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What is the purpose of the DHEC 252 form?

The DHEC 252 form is an application for individuals seeking licensure to provide midwifery services in South Carolina. This form must be completed and submitted under oath by prospective licensees or those looking to renew their current license. The form aligns with specific South Carolina Code sections and regulations to ensure that those providing midwifery services meet the required qualifications and adhere to state standards.

Who needs to complete the DHEC 252 form?

Individuals applying for an initial license as a midwife or apprentice midwife, as well as those looking to renew either type of license, must complete the DHEC 252 form. Different sections of the form are required depending on the type of licensure you are applying for or renewing.

What information is required on the DHEC 252 form?

The form requires comprehensive personal information, including your full name, address, telephone number(s), date of birth, and email address. You will also need to disclose if you have been licensed or certified under a different name, held a midwife license in another state, had a license suspended or revoked, or been convicted of a criminal offense. Additionally, documentation such as proof of apprenticeship, educational transcripts, evidence of midwife training, CPR certifications, and tuberculosis test results may be required.

What documentation must be attached to the DHEC 252 form?

Required attachments include verification of apprenticeship, official transcripts for education claims, notarized copies of any current or previous licenses, tuberculosis test results, evidence of completion of a midwife course, CPR certificates, letters of recommendation, and, for renewals, continuing education documentation and annual peer review participation evidence.

How long is the licensure period for a midwife license obtained through the DHEC 252 form?

A midwife license issued through the DHEC 252 form is effective for a 24-month period following the date of issue. Apprentice midwife licenses are effective for a 12-month period.

Where should the completed DHEC 252 form be submitted?

The completed application should be returned to the SCDHEC Division of Health Licensing at 2600 Bull Street, Columbia, South Carolina 29201.

What happens to the DHEC 252 form after it is submitted?

Once submitted, the original application is kept in the Master File at the Division of Health Licensing. It remains there according to the most restrictive retention schedule, requiring documents to be retained for 6 years within Health Licensing. After this period, records are moved to the Consolidated Storage Center for an additional retention period of at least twenty-four years before they are destroyed.

When completing the DHEC 252 form, which is an application for a license to provide midwifery services, applicants often make mistakes that can delay the processing or result in a denial of the license. Understanding these errors can help ensure a smoother application process.

1. Failing to check the correct purpose for the application (such as initial license, renewal, etc.) at the beginning of the form, which leads to confusion and improper processing.
2. Not entering the full legal name or using different names across different sections without clarifying that they are the same person, which can lead to issues in verifying the applicant's identity.
3. Omitting the physical and mailing addresses or not clarifying when the mailing address is different from the physical address, potentially delaying correspondence related to the application.
4. Leaving out contact information, including both home and business phone numbers, as well as the e-mail address, which are essential for communication about the application status.
5. Neglecting to attach the required documents, such as verification of apprenticeship, official transcripts, and CPR certificates, which are vital for evaluating the applicant's qualifications.
6. Forgetting to complete the sections on prior licenses or certifications, including any disciplinary actions or criminal offenses, which are crucial for assessing the applicant's suitability.
7. Failing to provide detailed information or documentation for the “Reason for Application” section, leading to an incomplete understanding of the applicant’s eligibility and intentions.
8. Not having the application notarized properly, either by neglecting to include the notary seal or by using a notary outside of South Carolina without affixing the seal of that state.
9. Submitting an application with incorrect or outdated information, as all statements must be current and true to the best of the applicant's knowledge.

Ensuring accuracy and completeness when filling out the DHEC 252 form is essential for a successful midwifery license application. By avoiding these common errors, applicants can improve the likelihood of a smooth and timely approval process.

When applying for a license to provide midwifery services with the use of the DHEC 252 form, the application process is comprehensive and requires several other documents to ensure the applicant meets all necessary criteria. Understanding these additional requirements can help prospective midwives navigate the process more smoothly.

• Verification of Apprenticeship Document: This document provides evidence that the applicant has completed a specified period under the supervision of a certified midwife. It's an essential part of proving hands-on experience in the field.
• Official Transcripts or Vocational Training Certificates: These are required to demonstrate the applicant's educational background in midwifery or related healthcare fields. It confirms academic preparation aside from practical experience.
• Notarized Copies of Current or Previous Licenses: If the applicant has been previously licensed to practice in different jurisdictions, providing notarized copies of these licenses is crucial. It shows a history of compliance and professional recognition.
• Certificate of Completion for CPR Training: Given the emergencies that can arise during childbirth, a current certificate in CPR for both adults and newborns is mandatory. This underscores the applicant's preparedness for critical situations.
• Documentation of Continuing Education: For license renewal, evidence of ongoing learning through continuing education courses is necessary. This demonstrates a commitment to keeping skills and knowledge up-to-date.

