Forms
Practitioner / Pharmacist Privacy Statement (pdf)- Practitioner / Pharmacist Database Access Request (pdf)
- Law Enforcement Request Form (DHEC 1020) (pdf)
- Law Enforcement Privacy Statement (DHEC 1019) (pdf)
- SC UCF PMP – Universal Claim Form (pdf)
- SC UGF PMP – Single Drug Claim Form (pdf)
For additional information, contact:
(803) 896-0688