Who Can Consent to Immunization of Minors?

Q. Who in Texas can consent to immunization of minors?

A. The state has a strong public policy interest in encouraging immunization of minors. Accordingly, the list of people who can consent to immunization is expansive:

  • Parents, married or divorced, or otherwise;
  • A guardian; and
  • A person authorized by another state or a court order to consent for the child.

If any of the above is not available, you may look to the following for consent to immunizations:

  • Grandparents;
  • Adult brother or sister;
  • Adult aunt or uncle;
  • Stepparent of the child;
  • Any educational institution in which the minor is enrolled and has written authorization from someone having power to consent;
  • Another adult who has actual care, control, and possession of the minor and has written authorization from the parent or other person authorized to consent;
  • A court with jurisdiction over the child while a divorce or other custody-type suit is pending; or
  • Another adult who is the child's primary care giver and has written authorization from the parent or other person authorized to consent.

In addition, a person who may consent to immunization of a child may delegate that authority to the child's grandparents; adult brother or sister; adult aunt or uncle; stepparent; or another adult who has actual care, control, and possession of the child.

For more information about treating minors, turn to this TMA resource:

TMA Practice E-tips main page  

Last Updated On

September 28, 2022

Originally Published On

March 23, 2010

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