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Click ‘Get Form’ to open the DHEC 2740 form in our editor.
Begin by filling out Section 1: Identification/Name. Enter the child's full name, date of birth, and MCI/chart number if applicable.
Proceed to Section 2: Vaccination Date. Document the date for each immunization administered, ensuring to check the box for Varicella if applicable.
If there are any medical exemptions, complete Section 3. Ensure that this section is approved by a licensed physician or authorized representative.
In Section 4, provide the physician's information and signature. Make sure to include the facility's contact details and the date the certificate is issued.
Review all entries for accuracy before saving or printing your completed form.
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A religious exemption is granted to a childcare or K-12 student whose parent(s), guardian(s), or person in loco parentis signs and has DocHubd the SouthRead more
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