Central Directory

Service Provider Submission Form
Please provide the most current information about your organization in order to be included in South Carolina’s new Central Directory. Please note that by completing this form, you are NOT enrolling in BabyNet or any insurance plan.

  • Hours of Operation

  • Use CTRL+ mouse click to select or unselect one or more counties.
  • Ages Served
  • Insurance Accepted
    Other:

  • BabyNet Provider *( This field is required. )
    What type of organization are you?
    Services Are Provided In
    Are you conducting research or demonstration projects relating to infants and toddlers with disabilities?
  • Indicate the Types of Services Provided
  • Contributor Email