Together with the DHEC 252 form, these documents create a portfolio that assesses the applicant's readiness and qualifications to provide midwifery services. By meticulously assembling these materials, applicants demonstrate their dedication to professional standards and patient care in the realm of midwifery. This thorough process ensures that only qualified individuals are granted licensure to practice, ultimately safeguarding the health and wellbeing of mothers and infants.

The DHEC 252 form, aimed at applicants for midwifery services licensure, bears a strong resemblance to the Medical License Application commonly used by state medical boards. Both documents are designed to screen applicants for the requisite education, training, and character to provide healthcare services safely and effectively. Just like the DHEC 252 form, a Medical License Application often requires personal information, details of previous licensure, educational background, and proof of specific training or certifications such as CPR. Additionally, both forms incorporate sections for disclosing past criminal offenses or disciplinary actions, underscoring the emphasis on ensuring the trustworthiness and reliability of healthcare providers.

Similar to the DHEC 252 form, the Nursing License Application used by state nursing boards also gathers comprehensive information about the applicant's qualifications and background. It calls for a detailed accounting of educational preparation, including transcripts and proof of graduation from an accredited nursing program, alongside any prior licenses held in other states. The scrutiny of an applicant’s background for any disciplinary issues or criminal offenses mirrors the DHEC 252's efforts to ensure that only those of sound character are entrusted with patient care. Furthermore, both applications often require verification of clinical competencies and relevant continuing education, emphasizing the importance of ongoing professional development.

The Application for Dental Licensure offers another parallel, focusing on the credentials necessary for providing dental care. Dentistry applicants, much like midwifery candidates, must furnish proof of formal education, completion of a clinical residency when applicable, and pass national board exams. The requirement to disclose past licensures, disciplinary actions, or criminal offenses found on both the dental and midwifery licensure applications underlines a shared commitment to protect the public by vetting the professional history of healthcare practitioners thoroughly.

Pharmacy License Applications share significant similarities with the DHEC 252 form as they collect crucial details regarding the applicant's education, internship experiences, and any examinations passed, reflecting the critical nature of accurately dispensing medications and offering pharmaceutical care. Both forms emphasize the necessity of verifying the applicant’s qualifications and ensuring their background does not include actions that might jeopardize patient safety. Verification of licensure in other jurisdictions and the mandatory reporting of criminal or disciplinary history are common threads, stressing the health sector's universal standards of integrity and accountability.

The application process for a Clinical Laboratory Personnel License also resonates with that of the DHEC 252 form, requiring specific educational credentials, practical training evidence, and passage of professional examinations. This reflects the critical role laboratory staff play in diagnosing and monitoring diseases, paralleling midwives' importance in ensuring healthy pregnancy and birth outcomes. Both sets of applicants must prove their qualifications and trustworthiness to perform their duties, with stringent checks on their backgrounds and professional conduct.

The Physical Therapy Licensure Application is akin to the DHEC 252 form by necessitating detailed documentation of educational achievements, clinical rotations or internships, and licensure examination scores. Given the hands-on nature of physical therapy and its direct impact on patient quality of life, like midwifery, there is a heavy emphasis on the legitimacy of the applicant's credentials and a clean disciplinary record. The inclusion of sections for character and professional integrity, including past legal or licensure issues, underscores a shared commitment to ensuring safe and ethical practice across healthcare professions.

Lastly, the Emergency Medical Services (EMS) License Application parallels the DHEC 252 form by requiring detailed information on the applicant's training, certification in life-saving techniques, and, often, proof of physical fitness given the demanding nature of emergency medical response. Applicants must disclose past licensure and any instances of disciplinary or criminal actions, echoing the thorough vetting process of the DHEC 252 form. This ensures that those responsible for providing critical care at the scene of medical emergencies are thoroughly evaluated for their ability to perform under pressure while upholding the highest standards of care and ethics.

When completing the DHEC 252 form for a license to provide midwifery services, it is crucial to adhere to the specified instructions to ensure that your application is processed smoothly and efficiently. Below are four practices to adopt and to avoid in order to keep the application process on the right track.

