Forms & Guides

Forms

Lead Risk Questionnaire for Children

A questionnaire that helps pediatricians identify if a child may need a blood lead test.

Lead Risk Questionnaire for Pregnant and Lactating Persons

A questionnaire that helps providers identify if a pregnant or lactating person may need a blood lead test.

Childhood Lead Investigation Questionnaire

This questionnaire helps case managers identify potential sources of lead exposure in a child’s home or environment.

Guides

Guide for Reporting BLLs to SNHD

This guide explains how Clark County providers can electronically report blood lead test results to the Southern Nevada Health District, including individual reporting for levels ≥3.5 μg/dL and batch reporting for levels <3.5 μg/dL.

NvCLPPP Case Management Guide

This guide outlines best practices and recommended actions for case managers working with families of children with a blood lead level above the blood lead reference value.

NvCLPPP LIRA Protocol

A document that delineates the process of conducting a Lead Inspection and Risk Assessment (LIRA), or environmental investigation, in response to a childhood lead poisoning case.

NvCLPPP SciAps X-550 User Guide for LIRAs

This user guide outlines the basic features and functions of the SciAps X-550 for lead risk assessors.

Blood Lead Level Response in Clark County

A flowchart that outlines the general process followed by the Southern Nevada Health District when responding to blood lead levels in children residing in Clark County.

Blood Lead Level Response in Carson City, Lyon, and Douglas

A flowchart that outlines the general process followed by the Carson City Health and Human Services when responding to blood lead levels in children residing in Carson City, Lyon County, and Douglas County.

Blood Lead Level Response in Washoe County

A flowchart that outlines the general process followed by the Northern Nevada Public Health when responding to blood lead levels in children residing in Washoe County.

Blood Lead Level Response in Rural Nevada

A flowchart that outlines the general process followed by the Nevada Division of Public and Behavioral Health when responding to blood lead levels in children residing in Elko, Esmeralda, Humboldt, Lander, Lincoln, Nye, Storey, and White Pine counties.

Blood Lead Level Response in Central Nevada

A flowchart that outlines the general process followed by the Central Nevada Health District when responding to blood lead levels in children residing in Churchill, Mineral, Eureka, and Pershing.