Obtaining a vaccine exemption form for reasons of conscience
may be obtained by parents or guardians in writing or via a secure online request form by contacting
the Department of State Health Services.
Mailing Address:
Department of State Health Services
Immunization Branch (MC 1946)
P.O. Box 149347
Austin TX 78714-9347
Fax (512) 458-7544
Secure online request form for exemption affidavit: