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  • Sc Dhec 1146 2024

Get Sc Dhec 1146 2024-2025

Vaccines for Children (AFC) Program Patient Eligibility Screening Record Form A record of all children 18 years of age or younger who receive immunizations must be kept in the health care providers.

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How to fill out the SC DHEC 1146 online

The SC DHEC 1146 form is essential for documenting eligibility for the Vaccines for Children (VFC) program. This guide will walk you through each step of filling out the form online, ensuring clarity and compliance with the necessary requirements.

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

  1. Press the ‘Get Form’ button to access the SC DHEC 1146 online and open it for editing.
  2. Enter the child's name in the specified fields, including their last name, first name, and middle initial.
  3. Provide the child's date of birth by entering the day, month, and year in the designated format.
  4. Complete the section for the parent, guardian, or individual of record by filling in their last name, first name, and middle initial.
  5. Fill in the provider's name using the appropriate fields for the last name, first name, and middle initial.
  6. For each immunization visit, input the date and mark the eligibility category by selecting the appropriate columns A to D for VFC eligibility or E to G for non-VFC eligibility.
  7. Ensure all necessary fields are accurately filled out and review for any errors.
  8. Once completed, save the changes to the form. You can also download, print, or share it as needed.

Complete the SC DHEC 1146 form online to ensure proper immunization documentation.

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VFC eligibility is as follows: (a) Medicaid enrolled; (b) uninsured; (c) American Indian/Alaskan native; or (d) underinsured seen at an FQHC.

Individuals five years and older Individuals 6 months of age and older who never got a COVID-19 vaccine can be vaccinated this Spring 2024. See table below for specific recommendations. Individuals who are 5 years of age and older who are eligible can be vaccinated this Spring.

VFC eligibility screening and documentation of eligibility status must take place with each immunization visit to ensure the child's eligibility status has not changed.

Your child is eligible for the VFC program if he or she is younger than 19 years of age and is one of the following: Medicaid-eligible, Uninsured, Underinsured, American Indian or Alaska Native.

A child is eligible for the VFC Program if they are younger than 19 years of age and are one of the following: Uninsured. Medicaid-eligible or Medicaid-enrolled. American Indian or Alaska Native.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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