Required Reporting Forms

Entities that adopt an unassigned epinephrine, opioid antagonist, and/or medication for respiratory distress 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. Entities include schools, day care facilities, sports venues, institutions of higher education, or other entities. 

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

Medications for Respiratory Distress

This reporting form is intended for: 

  • School districts 
  • Open-enrollment charter schools 
  • Private schools 

Report Administered Unassigned Medications for Respiratory Distress to DSHS

View Asthma and Anaphylaxis Related Resources

Epinephrine: Schools and Institutions of Higher Education

This reporting form is intended for: 

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

Schools - Report Unassigned Administered Epinephrine to DSHS

Epinephrine: Certain Entities

This reporting form is intended for any entity in the state, including a governmental entity, that adopts a policy regarding the maintenance, administration, and disposal of epinephrine. For schools and institutions of higher education please use the Epinephrine: Schools and Institutions of Higher Education reporting form.

Entity - Report Unassigned Administered Epinephrine to DSHS

Opioid Antagonists

This reporting form is intended for: 

  • School districts
  • Open-enrollment charter schools
  • Private schools

Report Administered Opioid Antagonist Medication to DSHS

View the Guidelines for Schools Reporting Opioids Antagonist Administration

Asthma and Anaphylaxis-related Resources 

(All items below are Word documents unless noted otherwise.)

Opioid Antagonist-related Resources