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Immunization Requirements

Health Occupations Division Immunizations Quick Reference Sheet


The following immunizations are required by law according to Rule 97.64 of the Texas Administrative Code Revised (revised in 2010) and/or by clinical facilities for all students enrolled in higher education courses involved in direct patient care contact.

Submit a copy of the records of the following immunizations with a validation stamp or signature, a signed statement from a physician, or lab report indicating serologic confirmation. 


All students must have proof of a tetanus/diphtheria/acellular pertussis immunization within the last 10 years, unless the student has received a tetanus/diphtheria (Td) within the last two years. As soon as it has been two years since receiving the Td, the student must then get a TdaP.

2. MEASLES, MUMPS & RUBELLA (Immunization or blood test)

All students must have proof of two doses of MMR vaccine administered on or after their 1st birthday or serologic confirmation of rubeola, rubella and mumps immunity.

3. 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, two doses of varicella vaccine if the vaccine was received after the 13th birthday, or serologic confirmation of varicella immunity.

6. HEPATITIS B (Immunization or blood test)

All students must receive a complete series of three hepatitis B vaccines or show serologic confirmation of immunity to hepatitis B prior to the start of direct patient care. If time is an issue, the Center for Disease Control (CDC) recommends an accelerated schedule with a first dose followed by a second dose in 4 weeks, and followed by the 3rd dose at least 4 months from the initial dose and eight weeks from the 2nd dose.

PREGNANCY - Requirements for hepatitis B, varicella, 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. Check with your obstetrician regarding hepatitis vaccinations.

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 a copy of the records. Please do not turn in the originals.

Written by:
Helen Reid
9/25/2013 5:27:05 PM