Get Sd Doh Trauma Program 2010-2026

This guide provides a comprehensive overview of completing the South Dakota Department of Health Trauma Program application form online. Following these instructions will help ensure that you submit a complete and accurate application.

Follow the steps to successfully complete the application form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date of application in the designated field. Make sure to use the current date to avoid any potential issues with your submission.
3. Select the level you are applying for by choosing one of the options: TTH (ACS I), RTH (ACS II), or ATH (ACS III). Ensure that you accurately identify your application type to align with the requirements.
4. Fill in the name of the hospital in the provided field, followed by the full address, including city, state, and zip code. This information should reflect the official address of the applying institution.
5. Designate the trauma coordinator or nurse leader by entering their name in the appropriate field. This is an essential requirement, so ensure the correct individual is listed.
6. Complete the phone number and e-mail address fields for the trauma coordinator or nurse leader, ensuring that they are current and valid for communication purposes.
7. Provide the name of the trauma registrar in the designated section, if applicable, to ensure that all necessary parties are involved in the application process.
8. Before submission, attach a copy of the current American College of Surgeons trauma level verification certificate, as this is a requirement for all applications.
9. Once all fields have been completed and reviewed for accuracy, you may save changes, download, print, or share the form as necessary.

Complete your SD DoH Trauma Program application online today for an efficient and streamlined process.