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Community Development Agency
Sandra Rivera, Agency Director

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How to Refer Elevated Blood Lead Levels

To report an elevated blood lead level please complete a Referral Form:

The following documents are provided in Portable Document Format (PDF) and require the free Adobe Reader.

• Form to Refer a Patient with an Elevated Blood Lead Level to ACLPPP (PDF - 172kb)

For questions and assistance please call 510-567-8280

See also:

• Managing Elevated Blood Lead Levels
• Health Services Provided by ACHHD
• Resources and Links
• Childhood Lead Poisoning Risk Questionnaire (PDF - 37kb)
• Childhood Lead Poisoning Risk Questionnaire (Spanish) (PDF - 39kb)
• Prenatal Lead Risk Questionnaire (PDF - 38kb)
• Prenatal Lead Risk Questionnaire (Spanish) (PDF - 39kb)