Required Reporting of Unassigned Administered Epinephrine Auto-Injectors to DSHS from Certain Entities
If you are an entity or venue that voluntarily adopts an unassigned epinephrine auto-injector policy, there are reporting rules. The rules apply to certain entities and venues. This requirement is in the Texas Health and Safety Code, §773.0145 and Texas Administrative Code, Subchapter B, Chapter 40, Section 40.11-40.18.
Your entity or venue must report no later than the 10th business day after the date an employee or volunteer administers an unassigned epinephrine auto-injector. You must submit the report to both the:
- prescribing physician
- commissioner of the Department of State Health Services (DSHS)
NOTE: Texas Administrative Code, Chapter 40, Subchapter B Epinephrine Auto-Injectors Certain Entities refers to the following:
- amusement parks
- sports venues
Submission of this electronic form meets the reporting requirement for DSHS. Be sure to report complete and accurate information.
Please fill out the entire form and provide detailed information.
All fields with an asterisk (*) must be completed.