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CDP L&C SNF Antipsychotic Use Survey Tool (Mandatory use for any resident receiving antipsychotic medication) Facility: Date of Record Review: / / Resident Name: Unit/Room/Bed: Resident Identifier:
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Who needs CDPH Lampamp:

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Individuals who are seeking medical treatment in the state of California may need to fill out the CDPH Lampamp form. This could include both residents of California and individuals from out of state who are visiting for medical purposes.
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The form is typically required for patients who are admitted to hospitals, clinics, or other healthcare facilities in order to collect and record necessary medical information.
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The acronym CDPH LAMPAmp stands for California Department of Public Health Lead-Associated Medical Program.
Healthcare facilities and healthcare providers who perform lead testing are required to file CDPH LAMPAmp.
CDPH LAMPAmp can be filled out electronically through the California Department of Public Health's online portal.
The purpose of CDPH LAMPAmp is to track and monitor lead testing results for individuals tested in healthcare facilities.
CDPH LAMPAmp requires reporting of patient demographics, lead test results, and information on the healthcare provider and facility.
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