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How to Request a Hemoglobin Screen (Sickle Cell Screen)

If the Child Was Not Born in South Carolina

  • You will need to contact the state where the child was born to request the hemoglobin screen (Sickle Cell screen) results. You can go to Newsteps.org for the appropriate state and click on the contacts for that state.

For Children Born in South Carolina

Option 1 (Quickest): Fax

  1. Contact the child's primary care physician and ask them to fax a request to the Public Health Laboratory, Attention: LIMS, at 803-896-3862. The request must be faxed on the physician's office letterhead and contain all of the following:
    1. Full name of the child at birth
    2. Date of birth (DOB) for the child
    3. Full name of the mother at time of child's birth
    4. Test requested: Hemoglobin screen (Sickle Cell screen) results
    5. Contact person at the physician's office and phone number
  2. Please call LIMS Administrator, (803) 896-4777, at the Public Health Laboratory to let her know to expect this request. When the fax is received from the physician's office on their letterhead, the results will be faxed back to the physician's office within 24-72 hours.
  3. After the physician's office receives the results, you can contact the office to pick up the results, or you can instruct them to forward the results to the appropriate school athletic department.

Option 2: In-Person

You can come in person, with all information requested below, to the Public Health Laboratory located at:

DPH Public Health Laboratory
Hayne Building
8231 Parklane Road
Columbia, SC 29223

Option 3: Mail

You can mail through U.S. Postal service, all information requested below, to the Public Health Laboratory located at:

  • DPH Public Health Laboratory
    Attention: QA Office
    Hayne Building
    8231 Parklane Road
    Columbia, SC 29223

*Please remember to write 'Attention: QA Office' to ensure proper delivery.

NOTE: By law, the Public Health Laboratory has 30 days to complete your request after receiving all information requested. Average completion time of the request is usually 5-10 business days after receipt.

INFORMATION REQUIRED TO RECEIVE HEMOGLOBIN/SICKLE CELL TEST RESULTS:

You MUST include this information on the DPH 1623 form:

  • Full name of the child at birth
  • Date of birth (DOB) for the child
  • Full name of the mother at time of child's birth (write this in the space at the bottom of the form, beside Patient's Name and Date of Birth)
  • Test requested: Hemoglobin screen (Sickle Cell screen) results

The legal-aged child (18 years or older) will need to complete, sign and date the DPH 1623 form and make a quality photocopy of their current, valid government issued photo identification (example: SC driver's license).

NOTE: The parent of the legal-aged child (18 years or older) cannot complete or sign the DPH 1623 form or act on his/her behalf without documented permission of the child OR if the child is less than 18 years old, the parent or legal guardian may complete, sign and date the DPH 1623 form and make a quality photocopy of the parent's/legal guardian's current, valid government issued photo identification (example: SC driver's license).

Choose your language below to print the DPH 1623 form:

Please call any of the contacts listed below at the DPH Public Health Laboratory from 8:30 a.m. to 4:30 p.m., Monday-Friday if you have any questions:

The DPH Public Health Laboratory looks forward to helping you with this school athletic requirement for NCAA.

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Health