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DHEC Form 4113 Medical Referral Form - South Carolina Wic Program - South Carolina
What Is DHEC Form 4113?
This is a legal form that was released by the South Carolina Department of Health and Environmental Control - 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 DHEC Form 4113?
A: DHEC Form 4113 is a Medical Referral Form used by the South Carolina WIC Program.
Q: Who uses DHEC Form 4113?
A: The South Carolina WIC Program uses DHEC Form 4113 for medical referrals.
Q: What is the purpose of DHEC Form 4113?
A: The purpose of DHEC Form 4113 is to facilitate medical referrals for participants in the South Carolina WIC Program.
Q: How is DHEC Form 4113 used?
A: DHEC Form 4113 is filled out by a healthcare provider and submitted to the South Carolina WIC Program to refer a participant for medical services.
Form Details:
- Released on October 1, 2020;
- The latest edition provided by the South Carolina Department of Health and Environmental Control;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of DHEC Form 4113 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Environmental Control.
Download DHEC Form 4113 Medical Referral Form - South Carolina Wic Program - South Carolina
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