Private Duty Nursing / Extended Home Health Aide Prior Authorization Request Form - South Dakota

Private Duty Nursing/Extended Home Health Aide Prior Authorization Request Form is a legal document that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota.

Form Details:

• Released on March 1, 2021;
• The latest edition currently provided by the South Dakota Department of Social Services;
• Ready to use and print;
• Easy to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.