DSS Form 1247 Medical Release / Physician's Statement - South Carolina

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of DSS Form 1247 for the current year.

DSS Form 1247 Medical Release / Physician's Statement - South Carolina

What Is DSS Form 1247?

This is a legal form that was released by the South Carolina Department of Social Services - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSS Form 1247?
A: DSS Form 1247 is a Medical Release/Physician's Statement.

Q: What is the purpose of DSS Form 1247?
A: The purpose of DSS Form 1247 is to provide consent for the release of medical information and to gather relevant medical information from a physician.

Q: Who needs to complete DSS Form 1247?
A: DSS Form 1247 needs to be completed by the applicant or the applicant's physician.

Q: What information is required on DSS Form 1247?
A: DSS Form 1247 requires information such as the applicant's personal details, medical history, current medical condition, and authorization for release of medical information.

Q: Is DSS Form 1247 mandatory?
A: The requirement of DSS Form 1247 may vary depending on the specific circumstances. It is best to consult with the South Carolina Department of Social Services for accurate information.

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Form Details:

  • Released on December 1, 2008;
  • The latest edition provided by the South Carolina Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DSS Form 1247 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Social Services.

Download DSS Form 1247 Medical Release / Physician's Statement - South Carolina

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