Get Sc Dhec 1146 2019-2025

The SC DHEC 1146 form, known as the Vaccines for Children (VFC) Program Patient Eligibility Screening Record Form, is essential for maintaining accurate documentation of children's eligibility for publicly funded vaccines. This guide will assist you in navigating the online version of the form effectively.

Follow the steps to complete the SC DHEC 1146 form online.

1. Click ‘Get Form’ button to access the form and launch it in the editor.
2. Begin by entering the child's name, including their last name, first name, and middle initial.
3. Next, input the child's date of birth in the required format.
4. Fill out the parent/guardian/individual of record's name, ensuring to include their last name, first name, and middle initial.
5. Enter the provider's name similarly, with last name, first name, and middle initial.
6. For every immunization visit, record the date of the visit and evaluate the child's eligibility for the VFC vaccine. Mark the appropriate eligibility category based on the guidelines provided.
7. Make sure to identify whether the child falls into one of the eligible categories (columns A-D) or the not eligible categories (columns E-G).
8. Once all fields are completed, you can save the changes made to the form. You may also download, print, or share the completed form as needed.

Complete the SC DHEC 1146 form online today to ensure timely immunization for eligible children.