Required Reporting Forms

Facilities that adopt an unassigned epinephrine auto-injector, opioid antagonist, and/or asthma medication policy must report when they administer the medication to any adult or child. This reporting is required to comply with the respective Texas Administrative Code. Facilities include schools, day care facilities, sports venues or other entities.

Reports must be submitted to DSHS and respective entities no later than 10 business days after the medication is administered.

Asthma Medication

School districts
Open-enrollment charter schools
Private schools

Report Administered Unassigned Asthma Medication to DSHS

View Asthma and Anaphylaxis Related Resources

Epinephrine Auto-injectors: K-12

School districts
Open-enrollment charter schools
Private schools
Institutions of higher education

Schools - Report Unassigned Administered Epinephrine Auto-Injectors to DSHS

Epinephrine Auto-injectors: Youth facilities

Child-care facilities
Day/youth camps
Youth centers
Small employer-based day-care facilities
Temporary shelter day-care facilities
Listed family homes
Any other private or public entity that would benefit from the possession and administration of epinephrine auto-injectors, that provides services for youth under the age of 18

Youth Facilities - Report Unassigned Administered Epinephrine Auto-Injectors to DSHS