If you receive an application or associated forms from a source other than directly from this office or its official web site, the documents may be outdated or not official versions. Application forms will be rejected if not on the current version.
Initial Application Process
Please note that an initial license will vary in duration dependant upon its issuance date. This initial license will expire on May 1. It is the responsibility of all licensees to renew their license before May 1. Failure to renew by May 1 shall result in automatic suspension of the license by statute. Licenses which have suspended are not automatically entitled to renew.
Please Note:
- There are more requirements beyond simply completing the application. After the application is reviewed, you will receive instructions as to what additional verifications will be required.
- Additional
Applicant Requirements: once the application is reviewed, you
will receive instructions in writing.
- Personal Appearance at Board Discretion
If you receive an error opening these forms you may need to update a program on your computer called Adobe Reader. You can update this program by clicking here: UPDATE READER
Physician Assistant License
- Physician Assistant Application Form (PDF Download); submit with fee
- After the application is reviewed, you will receive instructions as to what additional verifications will be required
Physician Assistant Temporary License *
- Physician Assistant Temporary License Application Form (PDF Download); submit with fee
- After the application is reviewed, you will receive instructions as to what additional verifications will be required
* ONLY for: 1) Graduated students waiting to take their NCCPA exam for the first time, or 2) those graduates who are waiting for those results. (Once PANCE results are received the temporary license is null and void.)
Supervision (Required at all times)
- Supervision by MD/DO is required at all times under SDCL §36-4A
Courtesy Link (not a requirement of licensure):
South Dakota Controlled Substance Registration - mail to address indicated on the form, not the Board office.