For Healthcare Partners

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* 1. Does your office currently treat children in the Medicaid program?

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* 2. Does your office currently screen Medicaid children for lead?

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* 3. Does your office currently screen non-Medicaid children for lead?

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* 4. Does your office currently utilize a questionnaire or screening procedure to assess the risk for potential lead poisoning in children?

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* 5. Does your office currently send out lead tests to a lab or do in house testing for Elevated Blood Lead Levels?

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* 6. If you do in house testing/analyzing, does your office report levels to the State, ISDH?

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* 7. If you do in house blood lead level testing, at what level, (µg/dL) do you report them to the State, ISDH

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* 8. At what email address would you like to be contacted?

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* 9. Do you have any other comments, questions, or concerns?

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