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Residential Lead Screening Level Checklist Site Information Site or study area nameLocation (City/County, State, Zip)SEMS EPA IDCurrent remedial pipeline phaseDoes a site boundary exist in SEMS? Yes
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01
Obtain the remedial screening form from the appropriate organization or healthcare provider.
02
Fill out your personal information including name, date of birth, and contact information.
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Provide detailed information about any past medical history, current symptoms, and medications being taken.
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Answer any specific questions on the form related to the reason for needing a remedial screening.
05
Sign and date the form, indicating that all information provided is accurate and complete.
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Submit the form to the designated individual or office as instructed.

Who needs selecting a remedial screening?

01
Individuals who have been identified as potentially at risk for a particular condition or disease.
02
Individuals who have exhibited symptoms or behaviors that warrant further evaluation.
03
Individuals who have been referred by a healthcare provider for a specific screening or assessment.

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Selecting a remedial screening is the process of choosing individuals for further evaluation or testing based on specific criteria or indicators.
The entity responsible for conducting the screening or evaluation is required to file selecting a remedial screening.
Selecting a remedial screening can be filled out by providing the necessary information about the individuals being screened and following the guidelines set forth by the screening process.
The purpose of selecting a remedial screening is to identify individuals who may require additional support, services, or interventions based on the results of the screening process.
The information reported on selecting a remedial screening may include the individual's name, relevant background information, screening results, and any recommended actions or follow-up steps.
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