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WEBSITE OF THE STATE OF SOUTH DAKOTA DEPARTMENT OF HEALTH
Doneen Hollingsworth, Secretary of Health

South Dakota Board of Nursing

Name Change

Printable Name and/or Address Change Form

Registered Nurse
Licensed Practical Nurse
Advanced Practice Nurse: CNM, CNP, CNS, CRNA

Thank you for informing us of your name change.  To effect the change in your records, please submit the following to the Board of Nursing:

  1. A copy of the legal instrument that makes the change effective, i.e., marriage license, divorce decree, etc.
  2. Your current license renewal certificate or your inactive status card (not a copy).
  3. A fee of $10.

Once these items are received, we can complete the name change on your records and will issue current documentation of licensure in your new name.  Until your records are updated, you must continue to use your former name in relation to your nursing license(s).  To use any other name is a violation of law.

The Board cannot change a name to reflect nicknames, drop letters from your name, or remove a maiden name.  Your full legal name identifies you and is used to distinguish you from other licensees. 

If you have further questions, please feel free to contact the South Dakota Board of Nursing; when you do, it is helpful if you use both your former and your new names.