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  • Report Form For Lead Work - Kentucky : Cabinet For Health And ... - Chfs Ky

Get Report Form For Lead Work - Kentucky : Cabinet For Health And ... - Chfs Ky

Or Name RA 48# Employer Street City, State Zip Phone: Fax: Email: Signature: Kentucky Healthy Homes and Lead Poisoning Prevention Program (KHHLPPP) LHD Lead Risk Assessment Report Form Oct 2011 1 Lead Risk Assessment Report Form Date of Assessment: Patient Name: Patient Birth Date: / / Address: City, Zip: Guardian(s): Phone: Clinical Information: Date Type : Ven/Cap Location Result Date of Construction: Name of Owner: Address: City, Zip: P.

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How to fill out the Report Form For Lead Work - Kentucky: Cabinet For Health And Family Services online

Filling out the Report Form for Lead Work is an essential step for professionals involved in lead risk assessments in Kentucky. This guide provides a clear, step-by-step approach to ensure the form is completed accurately and efficiently.

Follow the steps to fill out the form online effortlessly.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Complete the project site information, including the street address, city, state, zip code, and county. Ensure all details are accurate to avoid processing issues.
  3. Fill in the prepared by section with the risk assessor's name and certification number, followed by the employer's details, including address and contact information.
  4. Input the date of assessment, and fill out the patient's information, including the patient's name, birth date, and address, along with guardian details if applicable.
  5. Document the clinical information, including testing methods and results, and indicate the type of lead sample taken (venous or capillary).
  6. Provide the property's data, including ownership type, dates for construction and occupancy, and contact details for the property owner.
  7. List the results of the visual inspection, specifying dwelling type and any identified hazards such as lead in paint, dust, soil, or water.
  8. Fill out the testing results section, noting any previous inspections and lab results. Include details of identified hazards and interim controls needed.
  9. Complete any necessary actions for lead abatement, referencing costs where appropriate. Ensure that you select applicable options only.
  10. Review all sections for completeness and accuracy. Once finalized, save the changes, download, print, or share the form as needed.

Complete your documents online for efficient lead work reporting.

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Secondary prevention includes blood lead testing and follow-up care and referral. It remains an essential safety net for children who may already be exposed to lead.

BLOOD LEAD TESTING Perform a blood lead test for children 9–12 months of age and again at 24 months of age. Additionally, provide a blood lead test for children who present to the health department between 25 and 72 months of age if they have not previously received a blood lead test.

Feed your child healthy foods with calcium, iron, and vitamin C. These foods may help keep lead out of the body. Calcium is in milk, yogurt, cheese, and green leafy vegetables like spinach. Iron is in lean red meats, beans, peanut butter, and cereals.

There are three levels of prevention: primary, secondary, and tertiary. Primary prevention is focused on avoiding disease entirely. Interventions are done before a disease ever occurs to decrease the risk. Secondary prevention involves screening the patient to offer early detection and diagnosis.

Regularly wash children's toys, which might become contaminated from lead in soil or household dust. Remove all shoes when you enter the house. Take your shoes off when you enter the house to prevent spreading lead-contaminated dust through the home. Be safe when working with lead.

Tertiary prevention reduces the morbidity associated with lead intoxication through chelation of lead from the blood and soft tissues of an exposed individual.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232