Formulaire
Notifiable disease - Lead poisoning and blood lead (Form 12378*03)
Cerfa 12378*03
Allows the doctor to report a case of lead poisoning or lead to the regional health agency (ARS)
To whom shall I send this form ?
For details, please use the practical information sheets :
J'ai réalisé une démarche administrative
Je donne mon avis sur Services Publics +. L'administration concernée me répondra.
Émetteur du formulaire administratif : Ministry of Health
Verified 07 February 2022 - Directorate for Legal and Administrative Information (Prime Minister)