Forms

All materials listed are available to order free of charge. Visit www.ImmunizeTexasOrderForm.com to place an order. Please note that there is a charge for expedited shipping.

Forms by Type

Public/Private Schools

Stock #	Title	File Type	Revised
6-14	2024-25 Texas Vaccine Requirements for Students Grades K-12 - Bilingual	PDF	02/2024
6-30	Communicable Disease Chart & Notes Poster, 22"x30" - English	PDF	03/2024
6-105	ACIP Recommended Immunization Schedule for Persons 0 – 18 years - English	PDF	04/2023
E11-13255	Provisional Enrollment Flowchart	PDF	09/2021
11-15198	Provisional Enrollment Dosing Schedule	PDF	02/2019
11-15704	Immunization Record Validation Tips	PDF	03/2020
11-15748	Acceptable Evidence of Vaccinations	PDF	06/2020
None	Letter to Superintendent, Administrator, and School Health Staff - Bilingual	PDF	03/2024
None	Letter to Parents - Required K-12 Immunizations for the 2024-2025 School Year - Bilingual	PDF	03/2024
None	Letter to Parents - Required 7th Grade Immunizations for the 2024-2025 School Year - Bilingual	PDF	03/2024
11-11846	Benefits and Risks of Vaccination - Bilingual	PDF	05/2017
E11-13160	FAQs Immunization Requirements for School Admittance - Bilingual	PDF	04/2019
C-9	Documenting History of Illness: Varicella (Chickenpox)	PDF	01/2018
11-15127	Annual Report of Immunization Status	PDF	9/2023

Childcare Facilities

Stock #	Title	File Type	Revised
6-15	2024-25 Texas Vaccine Requirements for Child-Care Facilities - Bilingual	PDF	02/2024
11-16671	Provisional Enrollment Flowchart - Childcare	PDF	06/2022
6-30	Communicable Disease Chart & Notes Poster, 22"x30" - English	PDF	03/2024
6-105	ACIP Recommended Immunization Schedule for Persons 0 – 18 years - English	PDF	04/2023
11-11846	Benefits and Risks of Vaccination - Bilingual	PDF	05/2017
11-12811	Emily Lastinger brochure - Little Kids Get the Flu Too - English	PDF	07/2018
11-12811A	Emily Lastinger brochure - Little Kids Get the Flu Too - Spanish	PDF	07/2018
11-12812	Flu Fact Sheet for Child-Care Settings - Bilingual	PDF	05/2017
11-15705	Total Doses Required for Childcare and Pre-K Facilities	PDF	03/2020
None	Letter to Parents - Required Childcare and Pre-Kindergarten for the 2024-2025 School Year - Bilingual	PDF	03/2024
C-9	Documenting History of Illness: Varicella (Chickenpox)	PDF	01/2018

Exemption Requests

Stock #	Title	File Type	Revised
E11-13159	FAQs About Vaccine Exemption for Reasons of Conscience - English	PDF	09/2021
E11-13159A	FAQs About Vaccine Exemption for Reasons of Conscience - Spanish	PDF	09/2021
EF11-13140	Request for Exemption from Immunizations for Reasons of Conscience - Bilingual	PDF	09/2021