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DSS Form 30265 Physician or Current Health Service Provider(S) and Telephone Numbers - South Carolina
What Is DSS Form 30265?
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 30265?
A: DSS Form 30265 is a form used in South Carolina for reporting the physician or current health service provider(s) and their telephone numbers.
Q: Who needs to fill out DSS Form 30265?
A: DSS Form 30265 needs to be filled out by individuals who are applying for or receiving services from the South Carolina Department of Social Services.
Q: What information is required on DSS Form 30265?
A: DSS Form 30265 requires the individual to provide the name and contact information of their physician or current health service provider(s).
Q: Why is DSS Form 30265 important?
A: DSS Form 30265 is important because it helps the South Carolina Department of Social Services maintain accurate and up-to-date information about the medical providers of individuals receiving their services.
Form Details:
- Released on April 1, 2013;
- 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 printable version of DSS Form 30265 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Social Services.
