Get South Carolina Part C Credential Application - Uscm Med Sc

The South Carolina Part C Credential Application is a crucial form for individuals seeking to provide services within the BabyNet system. This guide will walk you through each section of the application to ensure accurate and complete submissions.

Follow the steps to successfully complete the application online.

1. Click the ‘Get Form’ button to obtain the application form and open it in your editor.
2. Indicate whether this is an initial application or an updated application by checking the appropriate box. Ensure that you fill out all sections for an initial application, or only the changed information for an updated application.
3. In the System Affiliation section, provide the hire date or date of South Carolina Family Services (SCFS) contract approval. Select your employer from the list provided and fill in the name on the contract, if applicable.
4. Complete the Applicant Information section by entering all required details. This includes your highest degree, discipline or specialty, last name, first name, middle initial, years of experience, contact information including email, home address, and work address.
5. In the County(ies) Served section, indicate the counties where you will provide services by selecting from the options given. You can check 'all' if applicable.
6. For the Early Intervention Roles and Services section, check the roles you currently serve in the BabyNet Early Intervention System. If you select ‘BabyNet Service Provider’, make sure to also complete the BabyNet Service Provided section.
7. For Section 4, read the certification statement carefully. You must then provide your signature and the date to certify that the information is accurate and complete.
8. Finally, review your application for completeness before submitting. You can save changes, download a copy, print it, or share the form as needed. Once ready, follow the instructions to submit the form electronically or via fax/mail.

Complete your application online today to ensure a smooth submission process.