South Dakota Department of Health Forms

This form is used for applying for a trainee license in funeral service in South Dakota.

This document is used for requesting disability accommodation for pharmacy licensing examinations in South Dakota.

This document is used for applying for sponsorship of a continuing education program in South Dakota.

This document is used to verify employment as a Speech Paraprofessional in South Dakota.

This document is used to verify the supervised post-graduate professional experience in South Dakota. It is necessary for individuals who have completed their post-graduate education and need to provide proof of their supervised work experience in order to obtain professional certification or licensing.

This form is used for verifying a license from another state in South Dakota.

This document is used for requesting a name change or duplicate license in the state of South Dakota.

This form is used for applying to renew a license in the state of South Dakota.

This Form is used for seeking prior approval for Continuing Education Units (CEUs) in South Dakota.

This document is for verifying the completion of supervised practicum for Speech-Language Pathology Assistants (SLPAs) in South Dakota. It validates that the required hours of practical training have been completed.

This document is used for the affidavit of a Supervisor in the Speech-Language Pathology Assistant (SLPA) field in South Dakota.

This form is used to apply for a license to practice speech-language pathology in the state of South Dakota.

This document provides instructions for applying for a license to practice speech-language pathology in South Dakota. It includes the necessary steps and requirements for obtaining the license.

This Form is used for filing complaints against optometry providers with the Board of Examiners in Optometry in South Dakota.

This document is for healthcare professionals in South Dakota who want to obtain authorization to administer immunizations.

This Form is used for applying to have your pharmacist license reinstated in South Dakota.

This application form is used for individuals who wish to apply for the South Dakota Board of Podiatry Examiners in South Dakota.

This document is for podiatrists in South Dakota who need to apply for relicensure with the South Dakota Board of Podiatry Examiners.

This Form is used for renewing the certificate of a podiatric corporation in South Dakota.

This form is used for applying to a podiatric residency program in South Dakota.

This document is used to verify a professional license issued in another state for individuals applying for licensure in South Dakota.

This document is a staffing exception request form specifically for assisted living centers in South Dakota that have 10 beds or less. It is used to request an exception to staffing requirements for these smaller facilities.

This document is used to acknowledge the receipt of a secure fax in the state of South Dakota.

This document is used to apply for a new chiropractic license in the state of South Dakota.

This document is an application for a reciprocity doctor chiropractic license in South Dakota.

This document is a worksheet for citizens in South Dakota to report cases of foodborne illness. It helps gather important information about the illness to aid in investigations and prevent further outbreaks.

This document is a project request form for South Dakota that is supported by CMP funds. It is used to request funding for a specific project in South Dakota.

This form is used for technicians enrolled in a Pharmacy Technician Institution Based Education Program in South Dakota to certify their eligibility.

This document is an application form for a program in South Dakota that provides recruitment assistance for rural healthcare facilities.

This document is the application for obtaining a license to practice optometry in the state of South Dakota.

This document is for applying to the Preceptor Program in South Dakota.

This document is for applying for a license as a chiropractic assistant in the state of South Dakota.

This document is used as evidence of birth in the state of South Dakota. It is required for various purposes such as obtaining identification, establishing citizenship, and applying for government benefits.