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Immunization Requirements

TVCC Continuing & Workforce Ed Courses Reference Sheet


The following immunizations are required by law according to Section 2.09 of the Texas Education Code Revised May 25, 2010 for all students enrolled in higher education courses involved in direct patient care contact.

Students enrolled in the following courses MUST have documentation of the required immunizations on file with the TVCC Continuing & Workforce Education office prior to participating in any clinical. This also applies to any student participating in a phlebotomy lab experience where students practice live sticks. Nurse Aide Clinical, Phlebotomy, Procedures in a Clinical Setting, Medical Assistant Externship, Phlebotomy Practicum (must be complete by start of class) and Clinical-Nursing Assistant (Hospital setting). Failure to meet this requirement will result in the student not being permitted to attend the clinical portion of a course. The student may either withdraw or will receive a grade of “F” if unable to participate in a clinical/ practicum. (Reminder: no refunds are possible for failure to complete immunization requirements.)


  1. Tetanus/Diphtheria - (Immunization) Students must have proof of tetanus/diphtheria immunization within last 10 years.
  2. Rubella - (Immunization or blood test) All students must have proof of one dose of rubella vaccine administered on or after their 1st birthday OR serologic confirmation of rubella immunity or serologic evidence of infection.
  3. Measles - (Immunization or blood test) All students born after January 1, 1957 must have proof of two doses of measles vaccines administered on or after their 1st birthday at least 30 days apart OR proof of immunity to measles (serologic confirmation). At least one dose must be completed prior to patient contact. Measles is also known as rubella.
  4. Mumps - (Immunization or blood test) All students born after January 1, 1957 must have proof of one dose of mumps vaccine administered on or after their 1st birthday OR proof of mumps immunity (serologic confirmation).
  5. Varicella - (Immunization or blood test) All students must have one dose of varicella vaccine after their 1st birthday if the vaccine was received prior to the 13th birthday, or two doses of varicella vaccine if the vaccine was received after the 13th birthday. Sero­logic confirmation (blood test) of varicella immunity is also acceptable.
  6. Hepatitis B - (Immunization or blood test) Effective February 15, 2007, all students in TVCC Continuing & Workforce Education classes that involve direct patient contact or clinicals, will be required to have all three doses of the Hepatitis B vaccine or serologic confirmation (blood test) of immunity. (Students needing all three Hep B vaccines may wish to consult their healthcare provider about the TWINRIX a fast track series of this immunization.
  7. Current TB Test - No older than one year prior to class start date.
  8. Current Flu Shot - Flu shots are required each Fall or before student may attend clinicals or perform invasive procedures. Students entering classes in the Spring or Summer will need to have a flu shot that is no older than the Fall semester. Students returning in the Fall semester will need to have a current flu shot prior to attending clinicals.

Note: A MMR immunization includes two measles, one mumps, and one rubella vaccination.

Pregnancy: Requirements for measles, rubella and mumps vaccines are waived during pregnancy. Pregnancy is not a medical contraindi­cation for administration of Tetanus/diphtheria toxoids, but it is best to delay until the second trimester. Female students who get the MMR vaccine must take precautions not to get pregnant within the three months following the vaccination.

Copies of records from physician’s offices, public health department, public schools, other colleges and the military are acceptable. Students should provide the college with a copy of the records. Please do not turn in the originals.Records must be completed prior to clinical participation.

Note: Students may call the Department of State Health Services Immunization Branch Hotline for assistance on any immunization-related issue, including the interpretation of immunization records. The phone number is 800-252-9152.

Effective fall 2014 – Waivers or Statement of Illness are no longer accepted for documentation of immunizations due to Texas Administrative Code for students receiving medical training in Texas Higher Education.

Posted Date:
5/28/2019 8:17:24 AM