The Texas Department of State Health Services (DSHS) Spinal Screening Program is authorized by Texas Health and Safety Code, §37.142. The Texas Legislature established the program to detect abnormal spinal curvature in students and requires that the program adopt the rules as mandated by the statute.

Participant's minimal requirement is to be a high school graduate and after the course will be certified to conduct scoliosis screenings within the school district. Spinal screening certification is valid for 5 years. By the end of the 5th year screeners must renew certification by passing another DSHS-approved workshop.