Intake Form

Welcome! Thank you for considering Disability Rights South Dakota for your service needs related to a disability. To ensure we can assist you promptly, please complete and submit this form.

For further assistance or if you prefer not to fill out the form, you can reach our office at 1-800-658-4782 and request to speak with an Intake Specialist.

If you’re reaching out on behalf of someone else with a disability, such as a minor child, guardian, or authorized representative, please be prepared to have them contact us directly.

We appreciate your cooperation and look forward to supporting you. Please note that responses are provided in English.