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Reporting | Contaminated Sharps Injuries

Contaminated Sharps Injury Reporting Instructions

There are two versions of the reporting form:

  1. One-page form with drop down lists in the response fields
    • This version lets you save the form and use computerized data entry
  2. Three-page form for printing and manual completion

Please only send us one of these forms. Do not send both forms.  

How to Use the Reporting Forms 

The facility where the injury happened should report it. That facility will complete the form and send it to its local health authority. The facility can send their form to one of our regional directors if there isn't a local health authority.  

The local health authority reviews the report and then forwards it to our Healthcare Safety Unit:  Fax 512-776-7616 or Sharps.injury@dshs.texas.gov. 

You can get a copy of the contaminated sharps injury reporting form on one of the links below or from one of our public health regional offices. 

Related Infectious Disease Control Resources

We’ve also compiled a list of related sites for infectious disease control. These will help you get more information about contaminated sharps safety. 

Find Public Health Regional Offices

Phone

806-744-3577

Fax

806-783-6435

Physical Address

Region 1 Headquarters

6302 Iola Ave
Mail Code 1899 
Lubbock, TX 79424
Estados Unidos

Resource Link
Region 1 Website
Contact person
Scott Milton, M.D., Regional Medical Director; Kelly Northcott, Deputy Regional Director

Phone

817-264-4500

817-264-4506

Toll-free

817-264-4505

Physical Address

Region 2-3 Headquarters

1301 South Bowen Road
Suite 200; Mail Code 1905 
Arlington, TX 76013
Estados Unidos

Resource Link
Region 2-3 Website
Contact person
Aurelia Schmalstieg, M.D., Regional Medical Director; Becky Earlie-Royer, Ph.D., M.P.H., C.H.E.S., Deputy Regional Director 

Phone

903-595-3585

Physical Address

Region 4-5 Headquarters

2521 West Front Street
Mail Code 1901 
Tyler, TX 75702
Estados Unidos

Resource Link
Region 4-5 Website
Contact person
Sharon Huff, M.D., M.S., Regional Medical Director; David Leary, M.S.W., Deputy Regional Director 

Phone

713-767-3000

Fax

713-767-3049

Physical Address

Region 6-5 Headquarters

5425 Polk
Suite J, Mail Code 1906  
Houston, TX 77023
Estados Unidos

Resource Link
Region 6-5 Website
Contact person
Carlos Plasencia, M.D., M.S.P.H., Regional Medical Director; Greta Etnyre, M.S., R.D., R.E.H.S./R.S., Deputy Regional Director 

Phone

254-778-6744

Fax

254-778-4066

Physical Address

Region 7 Headquarters

2408 South 37th Street
Mail Code 1902 
Temple, TX 76504
Estados Unidos

Resource Link
Region 7’ Website
Contact person
Sharon Melville, M.D., M.P.H., Regional Medical Director; Carol Davis, M.S.P.H., C.P.H., Deputy Regional Director 

Phone

210-949-2000

Fax

210-949-2015

Physical Address

Region 8 Headquarters

7430 Louis Pasteur Drive
Mail Code 5716 
San Antonio,, TX 78229
Estados Unidos

Resource Link
Regional 8 Website
Contact person
Lillian Ringsdorf, M.D., M.P.H., Regional Medical Director; Gale Morrow, M.P.H., M.C.H.E.S. Deputy Regional Director 

Phone

915-834-7675

Fax

915-834-7799

Physical Address

Region 9-10 Headquarters

401 East Franklin
Suite 210, Mail Code 1903 
El Paso, TX 79901
Estados Unidos

Resource Link
Region 9-10 Website
Contact person
Rachel Sonne, M.D., M.P.H., Regional Medical Director; Art Alvarado, R.S., M.P.H., Deputy Regional Director 

Phone

956-423-0130

Fax

956-444-3298

Physical Address

Region 11 Headquarters

601 West Sesame Drive
Mail Code 1907 
Harlingen, TX 78550
Estados Unidos

Resource Link
Region 11 website
Contact person
Emilie Prot, D.O., M.P.H., Regional Medical Director; Sylvia Hobbs, Deputy Regional Director 
Hours

Bloodborne Pathogens

Bloodborne Pathogens

Get in Touch

Get in Touch

Email
Phone
512-776-7676
Fax
512-776-7616
Mailing Address

Healthcare Safety Unit
P.O. Box 149347
Mail code 1960
Austin, TX 78714-9347
Estados Unidos

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