For Health Care Providers

Children and adolescents who enter foster care often have complicated and serious medical, mental health, developmental, oral health, and psychosocial problems that are rooted in their history of childhood history of abuse and neglect.  Ideally, health care for this population is provided in a pediatric medical home by primary care providers who are familiar with the short and long term impact of childhood trauma and adversity. As youth with special health care needs, children and adolescents in foster care require more frequent monitoring of their health status, and pediatricians have a critical role in ensuring the well-being of children in out-of-home care through the provision of high-quality pediatric health services, health care coordination, and advocacy.  (Source:

The information here is designed to be supportive to you and your practice as you treat children and adolescents in foster care.   If you need assistance and cannot find what you are looking for, please reach out to us at the Office of Child Health and Well Being.



Please be advised that email is the preferred method of contact for DSS Nurses
to ensure fastest response time. 

UPSTATE REGION  Fax: 864-282-4278
(Serving Abbeville, Anderson, Cherokee, Greenwood, Greenville, Laurens, Newberry, Oconee, Pickens and Spartanburg Counties)

Elizabeth "Beth" Griffin, RN – Upstate Regional Nurse 
864-467-3369 (o); 803-767-2707 (c);

Virginia "Ginny" Meritt – Health Care Data Coordinator
864-467-7822 (o); 803-351-0374 (c);


MIDLANDS REGION   Fax: 803-734-2863
(Serving Aiken, Bamberg, Barnwell, Chester, Edgefield, Fairfield, Kershaw, Lancaster, Lexington, McCormick, Richland, Saluda, Union, York Counties)

Rita Melton, DMD RN – Acting Midlands Regional Nurse/Statewide Dentist & Nurse
803-898-4227 (o); 803-767-2267 (c); 

(Vacant) – Health Care Data Coordinator


LOWCOUNTRY REGION     Fax: 843-953-2561
(Serving Allendale, Beaufort, Berkeley, Calhoun, Charleston, Colleton, Dorchester, Hampton, Jasper and Orangeburg Counties)

Gretchen Cecere, RN – Lowcountry Regional Nurse/Acting Pee Dee Regional Nurse
843-953-1379 (o); 843-754-7168 (c);

(Vacant) – Health Care Data Coordinator


PEE DEE REGION    Fax: 843-519-0840 
(Serving Chesterfield, Clarendon, Darlington, Dillon, Florence, Georgetown, Horry, Lee, Marion, Marlboro, Sumter and Williamsburg Counties)

Gretchen Cecere, RN – Acting PeeDee Regional Nurse/LowCountry Regional Nurse
843-953-1379 (o); 843-754-7168 (c);

Tyra Goodson– Health Care Data Coordinator
803-394-6042 (c); Fax: (843) 519-0840;


Rita Melton
, DMD, RN – Statewide Dentist & Nurse
803-898-4227 (o); 803-767-2267 (c);
Karen J. McDaniel, RN – Nurse Manager
864-467-4921 (o); 803-995-0751 (c);


  • Designation of Medical Consent Form (DSS Form 2055) Beginning June 1, 2021 all licensed DSS providers including all licensed foster parents, therapeutic foster parents licensed by Child Placing Agencies (CPAs), kinship care providers, emergency shelters, and group home providers must become authorized secondary consenters in order to be able to consent to routine medical care for children and youth in foster care. This link provides a sample of the authorization form. When working with placement providers, ask for this form to verify that the caregiver has been designated as a secondary medical consenter.

  • Psychotropic Medication Informed Consent Form (DSS Form 2056) Administration of new psychotropic medications requires SCDSS consents, as the primary consenter. This form is completed and shared with the child’s case manager for approval by the Regional Clinical Specialist.

  • Informed Consent and Notification Regarding Psychotropic Medication Form (DSS Form 1214) This form is completed by health care providers in acute care and inpatient settings. This form is completed and shared with the child’s case manager for approval by the Regional Clinical Specialist.


Project ECHO and TeleECHO Clinics 

What is Project ECHO®?

The Extension for Community Healthcare Outcomes, or ECHO model, was developed at the University of New Mexico Health Sciences Centger and is now used nationwide in the United States and internationally. The ECHO model facilitates case-based learning for front-line practitioners via teleconferencing clinics. Similar to the virtual chart rounds, the ECHO model creates a space where practitioners can share knowledge and build support to better manage patients with complex care needs. For more information on Project ECHO, please visit

TeleECHO Clinics

Select Health of South Carolina, in collaboration with SCDSS and the Medical University of South Carolina (MUSC) Children’s Health Department, is excited to launch TeleECHO clinics – an emerging, case-based learning model to improve health care provider’s capacity to treat children and youth in South Carolina’s foster care system.

At TeleECHO clinics, providers from multiple locations connect via teleconferencing to present de-identified patient cases to a team of peers and experts for mentoring and shared learning. Case-based discussions will also be supplemented with short didactic presentations to improve content knowledge and share evidence-based practices.

Click here for more information and the TeleECHO series schedule. 


9/28/21 - Trauma Informed Care Approaches to Foster Care


10/12/21 - Suicide Risk Assessment And Prevention Initiatives

Explore videos from TeleECHO Clinic Series: January-June 2021

Child Welfare Services Transformation

Best Outcomes for Children and Families

Do you have a complaint regarding services being provided to a child by a state agency? Please submit your complaint by phone (1-800-206-1957) or an electronic submission form here with the South Carolina Department of Children's Advocacy.