Dss form 1247a 2026

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The document is a Medical Release/Physician's Statement form required by the South Carolina Department of Social Services (SCDSS) to verify that a caregiver is needed in the home to care for a disabled family member. It includes sections for staff, physician, and patient to complete, detailing the patient's disability, the extent of caregiving required, and authorizing the release of health information for exemption from work program participation.

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