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Form DHS-CI-2011 Certification of Hearing Impairment for Cochlear Implant Program - South Dakota
What Is Form DHS-CI-2011?
This is a legal form that was released by the South Dakota Department of Human Services - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHS-CI-2011 Certification of Hearing Impairment for Cochlear Implant Program?
A: The DHS-CI-2011 Certification of Hearing Impairment for Cochlear Implant Program is a certification form used in South Dakota for individuals with hearing impairments who are seeking cochlear implants.
Q: Who can use the DHS-CI-2011 Certification of Hearing Impairment for Cochlear Implant Program?
A: Individuals with hearing impairments who are seeking cochlear implants in South Dakota can use this certification form.
Q: What is the purpose of the DHS-CI-2011 Certification of Hearing Impairment for Cochlear Implant Program?
A: The purpose of this program is to certify an individual's eligibility for cochlear implants based on their hearing impairment.
Q: What information is required on the DHS-CI-2011 Certification of Hearing Impairment for Cochlear Implant Program?
A: The form typically requires information about the individual's medical history, hearing test results, and recommendation from a healthcare professional.
Q: Is there a fee for the DHS-CI-2011 Certification of Hearing Impairment for Cochlear Implant Program?
A: The fees associated with this certification program may vary. It is best to check with the relevant South Dakota authorities or healthcare providers for detailed information.
Form Details:
- Released on January 1, 2017;
- The latest edition provided by the South Dakota Department of Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DHS-CI-2011 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Human Services.
Download Form DHS-CI-2011 Certification of Hearing Impairment for Cochlear Implant Program - South Dakota
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