Healthy Kids Pediatrics
YouTube Facebook Contact Us    |  Patient Portal
(972) 294-0808
4851 Legacy Drive, Suite #301
Frisco, Texas 75034
Fax: (972) 294-0809
  • Home
  • About Us
    • Deborah Z. Bain, M.D.
    • Meet Our Nurse Practitioners
    • Contact Us
  • Functional Medicine
  • Resources
    • Well Child Visits
    • Sick Child Information
    • Nutrition and Behavior
    • Micronutrient Testing
    • Vaccine Information
    • Notice of Privacy Policies
    • Healthy Kids Videos
    • Wellness Resources
  • News & Events
    • Healthy Kids Events
    • Healthy Kids News
  • Shop
    • Juice Plus
  • Blog
    • Posts
Resources
  • Well Child Visits
  • Sick Child Information
  • Nutrition and Behavior
  • Micronutrient Testing
  • Vaccine Information
  • Notice of Privacy Policies
  • Healthy Kids Videos
  • Wellness Resources

Vaccine Info & Immunization Form

What You Need to Know

The Texas Department of State Health Services (DSHS), details the information on vaccines your child may receive in our office. This information contains both the benefits and risks of a vaccine to help you make an informed decision about immunizing your child against childhood diseases.

To access the secure web page for requesting exemption forms online, click on this link:

  Affidavit Request for Exemption from Immunizations for Reasons of Conscience

This form does not need to be signed by a physician but it will need to be notarized. We will be glad to notarize this form for you at no charge.

Visit the Texas DSHS's Vaccine Information Statements web pages for vaccine information.

If your child has a reaction to a vaccination

  1. Contact your health care provider - Healthy Kids Pediatrics 972-294-0808.

  2. Go online to the Vaccine Adverse Reporting System (VAERS) to make a report.

Important note: CDC and FDA do not provide individual medical treatment, advice, or diagnosis. If you need individual medical or health care advice, consult a qualified health care provider.

 

Healthy Kids Pediatrics ©2021
4851 Legacy Drive, Suite #301
Frisco, Texas 75034
Contact Us  |   Sitemap  |   Privacy Policy  |   Terms-of-Use
Member of Frisco Chamber of Commerce