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Tennessee Blood Lead Level Online Report (LeadIN)

Tennessee providers who test children's blood lead, including point-of-care tests run in the office, report results to the Department of Health's Childhood Lead Poisoning Prevention Program. LeadIN is the program's online input form: no account is needed, and submitted results are reviewed and added to the LeadTRK surveillance system within two working days. Lead results must not be reported on the PH-1600.

Who completes it

The provider entering the results completes the provider block and one row per patient: demographics, address, county, sample type, collection date, funding source, device or lab and result. Laboratories report through electronic laboratory reporting instead.

Submitting and payment

How to submit it
Enter results online in LeadIN; required fields are marked in red, and several patients can be added in one submission. TDH also accepts blood lead levels by fax or by following the program's lead reporting instructions.

Good to know

  • Mark whether each sample was capillary or venous, and whether the test ran on a LeadCare II point-of-care analyzer or another device or lab.
  • The funding source field records private insurance, public coverage including Medicaid, patient pay, other or unknown for each test.
  • Providers entering results through LeadIN do not register for LeadTRK; access to LeadTRK itself is limited to staff of the Tennessee Childhood Lead Poisoning Prevention Program.
  • Blood lead levels are excluded from the PH-1600 reportable disease form, so they always go to the lead program by LeadIN, fax or its written instructions.

Get the official form

Download the current version from the source each time; forms change without notice.

Blood lead level reporting (TN Childhood Lead Poisoning Prevention Program online input)

Official page

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This form is completed online with Tennessee Department of Health, Childhood Lead Poisoning Prevention Program, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

Do I need an account to report lead results in Tennessee?

No. Providers entering lead screening results through LeadIN are not required to register for LeadTRK. Enter the provider details and patient results in the online form and submit; the program evaluates and approves them and adds them to LeadTRK within two working days.

Should point-of-care lead tests be reported in Tennessee?

Yes. Tennessee's lead program takes results from health care providers who perform blood lead tests in the office, and LeadIN has a device field for LeadCare II point-of-care results. Enter the capillary or venous sample type, collection date and result for each patient.