LeadIN

™	1.4		Blood Lead Level Reporting
Tennessee

Use the form below to report Blood Lead Levels (BLL) for Tennessee residents. The required fields are shown in red.

PLEASE NOTE: Providers entering lead screening results using this site are not required to register for LeadTRK™. Read more...

Provider

First Name

Last Name

Organization / Clinic

Street

City

State

Zip

County

Phone

Patient Blood Records Enter one or more patient blood records. Click on to add additional records. Click on to remove a record

	First Name	Mid	Last Name	DOB	Gender	Race	Ethnicity	Street	City	State	Zip	County	Sample Type	Collection Date	Funding Source	Device / Lab	Result

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