The information above was reviewed and found to be correct. I attest that all information is accurate and truthful. I understand that it is a felony to willfully or intentional supply false information.
The collection and reporting to DHEC of information contained on the South Carolina Death Certificate are exempt from HIPAA regularations (see 45 CFR 160.203 (c), 164-512 (b)(1). However, state law provides protection against the unauthorized release of confidential information from the death certificate.
For DHEC Use Only
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