BPAffidavitForMinor doc - dshs state tx 2026

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  1. Click ‘Get Form’ to open the BPAffidavitForMinor document in the editor.
  2. Begin by entering the name of the studio where the body piercing will take place, along with its address, city, state, and zip code.
  3. Fill in your phone number for contact purposes.
  4. In the section that states 'is my minor child', input the name of your minor child who is to be pierced.
  5. Confirm your authority to consent by checking the appropriate box or providing a signature as required.
  6. Sign and date the affidavit at the bottom, ensuring all information is accurate and complete.
  7. Review any additional requirements for recording identities and maintaining client records as specified in the document.

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In the provider portal, you can learn how to enroll in DSHS programs, request immunization records, follow compliance requirements, and more. Need a copy of your or your childs immunization record? Fill out the linked form and submit to ImmTrac2@dshs.texas.gov or mail to the address in the Contact section.
Texas Department of State Health Services (DSHS)
An affidavit signed by the student or parent stating that the student or parent declines the vaccination for reasons of conscience, including a religious belief. A conscientious exemption form from the Texas Department of State Health Services must be used, or.
There are three conditions for exemption: If a health care provider determines that it is not safe for the student to get a certain vaccine. If the student is in the United States military. If the student has a religious or personal belief that goes against getting immunized.

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