Health Inventory - Enrollment Bright Horizons Page 4

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CHILDREN WHO ARE REQUIRED TO RECEIVE LEAD TESTING
Under Maryland law, children who reside, or have ever resided, in any of the at-risk zip codes listed below must receive a blood lead test
at 12 months and 24 months of age. Two tests are required if the 1st test was done prior to 24 months of age.
If a child is enrolled in child care during the period between the 1st and 2nd tests, his/her parents are required to provide
evidence from their health care provider that the child received a second test after the 24 month well child visit. If the 1st test is
done after 24 months of age, one test is required.
The child's health care provider should record the test dates on page 3 of this form and certify them by signing and stamping the signature
section of the form. All forms should be kept on file at the facility with the child's health records.
AT RISK AREAS BY ZIP CODE
Prince George’s
Allegany
Baltimore (cont)
Cecil
Garrett
Montgomery
St. Mary's
ALL
21220
21913
ALL
20783
20606
(cont)
21221
20787
20782
20626
Anne Arundel
21222
Charles
Harford
20812
20783
20628
20711
21224
20640
21001
20815
20784
20674
20714
21227
20658
21010
20816
20785
20687
20764
21228
20662
21034
20818
20787
20779
21229
21040
20838
20788
Talbot
21060
21234
Dorchester
21078
20842
20790
21612
21061
21236
ALL
21082
20868
20791
21654
21225
21237
21085
20877
20792
21657
21226
21239
21130
20901
20799
21665
Frederick
21402
21244
20842
21111
20910
20912
21671
21250
21701
21160
20912
20913
21673
Baltimore
21251
21703
21161
20913
21676
21027
21282
21704
Queen Anne's
Prince George’s
21052
21286
21716
21607
Howard
Washington
21071
21718
20763
20703
21617
ALL
21082
21719
20710
21620
Baltimore City
21085
ALL
21727
Kent
20712
21623
Wicomico
21093
21757
21610
20722
21628
ALL
21111
Calvert
21758
21620
20731
21640
21133
20615
21762
21645
20737
21644
Worcester
21155
20714
21769
21650
20738
21649
ALL
21161
21776
21651
20740
21651
21204
Caroline
21778
21661
20741
21657
21206
ALL
21780
21667
20742
21668
21207
21783
20743
21670
21208
21787
20746
Carroll
21209
21155
21791
20748
Somerset
21210
21757
21798
20752
ALL
21212
21776
20770
21215
21787
20781
21219
21791
OCC 1215 - Revised August 2015 - All previous editions are obsolete.
Page 4 of 4

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