DHHS Form 3400-E Application Addendum - Tuberculosis (Tb) Referral - South Carolina

What Is DHHS Form 3400-E?

This is a legal form that was released by the South Carolina Department of Health and Human Services - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DHHS Form 3400-E?
A: DHHS Form 3400-E is an application addendum used for tuberculosis (TB) referrals in South Carolina.

Q: What is tuberculosis (TB)?
A: Tuberculosis (TB) is a bacterial infection that primarily affects the lungs, but can also affect other parts of the body.

Q: What is the purpose of the application addendum?
A: The application addendum is used to refer individuals suspected of having tuberculosis (TB) for appropriate evaluation and treatment.

Q: Who uses the DHHS Form 3400-E?
A: Healthcare professionals in South Carolina use the DHHS Form 3400-E to refer individuals suspected of having tuberculosis (TB).

Q: Is the DHHS Form 3400-E specific to South Carolina?
A: Yes, the DHHS Form 3400-E is specific to South Carolina and is used for tuberculosis (TB) referrals in the state.

Q: What information is required in the application addendum?
A: The application addendum requires information such as the individual's personal details, medical history, symptoms, and healthcare provider information.

Q: What happens after submitting the DHHS Form 3400-E?
A: After submitting the DHHS Form 3400-E, the individual referred for tuberculosis (TB) evaluation and treatment will be contacted by healthcare professionals for further assessment.

Q: Are there any fees associated with the application addendum?
A: There are no fees associated with the DHHS Form 3400-E application addendum for tuberculosis (TB) referrals in South Carolina.