PDF
Word
Attachment 2 Acknowledgement of Choice of Provider - South Carolina
What Is Attachment 2?
This is a legal form that was released by the South Carolina Department of Disabilities and Special Needs - 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 an Acknowledgement of Choice of Provider?A: An Acknowledgement of Choice of Provider is a document that indicates an individual's selection of a specific healthcare provider.
Q: What is the purpose of an Acknowledgement of Choice of Provider?A: The purpose of an Acknowledgement of Choice of Provider is to officially acknowledge and document an individual's decision to select a particular healthcare provider.
Q: Why is an Acknowledgement of Choice of Provider important?A: An Acknowledgement of Choice of Provider is important because it ensures that an individual's choice of healthcare provider is recorded and acknowledged for billing and reimbursement purposes.
Q: Who needs to sign an Acknowledgement of Choice of Provider?A: An individual who has chosen a specific healthcare provider will need to sign an Acknowledgement of Choice of Provider.
Q: Is an Acknowledgement of Choice of Provider specific to South Carolina?A: Yes, this document, Attachment 2 Acknowledgement of Choice of Provider, is specific to South Carolina.
Form Details:
- Released on September 16, 2021;
- The latest edition provided by the South Carolina Department of Disabilities and Special Needs;
- 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 printable version of Attachment 2 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Disabilities and Special Needs.
