Illinois Department of Public Health - Childhood Lead Risk Assessment Questionnaire

ALL CHILDREN 6 MONTHS THROUGH 6 YEARS OF AGE MUST BE ASSESSED FOR LEAD POISONING (410 ILCS 45/6.2)

Please correct the errors described below.

Respond to the following questions by selecting the appropriate answer.

A blood lead test should be performed on children:

  • with any "Yes" or "Don't Know" response
  • living in a high-risk ZIP code area

All Medicaid-eligible children should have a blood lead test at 12 months of age and at 24 months of age. If a Medicaid-eligible child between 36 months and 72 months of age has not been previously tested, a blood lead test should be performed.

If there is any "Yes" or "Don't Know" response; and

  • If there is any "Yes" or "Don't Know" response; and
  • the child has proof of two consecutive blood lead test results (documented below) that are each less than 10 mcg/dL (with one test at age 2 or older), a blood lead test is not needed at this time.

If responses to all the questions are "NO," re-evaluate at every well child visit or more often if deemed necessary.

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