Get Risk Assessment For Lead Exposure Parent Questionnaire - Dshs State Tx

Filling out the Risk Assessment For Lead Exposure Parent Questionnaire is essential for ensuring the health and safety of your child. This guide will help you understand each step of the form and provide detailed instructions tailored to your needs.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to acquire the form and open it in the online editor.
2. Begin by providing basic information about the healthcare provider and patient. Fill in the patient’s name, date of birth (DOB), the healthcare provider’s name, and the Medicaid number if applicable.
3. Move on to the parent questionnaire section. Answer each question carefully. Questions include topics such as whether your child lives in a home built before 1978 and if there are any known exposures to lead hazards.
4. For each question, select 'Yes,' 'No,' or 'Don't know' as applicable. Pay particular attention to the sixth question, which asks about sources of potential lead exposure. If 'Yes' or 'Don't know' is selected for any question, note that a blood lead test should be performed.
5. Review your answers to ensure all necessary information is complete and accurate before finalizing the form.
6. Once you are satisfied with the completed questionnaire, you can save changes, download the form, print it, or share it as needed.

Complete the form online to ensure your child's health and safety today.