Reporting | Contaminated Sharps Injuries
Contaminated Sharps Injury Reporting Instructions
There are two versions of the reporting form:
- One-page form with drop down lists in the response fields
• This version lets you save the form and use computerized data entry
- Three-page form for printing and manual completion
Please only send us one of these forms. Do not send both forms.
How to Use the Reporting Forms
The facility where the injury happened should report it. That facility will complete the form and send it to its local health authority. The facility can send their form to one of our regional directors if there isn't a local health authority.
The local health authority reviews the report and then forwards it to our Healthcare Safety Unit: Fax 512-776-7616 or Sharps.firstname.lastname@example.org.
You can get a copy of the contaminated sharps injury reporting form on one of the links below or from one of our public health regional offices.
Related Infectious Disease Control Resources
We’ve also compiled a list of related sites for infectious disease control. These will help you get more information about contaminated sharps safety.
Scott Milton, M.D., Regional Medical Director
Kelly Northcott, Deputy Regional Director
6302 Iola Ave
Lubbock, TX 79424
Mail Code 1899
Visit Public Health Region 1