Texas has no state form for medical exemptions from school and child care vaccine requirements. Instead, under 25 TAC 97.62, a physician signs a statement that, in their opinion, the required vaccine would be injurious to the health and well-being of the student or of a member of the student's family or household. Schools and child-care centers must accept it.
Only a physician (MD or DO) registered and licensed to practice medicine in the United States can sign it; the parent, guardian or adult student delivers it.
The issuer sets what the letter or report must contain; check its current rules before you write it.
Texas medical exemption from school/child care immunizations (physician-signed statement)
There is no form to fill: the program asks for a letter or report with the content it sets. Vero Scribe writes the visit note it draws on, so the details are ready when you write it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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One year from the date the physician signs it, unless the physician specifies a lifelong condition. DSHS says the statement must be renewed every year for the exemption to remain in effect, so a temporary contraindication needs a new signed statement each year.
The medical exemption is a physician's signed statement. The conscience affidavit (Stock No. F11-11755) is for parents, guardians or students 18 or older with religious or personal objections; it must be notarized, is valid two years, and since September 1, 2025 can be downloaded directly from DSHS.