If you need assistance in the medical management of any overdose DO NOT use this form. Please call 1-800-222-1222.

By Texas state law, Penalty Group 1 controlled substance overdoses shall be reported to the Department of State Health Services immediately.

Texas Health and Safety Code §161.042 requires health care providers, or the administrator, superintendent, or other person in charge of a hospital, sanatorium, or other institution in which an overdose of a controlled substance listed in Penalty Group 1 is attended, treated, or in which attention or treatment is requested, report all overdoses from substances listed in Penalty Group 1. An overdose is defined as an accidental or intentional Penalty Group 1 drug effect, direct or indirect, resulting in an unfavorable health event.

Penalty Group 1 drugs are classified by Texas Health and Safety Code §481.102 as opiates, opioids, cocaine, opiate and opium derivatives, and other drugs. The complete list of reportable Penalty Group 1 drugs as defined by the
Texas Health and Safety Code §481.102.

Failing to report is a misdemeanor punishable by confinement in jail for not more than six months, or by a fine of not more than $100.

To report a controlled substance overdose, please click below.

Please do not include any identifiable patient information, such as, patient name, address, or any other information concerning the patient's identity.

Please click on the Next button below to continue.