South Dakota Department of Health Forms

This document is for applying for continuing education in South Dakota. It is used to request approval for educational programs and courses to meet professional development requirements.

This Form is used for filing a formal complaint in South Dakota.

This document is for providing information about the Review Committee for the SDCPR Form 200 (SD Form 0103) in South Dakota.

This form is used for applying for a license to practice fitting and selling hearing aids in South Dakota.

This document is used for a sponsor in South Dakota to provide a sworn statement about their financial support for an individual applying for a visa or immigration status.

This document is used for applying for a license to practice audiology in South Dakota.

This document is used for verifying completion of a supervised practicum in South Dakota when certification from the American Speech-Language-Hearing Association (ASHA) has not been obtained.

This document is used for verifying audiology licensure in South Dakota for individuals licensed in other states.

This document is used for supervisors in South Dakota to provide a sworn statement regarding certain conditions or events.

This document is for renewing an application in South Dakota.

This document is for the purpose of providing a statement regarding the supervision of a provisional hearing aid dispenser licensee in South Dakota.

This type of document outlines the daily activities needed to maintain equipment and facilities in South Dakota on a regular basis to prevent breakdowns and ensure optimal performance.

This document outlines the routine maintenance tasks that need to be performed every quarter in South Dakota. It includes information on the specific activities and guidelines to ensure optimal functionality and longevity of equipment and infrastructure.

This document outlines the monthly preventative maintenance activities required in South Dakota. It provides a checklist of tasks to be performed to ensure the upkeep of various systems and equipment.

This type of document outlines the activities involved in preventative maintenance in South Dakota. It provides guidelines for regular inspections, repairs, and upkeep to prevent equipment breakdowns and ensure optimal performance.

This type of document is used to request or authorize work to be done in South Dakota. It typically includes details such as the scope of work, schedule, and cost estimates.

This document outlines the quarterly housekeeping activities that should be performed in South Dakota. It provides a checklist of tasks to keep your home clean and well-maintained throughout the year.

This document provides a guide for weekly housekeeping activities in South Dakota. It includes information on tasks such as cleaning, organizing, and maintaining a clean and tidy home.

This document is for student midwives in South Dakota who are applying for a provisional license and need to establish a preceptor agreement.

This form is used for applying for a South Dakota Certified Professional Midwife license in South Dakota.

This form is used for transporting newborns in the state of South Dakota.

This form is used for applying for inactive status in South Dakota.

This form is used to document the transfer of a pregnant woman from one medical facility to another in South Dakota.

This document is an application for obtaining a student license for certified professional midwives in South Dakota. It is used by individuals who wish to pursue a career in midwifery and need a license for their training.

This document is for certified professional midwives in South Dakota who need to renew their license.

This form is used for completing the birth certificate in South Dakota. It provides a worksheet for certifiers to gather and record necessary information for the certificate.

This Form is used for filing complaints against certified professional midwives in South Dakota.

This form is used to gather information from a facility located in South Dakota.

This form is used for submitting an annual report for J-1 Visa Waiver program participants in South Dakota.

This document is a monthly report that outlines the progress and activities of an administrator-in-training program in South Dakota.

This document is for individuals completing their training to become administrators in South Dakota. It serves as proof of completion for administrative training.

This Form is used for registering for examinations in the state of South Dakota.

This document is used to request a verification letter from the state of South Dakota. It can be used for various purposes such as confirming residency or employment.

This Form is used for applying for inactive status of a license in South Dakota. It allows individuals to temporarily suspend their professional license without losing it.

This document is used for establishing an agreement between a preceptor and an Emergency Administrator in South Dakota. It outlines the duties and responsibilities of both parties during the preceptorship period.

This report provides information on emergency permits in South Dakota.