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RECEIVED 03/25/22 BFM AP14,319.0714,319.07COVID19 Vaccination Reimbursement Request Community Vaccination Event Information* Provider Name:Community Medicine Foundation, Inc. DBA North Central Family
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How to fill out dhec hta vax secure

01
Log in to the DHEC HTA Vax Secure website using your username and password.
02
Select the option to fill out the vaccination form.
03
Enter your personal information such as name, date of birth, and contact information.
04
Answer questions about your medical history and allergies.
05
Provide details about the COVID-19 vaccine you received, including the date and location of vaccination.
06
Verify all the information entered is accurate and submit the form.

Who needs dhec hta vax secure?

01
Individuals who have received a COVID-19 vaccination and are required to submit their vaccination information to DHEC may need DHEC HTA Vax Secure.
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Dhec hta vax secure is a secure online portal used for filing vaccination information.
Healthcare providers and institutions are required to file dhec hta vax secure.
To fill out dhec hta vax secure, healthcare providers need to log in to the online portal and enter the required vaccination information.
The purpose of dhec hta vax secure is to ensure accurate and timely reporting of vaccination data.
Information such as vaccine type, date administered, patient demographics, and vaccine lot number must be reported on dhec hta vax secure.
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