Registration Applications & Forms
RENEWAL APPLICATIONS
- DHEC 1164 - Federal EIN/Social Security Number Request Form
- DHEC – ONLINE RENEWAL COMING SOON! Contact our office at 803-896-0634 to request a duplicate renewal application.
All registrations are renewed annually.
Renewal applications for MD’s and DO’s are mailed during the third week of July and must be renewed prior to October 1.
Renewal applications for all other registrants are mailed during the third week of January and must be renewed prior to April 1.
REGISTRATION CHANGES
New Applications
- DHEC 1174A – New application for Pharmacy, Practitioner (including APRN & PA-C), Health Clinic, EMS/Rescue Squad, Animal Control/Shelter, and Humane Society
- DHEC 1026 – New application for Non-Practitioner Controlled Substances Application
- DHEC 1198 – Narcotic Treatment Program
DHEC 1174A - Instructions for New Applications
Indicate your South Carolina professional address and telephone number in the spaces provided. You must attach a copy of your South Carolina professional license (Limited, Temporary or Permanent), or a copy of the letter from the South Carolina Department of Labor Licensing and Regulation stating your licensure. Physician Assistants please click on the "Registration" tab for further instructions about submitting this application. Applications cannot be processed without licensure verification.
DHEC 1026 – New Application for Canine Registration
As of July 1, 2008, the Bureau of Drug Control has established a policy that all canine registrations will be limited strictly to Law Enforcement entities. The Bureau of Drug Control will no longer register individuals who are not employed by a Law Enforcement entity, for the purpose of establishing a private business for canine drug training.
The Sheriff or Chief of the law enforcement agency will need to sign the application as the applicant/authorized individual responsible for the registration. When you return the application, please provide a written protocol for the continued training of the dog.
The protocol should include the following:
- The canine handler's name(s), qualifications and training experience.
- The purpose of the training.
- A list of the drugs and the estimated quantities needed for the training.
- Where the training will be conducted and how the drugs will be packaged during the training.
- Security and storage of the drugs when they are not being used.
- Names of the employees that will have access to the drugs.
When we receive the application and written protocol, an inspector from this office will contact you to schedule an inspection, prior to issuance of the registration.
DHEC 1026 – New Application for a Researcher Registration
Applicants are required to submit a research protocol along with their curriculum vitae when submitting their application. Upon receipt of the application, protocol and vitae, one of our inspectors will contact you to arrange a pre-inspection.
DHEC 1026 – New Application for a Hospital, Manufacturer, Distributor, Importer, Exporter Registration
Hospitals, Manufacturers, Distributors, Importers and Exporters should obtain the required permits from the SC Board of Pharmacy prior to applying for the SC Controlled Substances registration. You must attach a copy of your SC Pharmacy permit to your SC Controlled Substances application.
DHEC 1198 – New Application for Narcotic Treatment Program
A practitioner who wants to use Schedule II narcotic drugs for maintenance and/or detoxification must obtain a separate registration from DHEC and DEA as a Narcotic Treatment Program pursuant to the Narcotic Addict Treatment Act of 1974. This registration allows a practitioner to administer or dispense, but not prescribe, scheduled narcotic drugs that are approved by the United States Food and Drug Administration (FDA) for the treatment of narcotic addiction.
For additional information, contact: (803) 896-0634 Fax (803) 896-0656