<html> <head> <title>Rule 44:05:06:03 Disposition of form.</title> <META NAME="Keywords" Content="Administrative Rules 44:05:06:03"> <META NAME="Description" Content="Administrative Rules 44:05:06:03 Disposition of form."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin-top:0in; margin-right:0in; margin-bottom:10.0pt; margin-left:0in; line-height:115%; font-size:11.0pt; font-family:"Calibri","sans-serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal;punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><a name="_GoBack"></a><span style='font-size:12.0pt; font-family:"Times","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>44:05:06:03.&nbsp;&nbsp;Disposition of form.</b> The standard form shall be in triplicate and be distributed as follows:</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal;punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><span style='font-size:12.0pt;font-family:"Times","serif"'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal;punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><span style='font-size:12.0pt;font-family:"Times","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;The original shall be kept by the person named on the form;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal;punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><span style='font-size:12.0pt;font-family:"Times","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;The first copy shall be maintained by the physician, physician assistant, or nurse practitioner signing the form; and</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal;punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><span style='font-size:12.0pt;font-family:"Times","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;The second copy shall be mailed to the department by the physician, physician assistant, or nurse practitioner signing the form.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal;punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><span style='font-size:12.0pt;font-family:"Times","serif"'>&nbsp;</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal;punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><span style='font-size:12.0pt;font-family:"Times","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 32 SDR 38, effective September 5, 2005; 41 SDR 218, effective July 1, 2015.</span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal;punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><span style='font-size:12.0pt;font-family:"Times","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12F-3">34-12F-3.</A></span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal;punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><span style='font-size:12.0pt;font-family:"Times","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12F-3">34-12F-3.</A></span></p> <p class=MsoNormal style='margin-bottom:0in;margin-bottom:.0001pt;text-align: justify;line-height:normal;punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><span style='font-size:12.0pt;font-family:"Times","serif"'>&nbsp;</span></p> </div> </body> </html>