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 Reporting Videos
- Texas Health Steps Videos
- Reporting Blood Lead Levels
- Screening & Testing for Lead in Children
- Screening & Testing for Pregnant Women
- Follow-up Forms
- Environmental Lead Investigation Forms
The Texas Department of State Health Services has developed training videos on testing children for lead, reporting the results, and conducting follow-up.
- Importance of Childhood Lead Testing and Reporting
- Ways to Report Blood Lead Test Results
- Follow-up for Elevated Lead Levels
Texas Health Steps (THSteps) provides online provider education courses. Courses related to lead screening and prevention include:
- THSteps Overview
- Preventing Lead Exposure
- Texas Health Steps Provider’s Guide to the Periodicity Schedule
- How to Conduct Texas Health Steps Medical Checkups
- Specimen Collection
By Electronic Submission
- Electronic Reporting Form
- Texas Blood Lead Surveillance: Ways to Report Blood Lead Test Results
Used by healthcare providers to submit blood lead test results by electronic submission or by fax.
- Child Blood Lead Reporting Form (F09-11709) - Revised January 2021
Used by healthcare providers to report blood lead level(s) for children under 15 years of age.
- Adult Blood Lead Reporting Form (F09-11624)
Used by healthcare providers to report blood lead level(s) for children/adults 15 years of age and older.
- Point-Of-Care Blood Lead Testing Report (Pb-111) - Created 04/26/12
Used by healthcare providers to report blood lead levels when using a point-of-care blood lead analyzer.
- 2019 Texas Childhood Blood Lead Screening Guidelines - Revised June 2020
Targeted zip codes have one or more associated census tract in which:
• The percentage of children age 1-2 years old with a blood lead level ≥ 5 mcg/dL is ≥ 3% among those tested in 2016 (Prevalence), or
• The percentage of residential structures built before 1950 is ≥ 27% (Housing).
- Pb-110: Lead Risk Questionnaire (English Version) - Revised August 2018
The lead risk questionnaire is also included in the "2019 Texas Childhood Blood Lead Screening Guidelines" document, on page 8.
Used by provider for identification and follow-up care of lead poisoning in women of childbearing age, pregnant women, and postpartum women
- Follow-up of Initial Elevated Blood Lead Level (Pb-102) - Revised January 2023
Used by healthcare providers for follow-up of elevated blood lead levels of a child.
- Physician Checklist for Parent Education Topics (Pb-104) - Revised August 2018
Used by healthcare providers to determine the appropriate lead educational material to provide parents for medical care, environmental intervention, and nutritional intervention.
- Reference for Blood Lead Retesting and Medical Case Management (Pb-109) - Revised January 2023
Used by healthcare providers to determine when follow-up blood lead testing is necessary.
- “Schedule for Obtaining a Diagnostic Venous sample”,
- “Schedule for Follow-up Venous Blood Lead Testing After Diagnostic Venous Sample”,
- and “Recommendations for Children with Diagnostic Elevated Blood Lead Levels”.
- Request for Environmental Investigation (Pb-101) - Revised August 2018
Used by healthcare providers to request and Environmental Lead Investigation for a child with a venous blood lead level test result of 20 µg/dL and higher, or two separate venous blood lead level tests collected at least 12 weeks apart in the 10-19 µg/dL range.
- Elevated Blood Lead Level Investigation Questionnaire (Pb-103) - Revised August 2019
Used by Lead Risk Assessors to conduct Environmental Lead Investigations.
Last updated January 4, 2023