New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 1600 - LEAD POISONING PREVENTION AND CONTROL
Part He-P 1603 - LABORATORY STANDARDS AND REPORTING
Section He-P 1603.04 - Election Not to Participate in Blood Lead Level Testing

Universal Citation: NH Admin Rules He-P 1603.04

Current through Register No. 40, October 3, 2024

(a) A child shall be exempt from the participation in blood lead level testing as required by RSA 130-A:5-c, if:

(1) A parent or legal guardian objects to such testing and completes an "Opt Out Form-Elevated Blood Lead Level Testing" (May 2020) certifying the following:

"I understand that by not testing my child's blood, neither I, nor my physician, will know if my child has an elevated blood lead level. I understand that young children exposed to lead often look and act healthy, demonstrating no outward signs or symptoms to illness. I understand that young children are especially vulnerable to lead exposure due to their normal developmental behaviors (for example, orally ingesting lead paint and dust) and lead can accumulate in their bodies over time. I understand that an elevated blood lead level can negatively affect my child's neurological and behavioral development, including speech and language development, memory and learning, hearing, self-regulation and control, muscle motor skills, and coordination, and can result in increased impulsivity and aggressions. If high enough, lead exposure could lead to convulsions, coma, and even death";

"My physician has reviewed the risks associated with my child having an elevated blood lead level with me"; and

"I understand that I may reverse my decision at any time and have my child tested for elevated blood lead levels through a simple test."; or

(2) A physician licensed under RSA 329, or a physician exempted under RSA 329:21, III completes an "Opt Out Form-Elevated Blood Lead Level Testing" (May 2020) certifying the following:

"As the attending physician, I hereby certify that blood lead level testing may be detrimental to this patient's health. I acknowledge that this exemption shall only exist for the length of time that I believe testing would be detrimental to the child."

(b) "Opt Out" forms shall be available:

(1) On the medical care providers landing page at ; or

(2) By contacting the healthy homes and lead poisoning prevention program at (603) 271-4507.

(c) Executed forms shall be held by the physician in the child's medical record.

(d) Notwithstanding (a)(1) above, parents or guardians may reverse their decision at any time and choose to consent to blood lead level testing for their child(ren).

Disclaimer: These regulations may not be the most recent version. New Hampshire may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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