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Safe and Healthy Homes

Forms | Provider Resources | Patient & Parent Education

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 and to provide primary care providers updated updated information on primary prevention and screening for lead exposure. Safe and Healthy Homes is funded by the Environmental Protection Agency and the US Department of Housing and Urban Development.

All HFS-enrolled children must be screened with a blood lead test at ages 12 and 24 months, or up to 72 months, if they have not been previously screened.

Illinois Department of Healthcare and Family Services Childhood Lead Screening Notice

This notice provides a reminder to providers that all HFS-enrolled children should be screened with a blood lead test at ages 12 and 24 months, or up to 72 months, if they have not been previously screened. This update includes policy updates concerning lead screening that were implemented in 2008. [...more]

Childhood Lead Risk Assessment Questionnaire

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). [...more]

Lead Program Contact Record and Order Form

Use this form to order lead safety media for your practice from the Illinois Department of Public Health.  Users may print or type to fill out the form.  To request free brochures, complete the requested information on both sides. [...more]

Safe & Healthy Homes Lead Information Request Form

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. [...more]

IDPH Report of Blood Test Result Form

This IDPH form is used by providers to report blood lead test results. All results of blood lead tests must be report to IDPH. [...more]

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For more information about Safe and Healthy Homes, please contact:

Jennie Pinkwater
Director, Prevention Projects
1400 W. Hubbard Suite 100
Chicago, IL 60642
312/733-1026, ext 213
Fax: 312/733-1791
jpinkwater@illinoisaap.com