SC DHEC 1146 2019 free printable template
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Vaccines for Children (AFC) Program
Patient Eligibility Screening Record Form
A record of all children 18 years of age or younger who receive immunizations must be kept in the health care providers
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How to fill out SC DHEC 1146
01
Obtain a copy of the SC DHEC 1146 form from the South Carolina Department of Health and Environmental Control website or office.
02
Fill in the applicant's name, address, and contact information at the top of the form.
03
Provide details of the facility or site for which the form is being completed, including location and type of operation.
04
Indicate the specific type of request you are making on the form.
05
If applicable, include any relevant supporting documentation as required by the form.
06
Review all entries for accuracy and completeness, ensuring all sections are filled out as needed.
07
Sign and date the form at the designated section.
08
Submit the completed form via mail or in person to the appropriate SC DHEC office.
Who needs SC DHEC 1146?
01
Individuals or organizations applying for permits or approvals related to environmental health and safety within South Carolina.
02
Facilities that need to report certain health-related information as required by South Carolina law.
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People Also Ask about
How can I obtain a South Carolina Certificate of Religious Exemption?
The South Carolina Certificate of Religious Exemption may only be obtained at a county public health department. Forms cannot be e-mailed or mailed. Religious exemptions are only available for those attending childcare facilities and K-12 schools.
What is the regulation 61 8 in SC?
No child or person shall be admitted to or retained in any public, private, or parochial school, grades kindergarten through twelve (K-12), or any public or private childcare facility as defined in Code Section 63-13-20 without a valid South Carolina Certificate of Immunization.
How do I get a certificate of immunization in SC?
The SC Certificate of Immunization can be obtained from your local health department, most health care providers, and some school nurses. You will need to provide your child's current immunization record for the certificate to be completed. Contact your local county health department for more information.
Is it illegal to not vaccinate your child in SC?
South Carolina law only allows medical or religious exemptions to vaccine requirements for daycare and school-aged children.
What is DHEC Form 4024?
To provide valid documentation of immunizations for childcare and school attendance in SC.
How do I get religious exemption in SC?
The South Carolina Certificate of Religious Exemption may only be obtained at a county public health department. Forms cannot be e-mailed or mailed. Religious exemptions are only available for those attending childcare facilities and K-12 schools.
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What is SC DHEC 1146?
SC DHEC 1146 is a form used by the South Carolina Department of Health and Environmental Control (DHEC) to report certain public health information.
Who is required to file SC DHEC 1146?
Entities such as healthcare providers, laboratories, and other organizations that are mandated to report specific health data in South Carolina are required to file SC DHEC 1146.
How to fill out SC DHEC 1146?
To fill out SC DHEC 1146, organizations should provide the required information accurately, ensuring all sections are completed according to the instructions provided with the form.
What is the purpose of SC DHEC 1146?
The purpose of SC DHEC 1146 is to gather vital public health data that can be used for monitoring health trends, outbreaks, and ensuring compliance with public health laws.
What information must be reported on SC DHEC 1146?
Information required on SC DHEC 1146 typically includes patient demographics, diagnosis, treatment details, and any relevant epidemiological data.
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