Form 3520 for North Charleston South Carolina 2023-2025

Form 3520 for North Charleston South Carolina: What You Should Know

This form, along with the consent form and all the other forms required for the service, must be signed and given to the applicant prior to receiving the treatment. If you do not sign or sign and turn in the consent form, the Department of Human Resources may charge 25 for the first service. If you require additional services after signing the form, 15 may be deducted from the first service fee. FORM 3520. DOCUMENTATION FOR SOUTH CAROLINA SIGNATURE AND CONGRESSIONAL REGULATIONS Feb 3, 2025 — Florence Office. Greenwood Office. 3520 W. Montague Ave., Suite 104. North Charleston, SC 29418. PH:. 1. You will be required to sign a form before receiving your treatment. 2. You are to bring the signed and original copy of Form 3520 before the appointment with the service provider/druggist. 3. Do not give your signature at the time of your appointment. 4. Do not wait until you have to sign the form. 5. The original form and signed copy of Form 3520 must be received within a set time period. The form must be received at the address in front of you by the appointment time. 6. Keep Form 3520 with you. 7. You will not be returned a copy of form 3520 if the paper copy has not been returned to you. 8. The original copy (not the copy the Department of Revenue sent you) should be kept with paper form 3520. Do not give any form to a third party to duplicate it. 9. You have a right to be given an itemized list of the charges received when the form is completed. Do not refuse to give this list to the service provider. 10. Keep the original Form 3520 and original consent form. 11. If you have been prescribed for another medication, you cannot receive any form 3520 or any forms related to this form. 12. You must have your first medical professional opinion form (if required) with you when taking any prescribed medication. 13. You must present documentation if you meet the financial resources of the applicant. The Department of Human Resources charges 25 for the first treatment. If additional services are required after signing the form, it will be waived. FORM 3290-D.

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