Blood Lead Information For Providers

Updated Blood Lead Reference Value (BLRV)

As of January 1, 2023, the Texas Department of State Health Services (DSHS) has implemented a blood lead reference value (BLRV) of 3.5 micrograms per deciliter (µg/dL), as recommended by the Centers for Disease Control and Prevention (CDC). DSHS uses a BLRV of 3.5 µg/dL to identify children with blood lead levels that are higher than most children's levels. The Reference for Blood Lead Retesting and Medical Case Management, Pb-109 form provides guidance for blood lead levels ≥3.5 µg/dL and has been updated to reflect CDC guidance.

Welcome to the Texas Blood Lead Surveillance Provider's Resources Page. Here you can find up-to-date paperwork for testing, reporting, and conducting follow-up visits for children who test for elevated blood lead levels. You can use the list below to find our resources by category.

Texas Blood Lead Surveillance Videos

The Texas Department of State Health Services has developed training videos on testing children for lead, reporting the results, and conducting follow-up.

Texas Health Steps Videos

Texas Health Steps (THSteps) provides online provider education courses. Courses related to lead screening and prevention include:

Reporting Blood Lead Levels

By Electronic Submission

By Fax

Screening & Testing for Lead in Children

Screening & Testing for Pregnant Women

Lead Poisoning Prevention Guidelines for Prenatal Care Providers in Texas

Used by provider for identification and follow-up care of lead poisoning in women of childbearing age, pregnant women, and postpartum women

Follow-up Forms

 Environmental Lead Investigation forms

Last updated April 29, 2024