Immunizations may be obtained through your personal physician or at the following locations

*Please call to verify time and days each one is open.


Your Private Physician


Anderson County Department of State Health Services

100 W. Brazos Palestine, TX 

Phone: (903) 729-1116

Every Tuesday of each week for the 1st four weeks of each month, nominal fee


Smith County Northeast Texas Public Health District

815 N. Broadway Tyler, TX 75702

Phone: (903) 510-5604

Open M-Th, nominal fee


Henderson County Department of State Health Services

708 E. Corsicana Street Athens, Texas 75751

Phone: (903) 675-7742 

Call for times and fees


Cherokee County Department of State Health Service

510 East Commerce Jacksonville, Tx 75766

Phone: (903) 586-6191

Medical: The student/guardian may submit an affidavit or certificate signed by a physician (M.D. or D.O.), registered and licensed to practice medicine in the United States and who has examined the student. It must state that in the physician's opinion, the immunization required is medically contraindicated or poses a significant risk to the health and well-being of the student or any member of the student's household. Unless it is written in the statement that a lifelong condition exists, the exemption statement is valid for only one year from the date signed by the physician

For Reasons of Conscience, including religious beliefs: Parents/guardians may choose an exemption from immunization requirements for reasons of conscience, including a religious belief. The completed and returned form from the Texas DSHS must be submitted in order for the student to be admitted. The school will accept only the original official affidavit forms developed and issued by the Texas DSHS. The affidavit must be presented before the student may start school and is valid for two years.

A student who has not received the required immunizations for reasons of conscience may be excluded from school in times of emergency or epidemic declared by the commissioner of state health services.

Because the student had the disease: A written statement from a parent, legal guardian, managing conservator, school nurse, or physician attesting to a child's positive history of varicella disease (chickenpox) or varicella immunity is acceptable in lieu of a vaccine record for that disease. Documenting History of Illness: Varicella (Chickenpox) (

Immunity Documented by Lab Result (Immunity by Titer): Students who have had a lab test that shows they are immune to the following diseases may present a copy of the valid laboratory report that indicates either confirmation of immunity or infection in lieu of documentation of the vaccines: Measles, Mumps, Rubella, Varicella (chicken pox), Hepatitis A, Hepatitis B.