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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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When entering the number of copies - use only numbers, no commas. Max number of copies is 99.

CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditEA-265Request for Long-Term Care or Home Community Based Services Waiver AssistanceDelete
1EditMS 15Well Visit PosterDelete
1EditCPS 19NFoster Care Brochure (Native American Theme)Delete
1EditBH 10South Dakota Community Mental Health Center FlyerDelete
1EditEA 14CHIP Rack CardDelete
1EditEA-320Self-Employment LedgerDelete
1EditCPS 14Young Voices HandbookDelete
1EditEA-240Application for Resource Assessment, Long Term Care or Related Medical AssistanceDelete
1EditCPS 13Young Voices BrochureDelete
1EditDCS 06Voluntary Paternity Establishment Handbook and FormDelete
1EditEA 16Medical Assistance for Children and Families: IHS SpecificDelete
1Edit-To Order Let’s Be Clear MaterialsDelete
1EditMS 02Provider Selection Rack CardDelete
1EditEA 18Long-Term Care Partnership BrochureDelete
1EditDSS 06Discrimination Complaint BrochureDelete
1EditMS 26BabyReady PosterDelete