Childhood Lead Risk Assessment Questionnaire

Posted on: August 4, 2010

Safe and Healthy Homes

Safe and Healthy Homes is a primary prevention partnership linking parents and resources in an effort to abate lead hazards before toddlers begin crawling and exploring the home environment.  Safe and Healthy Homes is funded by the Environmental Protection Agency and the US Department of Housing and Urban Development.

This form is used in lead risk assessments.  It is Illinois law that all children 6 months through 6 years or age must be assessed for lead poisoning (410 ILCS 45/6.2).

Illinois Department of Public Health Childhood Lead Risk Assessment Questionnaire (.pdf)

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For more information about lead poisoning prevention and the Safe and Healthy Homes Project, please contact:

Jennie Pinkwater
Director, Prevention Projects
1400 W. Hubbard
Chicago, IL 60642
312/733-1026, ext 213
Fax: 312/733-1791
jpinkwater@illinoisaap.com