Accident-Incident Reporting

The Accident-Incident Reporting Form is to be used by persons authorized by the facility or service Administrator to report a serious accident or incident to the Bureau of Health Facilities Licensing. A serious accident or incident is defined in the applicable regulation under which the facility or service is licensed by the Department. Health regulations can be viewed here . Please do not send additional documents unless requested by the Department.

Download " Accident-Incident Reporting Form (DHEC Form 0953) " and follow the instructions located on the second page of the form.

Accident/Incident Memo


Facilities Health Submit