DHEC Form 3964 Reporting Worksheet for Laboratory Confirmed Influenza - Associated Hospitalizations - South Carolina

What Is DHEC Form 3964?

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 3964?
A: DHEC Form 3964 is a reporting worksheet specifically for laboratory confirmed influenza-associated hospitalizations in South Carolina.

Q: What does the DHEC Form 3964 report?
A: The DHEC Form 3964 reports information about hospitalizations related to laboratory confirmed cases of influenza in South Carolina.

Q: Who is required to fill out the DHEC Form 3964?
A: Healthcare facilities in South Carolina are required to fill out the DHEC Form 3964 for any laboratory confirmed influenza-associated hospitalizations.

Q: What is the purpose of the DHEC Form 3964?
A: The purpose of the DHEC Form 3964 is to monitor and track laboratory confirmed influenza-associated hospitalizations in South Carolina.

Q: Is the DHEC Form 3964 mandatory?
A: Yes, healthcare facilities in South Carolina are required by law to complete and submit the DHEC Form 3964 for laboratory confirmed influenza-associated hospitalizations.

Q: What information is required to fill out the DHEC Form 3964?
A: The DHEC Form 3964 requires information such as patient demographics, hospitalization details, and laboratory confirmation of influenza.

Q: Are there any deadlines for submitting the DHEC Form 3964?
A: Yes, healthcare facilities are required to submit the DHEC Form 3964 within 24 hours of identification of a laboratory confirmed influenza-associated hospitalization.