Provider Report of Point-of-Care Blood Lead Level Results

Use this online form to submit all blood level test results for Alabama residents that are not submited via electronic laboratory report. Contacts for other state programs may be found here:

All required fields are marked with a red asterisk (*); it is not possible to submit the report without completing all required fields.

**Per ADPH Administrative Code 420-4-1, blood lead results are a notifiable condition in Alabama; therefore, all blood lead results should be reported to the Alabama Childhood Lead Poisoning Prevention Program (ALCPPP).

If you have questions about this form or the information required, please contact the ACLPPP at (334) 206-3883 or

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