Things You Should Do

• Ensure all required sections for your specific application type (initial or renewal for midwife or apprentice midwife license) are fully completed. This includes items 2, 3, 5, 6, and 8 for an initial midwife license, for example.
• Attach all necessary documentation as requested in the form. This includes verification of apprenticeship, official transcripts for any claimed education, notarized copies of licenses, and relevant test results or certificates.
• Read the verification statement at the end of the application thoroughly before signing to affirm the truthfulness and accuracy of all information provided.
• Check all appropriate boxes in section 3, ensuring to add additional information as requested. This might include listing any previous licenses held in other states or detailing any criminal offense convictions.

Things You Shouldn't Do

• Do not leave any required fields incomplete. Missing information can delay the processing of your application or result in its denial.
• Avoid submitting your application without double-checking that all attached documents are correct and fully legible. Illegible documents can cause unnecessary delays in the licensing process.
• Do not overlook the need for your document to be notarized. If outside South Carolina, ensure the notary seal of that state is affixed to your application.
• Refrain from neglecting to provide explanations for any 'Yes' responses in section 3 regarding previous licensures, suspensions, revocations, or criminal offenses. Attach separate sheets with detailed explanations as necessary.

When it comes to licensing for midwifery in South Carolina, the DHEC 252 form plays a crucial role. However, there are several misconceptions about this form and its requirements. Understanding these can help streamline the application process and set realistic expectations for applicants.

• Misconception 1: The DHEC 252 form is only for new licensees.
  Contrary to this belief, the DHEC 252 form is used for both initial licensure and renewal of licenses for midwives and apprentice midwives. Prospective licensees and those whose current licenses are due for renewal must complete and submit this form to ensure compliance with the state’s licensing requirements.
• Misconception 2: Criminal offenses disqualify applicants automatically.
  While the form does inquire about past criminal offenses, including those beyond minor traffic violations, it does not state that any offense leads to automatic disqualification. The key is transparency; applicants are encouraged to disclose any convictions, as each case is reviewed individually, taking into account various factors such as the nature of the offense and time since conviction.
• Misconception 3: TB test results and CPR certifications are not mandatory for renewals.
  In fact, submitting TB test results and certificates of current CPR training for adults and newborns are requirements for both initial licensure and renewal. These documents must reflect the applicant's ongoing commitment to safety and readiness to provide midwifery services.
• Misconception 4: Letters of recommendation are optional.
  This is incorrect. For initial licensure, applicants are required to attach letters of recommendation, including one from a sponsor indicating the applicant’s readiness to begin practicing, one from a midwife other than the sponsor, and one personal recommendation from a member of the community. These letters are a critical part of the application, demonstrating the applicant's professional readiness and personal integrity.

Understanding these misconceptions and the actual requirements of the DHEC 252 form can significantly aid applicants in navigating the licensure process with clarity and confidence. Knowing what is expected can help ensure that applications are completed accurately, increasing the likelihood of successful licensure to practice midwifery in South Carolina.

When applying for a license to provide midwifery services in South Carolina, it's crucial to accurately fill out and submit the DHEC 252 form. This document plays a significant role in the licensure process, whether for new applicants or for those seeking renewal. Here are five key takeaways to guide you through the process:

• The form is designed to accommodate various application types, including initial licensing for midwives and apprentice midwives, as well as renewal of these licenses. It's essential to check the appropriate box in section one to indicate the specific purpose of your application.
• Applicants must provide comprehensive personal information, including contact details, educational background, and any prior licensing information. This includes disclosing if you have ever had a midwife license suspended or revoked, or if you have been convicted of any criminal offense beyond minor traffic violations.
• Documentation is a critical component of the application process. This includes, but is not limited to, verification of apprenticeship, official transcripts from educational institutions, notarized copies of any current or previous licenses, TB test results, certificates of current CPR training, and letters of recommendation. Such documents are necessary for both initial licensing and renewal.
• For renewal applications, evidence of continuing education, current CPR certification, TB test results for the past two years, and participation in an annual peer review system are mandatory. These requirements ensure that midwives maintain their skills and knowledge, remaining up to date with best practices in the field.
• The verification process involves the applicant swearing or affirming that all the information provided on the form is correct and true to the best of their knowledge. This section must be signed in front of a notary public, emphasizing the seriousness and legal commitment of the application process. If notarized outside South Carolina, the notary's seal from the respective state must be affixed to the application.

After completing the DHEC 252 form with thoroughness and accuracy, the document, along with all required attachments, should be submitted to the SCDHEC Division of Health Licensing. Adherence to these guidelines not only facilitates a smoother application process but also underscores the applicant's commitment to upholding the standards and responsibilities of midwifery practice.