on conscience: please note that in accordance with state law, RISD can only accept exemption affidavits issued by the State of Texas. Affidavits issued from other states are not permissible for enrollment/attendance. The parent/guardian must provide an original, notarized Texas affidavit before school enrollment/attendance is permitted. Please contact your school nurse for additional information.

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 vaccine called Tdap was 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.

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 about meningococcal meningitis visit

Students in grades 7-12 are required to receive vaccination against this form of bacterial meningitis in order to attend school. The American Academy of Pediatrics recommends a booster dose of the vaccine for 16 – 18 year olds who received the vaccine between 11 and 15 years of age, since studies have shown that protective immunity to the disease declines after a 5-year period.

In response to outbreaks of meningitis at Texas universities, which resulted in the death or near-death of students, the Texas Legislature passed SB 62 which requires college students to provide proof of vaccination against bacterial meningitis within the past 5 years. This law expands on a previous law which required only those students living on-campus to receive the vaccine. For more information about meningococcal vaccine college requirements visit

Vaccine Information Sheets
Required for school:
Quadrivalent Meningococcal Vaccine (English)
 Quadrivalent Meningococcal Vaccine (Spanish)
Also Recommended:
Serogroup B Meningococcal Vaccine (English)
Serogroup B Meningococcal Vaccine (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
400 S. Greenville Ave.
Richardson, Texas 75081
Fax 469-593-0302
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