South Carolina Department of Health and Environmental Control

We promote and protect the health of the public and the environment.

• Certification
• Check EMT Certification Status
• Compliance
• Data Systems
• EMS Advisory Council Members
• EMS Form 1050
• EMS Medical Control Change Form
• EMS Provider License Renewal Application
• GIA
• History of EMS
• Medical Control
• Regulation 61-7
• Regulation 61-7 Frequently Asked Questions
• Resources
• Sanctions
• SC NEMSIS/NHTSA Data Elements
• Training
• Trauma Systems
• What is EMS?
• Who To Talk To
• Our Offices - Location Map

EMS Form 1050 Documentation

Ms. Taffney Hooks will be responsible for all matters concerning the DHEC 1050 to include your request for forms.

• Responsibilities of Ambulance Service Forms Control Officer (pdf)
• 2004 Instructions for Completion DHEC Form 1050 (pdf)
• SC EMS Codes for Hospitals and Nursing Homes (pdf)
• SC EMS Form 1050 Page 1 of 2 (pdf)
• SC EMS Form 1050 Page 2 of 2 (pdf)

For additional information, contact: -Taffney Hooks (803) 545-4872