Lynne A. Valenti
Cabinet Secretary

DSS Mobile Logo Mobile Menu Button

Aging & Disability Resource Connections Information for Organizations, Agencies, Providers

Inclusion/Exclusion Policy

The purpose of the Inclusion/Exclusion policy is to clearly define the types of entities, i.e., providers, agencies, organizations, and resources that are included/excluded for listing in the Aging and Disability Resource Connections (ADRC) Resource Directory.

Please read the policy before submitting your information.

Request for Inclusion Form

By completing the Request for Inclusion form, you will be submitting information on the services your agency provides for consideration to be included in the Resource Directory.

Please note the following before submitting your information.

  • If you operate multiple sites or provide multiple services, complete a separate form for each site and service (program) that will be listed (separately) in the ADRC Resource Directory.  Make duplicates of the form, as necessary.
  • Complete the form in its entirety with accurate information.
  • Be as detailed as possible in the “Description of Services" section.

  • You can submit the form in various ways:
    1. Print and mail the form to:
      1. South Dakota Department of Social Services
        Aging and Disability Resource Connections
        700 Governors Drive, Pierre, SD 57501
    2. Send via email by clicking the "send electronically" at the end of the form. The form will then be sent to the email address.
    3. Fax the form to: 605-773-4085.