Lynne A. Valenti
Cabinet Secretary

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditCPS-522Request for PaymentDelete
1EditBH-08Mental Health - IMPACT ApplicationDelete
1EditPAPrior Authorization Forms: Genetic Testing Delete
1EditSE-415Petition for Modification FormDelete
1EditBH-03102a Hardship Considerations Delete
1EditPAPrior Authorization Forms: Applied Behavior Analysis TherapyDelete
1EditCCS-964Child Care Declaration of Prior Criminal Conviction and Military HistoryDelete
1EditBRO/MS3Well-Child Care BrochureDelete
1EditBH-11eAdult MH Update Outcome ToolDelete
1EditEAWeatherization ApplicationDelete
1EditPosterConstituent Liaison Services PosterDelete
1EditCPS-500Newborn Medical Report for Voluntary Termination of Parental RightsDelete
1EditCPSPlacement Resource Monthly Reporting Form Ages 0-4Delete
1EditBRO/CPS11Central Registry of Child Abuse & NeglectDelete
1EditEA-208Authorization to Furnish / Release InformationDelete
1EditBRO/CPS2Common Sense Parenting BrochureDelete
1EditBRO/CPS9Adoption Subsidy HandbookDelete
1EditMS-146Sterilization Consent FormDelete
1EditCCSElectronic Payment ExemptionsDelete
1EditBH-09aIndigent Medication Update-Extension ApplicationDelete
1EditCCS-964Child Care Declaration of Prior Criminal Conviction and Military HistoryDelete
1EditPosterCHIP PosterDelete
1EditBRO/EACommunity Action Agency HandoutDelete
1EditMISC/BH1South Dakota Community Mental Health Center FlyerDelete
1EditFSSAChildren and Family Medical Assistance ApplicationDelete
1EditBRO/CPS1Child Protection Services BookletDelete