Safe & Healthy Homes Lead Information Request Form

Posted on: August 3, 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.

Providers can use this form to connect patients with the Metropolitan Tenants Organization to learn more about lead safety and resources available to them.  This form is available in both Spanish and English, and designed to be easily used with fax machines.

(English) Safe and Healthy Homes: Form Requesting Information About Lead (.pdf)

(Spanish) Safe and Healthy Homes: Form Requesting Information About Lead (.pdf)

• Lead is a poison and even very small amounts can be harmful.

• Lead can make learning difficult or cause behavior problems.

• Many homes that are more than 30 years old have paint that contains lead.

• The main sources for lead are dust and paint in homes and dirt outside homes.

To learn more about how to keep your child safe from lead, please complete this form. It will be sent to the Chicago Metropolitan Tenants Organization. They will provide you with further information.

—————————————————————————————

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

· Lead is a poison and even very small amounts can be harmful.

· Lead can make learning difficult or cause behavior problems.

· Many homes that are more than 30 years old have paint that contains lead.

· The main sources for lead are dust and paint in homes and dirt outside homes.

To learn more about how to keep your child safe from lead, please complete this form. It will be sent to the Chicago Metropolitan Tenants Organization. They will provide you with further information.