Asthma Reporting Forms

School-based Asthma Reporting

Connecticut General Statute (CGS§ 10-206) requires that schools triennially report to the Connecticut Department of Public Health (DPH) all students who have asthma in every school in a school district. School nurses will be required to report to DPH on all students with a provider diagnosis of asthma indicated on the Health Assessment Record (HAR). In order to collect this data, the DPH Asthma Program has established the School-based Asthma Surveillance System (SBASS) as an on-line system for electronic reporting. DPH will use this information to help determine asthma trends and distributions among school-aged children in Connecticut. Currently, the on-line system is collecting school asthma reports for the school academic year

2025 – 2026

School asthma reporting deadline submission: June 30, 2026.

• SBASS notification announcement (opens a PDF document) - Notification to School Superintendents, School District Nurse Supervisors and School Health Service Directors
• DPH Submissions System at https://dphsubmissions.ct.gov – click on the School Submissions module to start a school asthma reporting session.
• Electronic Reporting Procedures - SBASS manual (opens a PDF document) 
• Live Webcast Trainings - Live Webcast training is available for school district nurse supervisors, school nurses or designees.  
  • To sign up for a live training, please see the available dates below.  Click on the link next to your desired date to submit your contact information. Trainings will be conducted via Microsoft Teams and will have the option to join by phone if needed.  Once you have signed up, please expect an invitation to arrive via email before the training date.   Note that trainings are scheduled for 90 minutes to allow for questions but may not take that long.
    • October 15, 2025, 9:30am-11:00am: https://forms.office.com/g/51zRDkF4hT
    • October 21, 2025, 1:00pm-2:30pm: https://forms.office.com/g/EwLDKpJtw9
    • November 13, 2025, 10:00am-11:30am: https://forms.office.com/g/B7Ewt3E9VR
    • November 18, 2025, 1:30pm-3:00pm: https://forms.office.com/g/3FkmUzVY8f
    • December 3, 2025, 9:00am-10:30am: https://forms.office.com/g/Rr8Yr782Ng
• On-demand Training Modules - The following are short video clips that describe steps to accomplish reporting tasks. The video clips are presented as:

 

How to...

	Applicable Accounts
Title	Supervisor	School Nurse
Add an asthma record	X	X
Create additional Supervisor accounts	X
Create school nurse account	X
Modify school information	X
Register as Supervisor	X
Update school reporting status	X	X

 

To reset your password, please do the following:

1. Make sure to close ALL your web browsers. Process may not work at all if this step is not completed.
2. Start a new webpage by clicking https://dphsubmissions.ct.gov.
3. Click on the ‘Forgot your Password?’ button, located in the lower right section in your screen.
4. Enter your username on the assigned field and click submit.
5. You should receive an email from the system to reset password, follow all prompts.
6. Password needs to meet the following criteria or it will not be accepted by the system:
   • Password must be at least 8 characters.
   • Password must include both upper-case and lower-case letters.
   • Password must include one or more numbers (0-9).
   • Password must include at least one special character (@, #, $, etc).
7. Once completed, try to login into the system again.

To make sure password meets setup requirements and avoid typos in the confirmation field, you can first write it on a word document and check it against the list requirement. Copy and paste the password on the required fields on the on-line form.

DPH is no longer accepting SBASS paper report forms.

 Updated October 3, 2025