Bacterial Meningitis Vaccination Exemption Form (For Students an - tccd 2026

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  1. Click ‘Get Form’ to open the Bacterial Meningitis Vaccination Exemption Form in the editor.
  2. Begin by entering your personal information in the designated fields, including your name, TCC ID, home address, telephone number, and TCC email.
  3. Next, read through the exemption options carefully. Place an 'X' next to the exemption you are requesting: either for health reasons or reasons of conscience.
  4. If claiming a health-related exemption, ensure you attach a signed affidavit or certificate from a physician stating that vaccination would be injurious to your health.
  5. For a conscience-based exemption, attach a notarized Texas Department of State Health Services exemption form. Remember that this exemption is valid for only 2 years.
  6. Finally, sign and date the form before submitting it to your Campus Registrar.

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The MenB vaccine is not routinely recommended for college students. However, some colleges and universities require MenB vaccination for incoming students. While small outbreaks of meningococcal serogroup B disease have occurred on college campuses, the disease incidence in college students remains very low.
Exemption is permitted with proof of immunity, non-medical exemption or birth before 1957. First-time enrollees at California State University and University of California must show proof of hepatitis B vaccine. All institutions with on-campus housing must provide information about meningococcal ACWY and B.
In California, its not currently required for all school entry, but some colleges are required to inform incoming students about the vaccine and some colleges may require vaccination.
How do I obtain a vaccine exemption for reasons of conscience through DSHS? You may request a blank immunization exemption affidavit form by submitting a request through the U.S. Postal Service, commercial carrier, fax, online, or in person. Phone and email requests are not accepted.

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