Lynne A. Valenti
Cabinet Secretary

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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
1EditBRO/CPS11Central Registry of Child Abuse & NeglectDelete
1EditRec and FraudEstate Recovery Program Petition for LimitationDelete
1EditMISC/BH1South Dakota Community Mental Health CentersDelete
1EditEA-269Recipient Forms: Child Care Expense Billing InformationDelete
1EditCPS-508Reference Form - Adoption / Foster / Kinship CareDelete
1EditPAPrior Authorization Forms: Out-of State Services Delete
1EditMSHysterectomy Acknowledgement of InformationDelete
1EditBH-19Substance Use Disorder High Intensity Referral FormDelete
1EditMSPharmacy Billing ManualDelete
1EditBH-07Mental Health - Accreditation ApplicationDelete
1EditCPS-533Adoption Registry FormDelete
1EditMSTitle XIX Non-Emergency Transportation Payment Authorization FormDelete
1EditBH-11dAdult MH Initial Outcome ToolDelete
1EditCPS-566Foster Parent EvaluationDelete
1EditCCS-970Child Care Services Request For PaymentDelete
1Edit Recipient Forms: HIPAA Privacy Consent FormDelete
1EditCPSIndependent Living Program Education and Training Voucher Delete