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Request for Exemption from Immunizations for Reasons of Conscience. To submit your request online, go to: https://co-request.dshs.texas.gov. In order to expedite your request, please print neatly or type. All information except the middle name is required.
- Forms
Visit www.ImmunizeTexasOrderForm.com to place an order....
- CO Request
I wish to obtain an Exemption from Immunizations for Reasons...
- Forms
Request an affidavit via the Immunization Section Affidavit Request website. Please use the Microsoft Edge web browser when submitting a vaccine exemption request online. If requesting an Affidavit by Mail, send a written request for an affidavit through the United States Postal Service (USPS). Mail to:
If you are enrolling in a public junior college or a community college, you can create your own exemption form using this website: https://co-request-jc.dshs.texas.gov/. After entering all the requested information, print the form, sign and date it, and submit the form when registering for courses.
Visit www.ImmunizeTexasOrderForm.com to place an order. Please note that there is a charge for expedited shipping. Forms by Type. Public/Private Schools. Childcare Facilities. Exemption Requests. Immunizations.
I wish to obtain an Exemption from Immunizations for Reasons of Conscience Affidavit Form. Please provide me with an exemption affidavit form for each of my children listed below ( maximum 5 forms per child ):
I wish to obtain an Exemption from Immunizations for Reasons of Conscience Affidavit Form. Please provide me with exemption affidavit forms for the individuals listed below (maximum 5 forms per individual).
19 Απρ 2022 · When declining required vaccinations for reasons of conscience, including religious belief, the following instructions must be followed: The Texas Affidavit Request for Exemption from Immunizations must be completed online at https://co‐request.dshs.texas.gov/.
