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This document is a confidential medical record used to report childhood blood lead levels as part of the Texas Childhood Lead Poisoning Prevention Program.
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How to fill out childhood blood lead level

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How to fill out Childhood Blood Lead Level Report

01
Obtain the Childhood Blood Lead Level Report form from your healthcare provider or local health department.
02
Fill in the child's personal information, including name, date of birth, and address.
03
Enter the date of the blood test and the result of the blood lead level.
04
Indicate the child's age and any risk factors for lead exposure.
05
Provide information about the child's healthcare provider and any relevant follow-up actions.
06
Review the completed form for accuracy and completeness.
07
Submit the report as required by your state or local health department.

Who needs Childhood Blood Lead Level Report?

01
Parents or guardians of children who have undergone blood lead testing.
02
Healthcare providers who need to monitor lead exposure in children.
03
Local health departments for tracking and public health records.
04
Researchers studying the effects of lead exposure on children.
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In adults, a blood lead level of 5 µg/dL or 0.24 µmol/L or above is considered elevated. Treatment may be recommended if: Your blood lead level is greater than 80 µg/dL or 3.86 µmol/L. You have symptoms of lead poisoning and your blood lead level is greater than 40 µg/dL or 1.93 µmol/L.
Children: Less than 3.5 µg/dL or 0.17 µmol/L of lead in the blood.
The mean blood lead level (BLL) for U.S. adults is less than 1 µg/dL (CDC). Chronic adverse health effects have no threshold, so clinicians should monitor patients with elevated BLL until below 5 µg/dL.
The current CDC reference level is 3.5 micrograms per deciliter of lead in blood for children. What has not changed: the need to find the source of lead in children with all elevated blood lead levels so that exposure can be stopped.
A finger- or heel- (capillary) test A capillary test is usually the first step to determine if a child has lead in their blood. Finger- tests can provide fast results.
Report the test result to your state or local health department. Obtain an environmental exposure history to identify potential sources of lead. Arrange for an environmental investigation of the home to identify potential sources of lead, as required.

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The Childhood Blood Lead Level Report is a document that records the blood lead levels of children, typically aimed at monitoring and preventing lead exposure and related health issues.
Healthcare providers and facilities that conduct blood lead testing in children are required to file the Childhood Blood Lead Level Report.
To fill out the Childhood Blood Lead Level Report, one must gather the child's demographic information, blood lead level results, the date of the test, and any relevant medical history, and then enter this information accurately on the report form.
The purpose of the Childhood Blood Lead Level Report is to track and manage incidents of lead exposure among children, ensuring timely intervention to prevent health issues associated with lead poisoning.
The information that must be reported includes the child's name, date of birth, address, blood lead test results, testing date, and the name of the testing laboratory or provider.
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Relevant keywords

Childhood Blood Lead Level Texas Medical Record Lead Poisoning Prevention Program Health Services Child Information Testing Laboratory Physician

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