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Get Sc Dhec Form 1146

Vaccine Program. Only providers enrolled in the SC State Vaccine Program are eligible to serve this population. You must have SC State Vaccine program vaccine stock prior to seeing this patient population. DHEC 1146 Rev. 03/2015 SOUTH CAROLINA DEPARTMENT OF HEALTH ENVIRONMENTAL CONTROL South Carolina Department of Health and Environmental Control Purpose The purpose of this form is to provide screening and documentation of the eligibility status .

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