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  • Dhec 1123 Form

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Me: Enter the last name of the pupil for whom this Certificate is being completed. Pupil s First Name: Enter the first name of the pupil for whom this Certificate is being completed. Initial: Enter middle initial of pupil for whom this Certificate is being completed. Name of School: Enter name of school this pupil attends. Parent s Name: Enter the name of the mother and/or father if living with the parents. Otherwise enter the name of the guardian or other person legally responsible for the.

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Answer: Medical and religious exemptions are the only available immunization exemptions in South Carolina.

Although they may not be required for childcare or school entry, DHEC recommends all age-appropriate vaccines for children. The current Immunization Certificate is DHEC form 4024. The prior version of the Immunization Certificate was the DHEC 2740.

Submit your request directly to Florida SHOTS: You can request your vaccination records directly from Florida SHOTS by filling out the Florida Department of Health form – DH3203 Authorization to Disclose Confidential Information form online, electronically sign and submit it.

The Immunization Registry for the State of South Carolina is mandated in the SC Code Section 44-29-40 (B) Regulation 61-120. As such, the Immunization Registry consolidates the vaccination history for patients who visit multiple providers and protects the public from over- or under-immunization.

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.

A South Carolina Certificate of Immunization must be presented to school or childcare officials on admission and as required to document any subsequent immunizations required by the Department. School and childcare officials shall keep a copy of the Certificate with the child's or person's record.

We value your input as we modernize and continue to provide quality immunization services and increase our vaccine coverage in South Carolina. If you have questions, please email SIMON@dhec.sc.gov.

I, __________________________________ am requesting a religious exemption from vaccination against the disease(s) or condition(s) marked below. I understand that this exemption is allowed solely for sincerely held religious beliefs and not for political, social, or other personal views.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232