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Non-Physician Online Account Request Form
Completing and submitting this form is the first step in the process. You will soon receive an email with your "Username" and "Password" and instructions so that you may login to the Board's website to submit the online application. Please note these forms are processed in the order received and may take up to 7 business days.
An online "to-do-list" is created after review of your submitted application.
South Dakota Administrative Rules 20:78:03:02 and 20:78:03:03 require that your application process be completed within 120 days from the date that you submitted your application. You will be informed by email if you are approaching the 120 day limit for application completion.