Texas licensed childcare facilities require age-appropriate immunizations, a health statement, and vision/hearing screening. Here's every requirement, how ImmTrac2 works, and what camps typically ask for — all from official Texas sources.
Last verified: August 26, 2026
Texas Administrative Code §97.61–97.72 requires all children in licensed childcare to have age-appropriate immunizations. The same DSHS immunization rules apply to daycare as to school — children must be up to date for their age at enrollment.
Key childcare immunizations (age-appropriate per CDC schedule):
Texas Health and Human Services Commission (HHSC) Minimum Standards for childcare (TAC Title 40, §746.603) require a health statement completed by a healthcare professional for each child within 30 days of enrollment. The statement must indicate the child is able to participate in the childcare program and note any special health needs, allergies, or restrictions.
Many Texas daycares use the HHSC-provided health statement form. Some facilities accept a well-child visit summary from your pediatrician instead — check with your provider.
(Source: Texas HHS — Child Care Regulation; TAC Title 40, §746.603, accessed Aug 26, 2026)
Texas Health & Safety Code §36.004 requires vision and hearing screening for children enrolled in licensed childcare at age 4 or within 120 days of enrollment if already age 4 or older. The screening can be done by the child's physician, a certified vision screener, or an approved screening program.
Many Texas childcare programs arrange on-site screenings through Lions Club volunteers or local health department programs. If your child's pediatrician does the screening, ask for a copy of the results to keep in your records.
(Source: Texas DSHS — Vision and Hearing Screening; H&S Code §36.004, accessed Aug 26, 2026)
Texas does not have a single statewide camp health form law, but requirements vary by camp type:
Licensed daycares need immunization records + a health statement. Camps vary. Get the exact list before scheduling the doctor visit.
Log into ImmTrac2 or contact your local health department to pull your child's immunization history. This shows what's documented and what's missing.
Bring the daycare/camp forms and your ImmTrac2 printout. Your provider can complete the health statement, update immunizations, and sign all the forms in one visit.
Turn in all forms to the daycare or camp office. Keep copies of everything — you'll need these records for school enrollment later.
Every person in your family gets a private @familystork.com email address. Give it to your pediatrician — they send records to it, and the health story builds itself. Every vaccine date, every health statement, every screening result — all filed automatically into one timeline.
When you switch daycares? When camp needs an updated record? When kindergarten enrollment starts? It's all already in one place.
$99/year — or about $10 a month.
Texas childcare immunization exemptions follow the same rules as school: medical exemptions and exemptions for reasons of conscience (including religious beliefs) are available.
Governing statute: Texas Education Code §38.001; TAC §97.62.
Tired of managing health records for yourself and everyone you love? Family Stork organizes them for you automatically. Start your child's record today — daycare forms, camp forms, school enrollment, all in one timeline.
Start your family's record — free