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South Dakota Hearing Aid Assistance Program Application Form South Dakota Department of Human Services, Division of Rehabilitation Services Personal Information Name: ___Date of Birth:___Gender: Male___
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The South Dakota hearing aid document is a form used for reporting information related to hearing aids in the state of South Dakota.
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To fill out the South Dakota hearing aid form, you need to provide information about the hearing aid being dispensed, as well as information about the dispenser and the person receiving the hearing aid.
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The purpose of the South Dakota hearing aid form is to ensure that accurate information about hearing aids being dispensed in the state is reported and recorded.
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Information such as the make and model of the hearing aid, the dispensing fee, and the name of the individual receiving the hearing aid must be reported on the South Dakota hearing aid form.
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