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United States Congressperson for South Dakota, serving since 2019.

Services include pharmacist counseling, medical equipment, diabetes counseling/products/services, Medicare Part D, mail services, and over the counter medications.

Represents the interests of the state in prosecution of adult and juvenile crime and providing legal advice and representation to the county officials, department heads, and staff. The State's Attorney Office cannot represent private parties or give them legal advice.

Provides long-term nursing facility and short-term rehabilitation care with 24/7 personalized nursing care. Services provided include licensed therapies, social and spiritual activities, nutrition program, and care planning. Also provides memory care and outpatient rehabilitation. ​

Provides professional counseling services to adults, couples, and children/teens. Areas of expertise include anger management, addiction, anxiety, ADHD, Bipolar Disorder, chronic illness, Cognitive Behavioral Therapy (CBT), depression, grief, military/Veteran's Issues, OCD, PTSD, and Schizophrenia.

Assists individuals and families with a food pantry and food box. Food Boxes can be picked up every 31 days. Serves a community meal over the lunch hour. Individuals can dine-in or to-go boxes are available.

A weekly support group to help individuals move toward rebuilding their lives following the loss of a spouse, child, family member, or friend. This class features 13 individual lessons/discussions, allowing participants to join at any time.

Providing individualized care for people who have hearing loss. Offers comprehensive hearing assessments to provide the best solutions available to fit the clients needs. This can involve in-home evaluations/follow-up care if necessary. Individuals can choose from an in-office visit with a hearing care provider, RemoteCare, and self-help.

Departments consists of produce, dairy, meat, pantry, frozen food, deli, health & beauty, and general merchandise. Online ordering, grocery delivery, and curbside pickup is available with a Sam's Club membership card.

Investigates deaths that are not clearly due to natural causes, such as sudden, unexpected, or unnatural deaths. Determines the cause and manner of death through investigations, which may include autopsies, scene examinations, and witness interviews. Additionally, identifies the deceased, notifies next of kin, and ensures proper release of personal effects.

Responsible for maintaining and managing the county's road and bridge network, ensuring safe and efficient transportation for residents and visitors. This includes tasks like road construction, pavement rehabilitation, snow and ice removal, bridge maintenance, and traffic control. ​The County Highway Superintendent is appointed to this position by the Board of County Commissioners.

Pharmacy Services include private consultation, medication therapy management services, home and mail delivery, durable medical equipment, medication synchronization, compounding, over the counter medications, and first aid supplies. Pierre location offers immunizations for Flu, Covid-19, RSV, and Shingles. Customers can download the PocketRx app to set medication/refill reminders, refill prescriptions, manage your family's medications, and communicate with pharmacist.

If an Avera patient is having problems paying their medical bill, they can contact the business office at their Avera hospital or clinic. Business office or billing staff can discuss payment options that may be available such as extended payments, government programs, or charity care/patient assistance considerations. ​For those who do not qualify for government programs, Avera's Charity Care and Patient Assistance Programs allows patients to get care at no obligation or discounted obligation, based on income and family size. These programs are available once all other third-party resources (including local assistance programs) are exhausted. To help determine if someone qualifies for Avera's Charity Care and Patient Assistance Programs, Avera: uses income guidelines issued by the U.S. Department of Health and Human Services, considers all financial assets and liabilities, and requires patients to provide certain personal and financial information, including W-2 forms, bank statements, tax returns and pay stubs.

Provides convenient, general aviation access to the Flandreau area. The airport offers a runway, self-service fueling, and quick access to local amenities.

The Victim-Witness Assistance program explains court procedures and terminology, explains and assists with Victim Impact statements, Offers to accompany to court proceedings, Keeps victims up-to-date on status of case, Offer referrals to agencies, Help prepare victims to testify for court or grand jury, Distribute victims' compensation applications, and Works as the link between victims and prosecutors.

Provides equine experiences at Joy Ranch for children and young adults who have been sexually abused.

Services provided by the Division of Child Support include locating noncustodial parents, establishing paternity, establishing or modifying child support and medical support orders, enforcing support orders, enforcing alimony if a child support order is being enforced, and collecting and processing support payments.

ICAP Emergency Services helps with emergency utilities and rent (Not available to those residing in Sioux Falls) for income qualified households. Must meet all requirements. Also offers food pantry vouchers to those who qualify.

Reviews building permit requests and discusses planning and zoning regulations within the City of Beresford.

Licensed to operate 81 acute care hospital beds including Labor and Delivery, Telemetry, Critical Care, and a general hospital. Hospital services also include a 24-hour emergency department, surgery capabilities, Interventional Cardiology, Cardiology, Dermatology, Ear, Nose, & Throat, Nephrology, Pulmonology, Urology, Rehabilitation Services (PT and OT), Wound Care, Orthopedics, and services providing diagnostics and imaging services. -

The County Extension Office is the base of the 4-H Youth Program Advisor. It provides youth development education via the South Dakota 4-H program and other youth enrichment learning experiences at the community level as well as information including fact sheets, feature articles, podcasts, webinars and more is accessible to constituents through website www.igrow.org.

Purpose is to locate, identify, and appraise all taxable property, in accordance with state laws and administrative procedures, while maintaining current information on the ownership and characteristics of property. Prepares and certifies the assessment roll and individual property assessments in accordance with state law. Regulates land use and development within a county, ensuring orderly growth and protecting property values. Issues building permits, 911 addresses, and assist with applications for plats, conditional use permits, and variances.

Pharmacy services include immunizations, prescription refills, health screenings, and a medication disposal drop box. - Medication disposal drop-boxes for expired, unused or unwanted controlled, non-controlled, and over the counter medications, including pet medications. Items that are NOT accepted include: trash, regulated medical waste, sharps, syringes, thermometers, hazardous waste, aerosols, illicit drugs, or commercial waste.

Provides Public Health Nursing and Maternal Child Healthcare Services through various programs. General public health services include professional nursing and nutrition information and guidance on health, safety, and nutrition for individuals, families, and communities. Services such as influenza vaccinations and screenings for blood pressure, hearing, vision, and hemoglobin are available at a fee. Maternal Child Healthcare provides Infant Sleep Safety services, immunizations, and pregnancy support services. Infant Sleep Safety services provide education on infant safe sleep practices and link families to resources when the purchase of a crib is a financial hardship. ​Immunizations services are available for children from birth through age 18 for all universally recommended vaccinations including influenza. The Vaccines for Children's Program provides vaccines for children who are uninsured, have insurance that does not cover vaccinations, are Medicaid eligible, or are Native American or Alaskan Native. For families with insurance coverage, the Department of Health is an in-network provider for Sanford, Avera/Dakotacare, and Blue Cross/Blue Shield. ​Pregnancy Support Services include regular visits with a nurse to share information about pregnancy, to provide assistance in obtaining early and on-going prenatal care from a qualified healthcare provider, and to link women to resources they may need to support a healthy pregnancy. Teaching topics may include: how your body is changing and how your baby is growing; eating healthy and gaining the right amount of weight; warning signs or symptoms that indicate you should contact your doctor; breastfeeding education and support; and caring for you and your baby after delivery. The Watertown location is also able to provide car seats for all ages when the purchase of a car seat is financial hardship.

Services include issuing marriage licenses, maintaining land records, providing vital records such as birth, death, and marriage certificates, and recording all real estate-related documents, including plats, deeds, mortgages, and contracts.