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The Details of Report epi-pen administration
How to report Report epi-pen administration
You must report the incident online here.
Please note:
- This form (and the link) Will change every school year. Please be sure to use the link to the current form.
- Please do not include any names, dates of birth, or other details in this form that might permit someone to identify the person receiving the epinephrine.
- Questions with an asterisk (*) are required. You must complete them in order to submit the form.
More info for Report epi-pen administration
View reporting instructions and frequently asked questions: Epinephrine Administration Reporting (PDF) | (DOCX)