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Below you will find the selected forms and/or publications for this order. You will need to indicate the quantity you want to receive in the box next to the document number. After you have entered the quantity, click "Update" in the previous box. If you wish to remove a form or publication, simply click on the link that states "Delete." Once you have entered the quantity for each form or publication, click the "Proceed" button at the bottom.

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditMS-100Recipient Forms: HIPAA Privacy Consent FormDelete
1EditCPS 21NFoster Care Myths & Facts (Native American Theme)Delete
1EditEA-347Application for Social Security NumberDelete
1EditEA 04TANF BrochureDelete
1EditPA-104Prior Authorization Forms: Private Duty Nursing & Extended Home Health ServicesDelete
1EditBHAO13AVOID OPIOID - Statewide Drop-Off Site PostcardsDelete
1EditEA-297Energy Assistance ApplicationDelete
1EditDCS 03Income & Wage Withholding BrochureDelete
1EditEA-320Self-Employment LedgerDelete
1EditMS 10Medicaid Pregnancy HandbookDelete
1EditMS-146Sterilization Consent FormDelete
1EditCPS 11Central Registry BrochureDelete
1EditEA-301SNAP ApplicationDelete
1EditCPS-506Foster/Adoptive Parent Health ReportDelete
1EditBHAO01AVOID OPIOID - How to Use Naloxone BrochureDelete
1EditEA-208Authorization to Furnish / Release InformationDelete
1EditEA 15Emergency Services for SD FlyerDelete
1EditMS 18Constituent Liaison Services PosterDelete
1EditCPS 01Child Protection Services BookletDelete
1EditBHAO16AVOID OPIOD - Naloxone PostcardDelete
1EditCPS 04Mandatory Reporting BrochureDelete
1EditCPS 04Mandatory Reporting BrochureDelete
1EditCPS 11Central Registry BrochureDelete
1EditCPS 11Central Registry BrochureDelete
1EditCPS-504Present Danger PlanDelete
1EditCPS-504Present Danger PlanDelete
1EditDSS 03Administrative Hearings BrochureDelete
1EditDSS 03Administrative Hearings BrochureDelete
1EditSE-405Application for Income Withholding Only ServiceDelete
1EditCPS 09Adoption Subsidy Program Delete
1EditCPS 09Adoption Subsidy Program Delete
1EditEA-307SNAP Exit FormDelete
1EditCPS 19Foster Care BrochureDelete
1EditCPS 19Foster Care BrochureDelete
1EditCPS 19NFoster Care Brochure (Native American Theme)Delete
1EditCPS 19NFoster Care Brochure (Native American Theme)Delete
1EditCPS 20Foster Care RealitiesDelete
1EditCPS 20Foster Care RealitiesDelete
1EditCPS 20NFoster Care Realities (Native American Theme)Delete
1EditCPS 20NFoster Care Realities (Native American Theme)Delete
1EditCPS 21Foster Care Myths & FactsDelete
1EditCPS 21Foster Care Myths & FactsDelete
1EditCPS 21NFoster Care Myths & Facts (Native American Theme)Delete
1EditCPS 21NFoster Care Myths & Facts (Native American Theme)Delete
1EditBH 02Mental Health Services BrochureDelete
1EditBH 02Mental Health Services BrochureDelete
1EditBH 04Substance Use Disorder Involuntary Commitment ProcessDelete
1EditBH 04Substance Use Disorder Involuntary Commitment ProcessDelete
1EditBH 05Intensive Methamphetamine Treatment ServicesDelete
1EditBH 05Intensive Methamphetamine Treatment ServicesDelete
1EditBH 10South Dakota Community Mental Health Center FlyerDelete
1EditBH 10South Dakota Community Mental Health Center FlyerDelete
1EditMS 02Provider Selection Rack CardDelete
1EditBH 11Supported Housing FlyerDelete
1EditBH 11Supported Housing FlyerDelete
1EditBH 12Substance Use Disorder Services FlyerDelete
1EditBH 12Substance Use Disorder Services FlyerDelete
1EditBH 13Juvenile Justice Reinvestment Initiative FlyerDelete
1EditBH 13Juvenile Justice Reinvestment Initiative FlyerDelete
1EditBH 14Substance Use Prevention Services FlyerDelete
1EditBH 14Substance Use Prevention Services FlyerDelete
1EditBH 15Criminal Justice Initiative FlyerDelete
1EditBH 15Criminal Justice Initiative FlyerDelete
1EditBH 16Pregnancy Alcohol FlyerDelete
1EditBH 16Pregnancy Alcohol FlyerDelete
1EditBHAO01AVOID OPIOID - How to Use Naloxone BrochureDelete
1EditBHAO01AVOID OPIOID - How to Use Naloxone BrochureDelete
1EditBHAO04AVOID OPIOID - BookletDelete
1EditBHAO04AVOID OPIOID - BookletDelete
1EditBHAO05AVOID OPIOID - Referral CardDelete
1EditBHAO05AVOID OPIOID - Referral CardDelete
1EditBHAO07AVOID OPIOID - Trifold Pocket CardDelete
1EditBHAO07AVOID OPIOID - Trifold Pocket CardDelete
1EditBHAO08AVOID OPIOID - Care Coordination Business CardsDelete
1EditBHAO08AVOID OPIOID - Care Coordination Business CardsDelete
1EditBHAO09AVOID OPIOID - Care Coordination BrochureDelete
1EditBHAO09AVOID OPIOID - Care Coordination BrochureDelete
1EditEA-320Self-Employment LedgerDelete