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Register January 2009 No. 637
Chapter DHS 181
APPENDIX A
DEPARTMENT OF HEALTH SERVICES   STATE OF WISCONSIN
Division of Public Health   Childhood Lead Poisoning Prevention Program
BEH 7142(3/00)
BLOOD LEAD LAB REPORTING FORM
Information to be provided by the Health Care Provider
(Physician, Nurse, Hospital Administrator, Local Health Officer, Director of Blood Drawing Site)
If test results indicate 45 or more micrograms lead per 100 milliliters of blood, send this form immediately by fax to 608-267-0402. Return all forms to: Terri Dolphin, DHS-Division of Public Health, P. O. BOX 2659, Madison, WI 53701-2659.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.