Initial Application Forms
Most application forms are currently available on the DHS Forms website. Use the numbers provided below to find the forms:
- License Application, SDS 0654
- Application Instruction Sheet, SDS 0654i
- Foster Home Medicaid Provider Enrollment Agreement, SDS 0738
- Plan of Daily Operation, SDS 0656
- Consent for Release of Information, SDS 4533A
- AFH Financial Information, SDS 0448A
The following forms are also required, but they are not currently available on the DHS Forms website. You can download them here.