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Environmental Lead Investigation Referral Form

To request an environmental lead investigation (ELI) for a child with a BLL ≥ 3.5 ug/dl, complete this referral form and include relevant clinical notes.

You may also fax the form to (610) 891-0559 or email it to m.mcerlean@aetinc.us .

Download the PDF form

Accredited Environmental Technologies, Inc.
1055 E. Baltimore Pike, Suite 302, Media, PA 19063
Phone (610) 891-0114 · Fax (610) 891-0559