Certain Entity or Venue – Required Reporting of Unassigned Administered Epinephrine Auto-Injectors to DSHS
Certain entities and venues that voluntarily adopt an unassigned epinephrine auto-injector policy must report the administration of unassigned epinephrine auto-injectors. This requirement is in the Texas Health and Safety Code, §773.0145.
- Amusement parks
- Sports venues
No later than the 10th business day after the date an unassigned epinephrine auto-injector is administered, your entity or venue must submit a report in accordance with the Texas Administrative Code, Title 25, Part 1, Chapter 40, Subchapter B, Section 40.11-40.18. The report must be submitted to the:
- Prescribing physician and
- Commissioner of the Department of State Health Services (DSHS).
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.