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
Epinephrine Auto-injectors: Certain Entities
- Amusement parks
- Restaurants
- Sports venues
Certain Entity or Venue - Report Unassigned Administered Epinephrine Auto-Injectors to DSHS
Opioid Antagonists
- School districts
- Open-enrollment charter schools
- Private schools
Report Administered Opioid Antagonist Medication to DSHS
View the Guidelines for Schools Reporting Piods Antagonist Administration
Asthma and Anaphylaxis-related Resources
(All items below are Word documents unless noted otherwise.)
- School Asthma Action Plan
- Metered Dose Inhaler Administrative Guideline
- Possible Problem List for Meter Dose Inhaler
- Benefits and Risk Management Checklist
- Sources for MDI
- Unassigned Epinephrine Anaphylaxis Protocol
- Severe Allergic Reaction - Anaphylaxis Protocol
- Your Rights Under Section 504 of the Rehabilitation Act [pdf]
- Managing Students With Health Issues: Section 504 Plans, DNR Orders, and Contagious Diseases [pdf]
Opioid Antagonist-related Resources
- TSHAC's Opioid and Substance Use Prevention Resources for Texas Schools
- HHSC’s Texas Targeted Opioid Response
- SAMHSA’s Opioid Overdose Prevention Toolkit
- NASN’s Naloxone Education for School Nurse Toolkit
- Naloxone Standing Order Request
- TASB’s Policy FAQ on Unassigned Medications
- More Naloxone Please