Local Public Health Departments
Forms and Publications
The forms listed below are used by public health
professionals for use in case management of children with elevated blood
lead levels.
Forms
Nursing
Case Management Report (DPH 4771A, PDF, 34KB)
Nursing Case
Management Report - Word Fillable
Nursing
Case Closure Report (DPH 4771B, PDF, 26KB
)
Nursing Case
Closure Report - Word Fillable
Property
Investigation Report (DPH 4771C, PDF, 46KB )
Property
Investigation Report - Word Fillable
Property
Investigation Closure Report (DPH 4771D. PDF, 24KB
)
Property
Investigation Closure Report - Word
Fillable
Publications
"Parents: Look Out for Lead" in English
& Spanish (PPH
4535, PDF, 92KB) A tri-fold
pamphlet for parents/caregivers providing basic information about blood
lead testing, where to look for lead hazards and what to do about them.
"Contractors/Painters/Home
Remodelers: Look Out for Lead" (PPH 4529, PDF,
294KB) A
tri-fold pamphlet for contractors providing basic information to consider
before starting a remodeling job, such as using lead-safe work practices
and notifying families with young children about how to protect their
family from lead hazards in the home.
"Rental
Property Owners: Look Out for Lead" (PPH
4535B, PDF, 334KB) A
tri-fold pamphlet for rental property owners who own properties built
before 1978 that may contain lead hazard and may be occupied by families
with young children. Includes information on what can be done to correct
lead hazards and about the law to notify tenants about lead hazards and
how to prevent exposure to lead.
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Last Revised: October 24, 2008 |
