Texas enrolls thousands of families every year from other states. Your child's school enrollment will require immunization records, and your new Texas pediatrician will need your child's history. Here's exactly what Texas requires, how to get the records, and what to do in the first two weeks.
Last verified: September 5, 2026
Texas allows a 30-day provisional enrollment period for students whose immunization records aren't yet in hand. Under Texas Education Code §25.001(e), a school district must provisionally enroll a student who doesn't have the required immunization documentation, giving the family 30 calendar days to obtain and submit it. This is particularly helpful for families arriving mid-year or shortly before school starts.
Texas's required immunization list is set by the Texas Department of State Health Services (DSHS) and includes DTaP/Tdap, Polio, MMR, Hepatitis B, Varicella, and additional doses depending on grade level. Your child's records need to reflect each required dose with specific dates — a letter from your former pediatrician on office letterhead with dated doses is typically accepted during the provisional period.
Source: Texas Education Code §25.001 — Texas Legislature Online, accessed August 27, 2026
ImmTrac2 is Texas's statewide immunization registry. Texas providers report doses to ImmTrac2. If your child has received any vaccinations in Texas previously, those records may already be there. Parents and guardians can request an ImmTrac2 record from any Texas immunization provider or local health authority — the lookup is free.
For doses administered in other states, ask your former pediatrician for a signed immunization history printout before you move. ImmTrac2 can be updated with out-of-state doses by a Texas provider — bring dated documentation (clinic letterhead or a prior state's registry printout) and your new Texas pediatrician can enter the history.
Source: Texas DSHS — ImmTrac2 Immunization Registry, accessed September 5, 2026
Texas Education Code §25.006 requires a student's previous school to transfer records within 10 business days of a transfer request. Your new Texas school will initiate this on your behalf. Make sure the new school has the correct name and address of your former district — delays usually happen because schools are chasing the wrong contact information.
Source: Texas Education Code §25.006 — Texas Legislature Online, accessed August 27, 2026
Texas has no state-mandated school physical form for all districts (unlike some states), but many districts request a health history or physical exam on their own forms. Check with your specific district — the Texas Education Agency (TEA) provides guidance to districts on health requirements at the local level.
When establishing care with a new Texas pediatrician, come prepared with:
Your new Texas pediatrician can register these doses in ImmTrac2, produce a Texas-format immunization history for the school, and complete any district-required health forms at the first well-child visit.
Source: Texas Education Agency — Student Health Requirements, accessed August 27, 2026
Ask your current pediatrician for a signed, dated immunization summary on office letterhead. Also request well-child notes and any specialist records. Digital copies in a single place — email, app, or cloud folder — mean you're never waiting on a fax from across the country.
Enroll your child immediately. Texas's 30-day provisional enrollment means they can start school while you gather documentation. Ask the new school to initiate a records request to your former district (10-business-day window under §25.006).
Bring your records package. Your new pediatrician can enter immunization history into ImmTrac2, complete any district health forms, and issue a Texas-format immunization record. School gets the document; your child is fully enrolled.
Every person gets one health story, and one private Family Stork email address every clinic already knows how to use. When you move to Texas, your former pediatrician sends the discharge summary, your new Texas pediatrician starts sending records from the first appointment — all to the same address, filing automatically on the same lifelong timeline.
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