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Specializing in comprehensive psychiatric medication management. Provides ADHD treatment, adult, child and adolescent psychiatry and counseling.

Specialty care include: Audiology, Home Based Primary Care, Lab, Mental Health, Pharmacy clinical services, Physical Therapy, Primary Care, Social Work, and Nutrition. The following programs and specialty care are available by telehealth: Cardiology, Occupational Therapy, Chronic Health Management, Oncology, Dermatology, Orthopedics, Diabetes Management, Pain Management, Endocrinology, Pharmacy Services, Gastroenterology, Prosthetics/Orthotics, Genomic Medicine, Psychiatry, Infectious Disease, Pulmonary, Mental Health, Surgery (pre-op), Nephrology, Low Vision, Neurology, Urology, and Wound Care.​

Provides mental health therapy via telehealth services for individuals, couples, and adolescents. Areas of specialty include anxiety, depression, trauma, relationship challenges, and LGBTQ+ empowerment. Sessions are tailored to meet clients personal needs in a secure, confidential, and convenient virtual environment.

Provides assistance for students Pre-Kindergarten - 12th grade in the Lead/Deadwood School District and homeschool students to obtain new clothing to start the school year. Those in Pre-Kindergarten - 4th grade will receive a budget of $60.00 each. 5th grade - 12th grade will receive a budget of $75.00 each. Registration is online only Saturday, May 31 - Saturday, July 25, 2026. Students that sign up on or before Tuesday, July 7th 2026 will receive a free (Golddiggers) sweatshirt. Students who have registered will shop during scheduled times at Spearfish Walmart. Shopping days will be Wednesday, August 19 and Thursday, August 20, 2026 (after Sturgis Rally).

Offering a wide variety of outpatient physical therapy services including: orthopedics, spine care, sports medicine, headaches, TMJ management, dry needling, post-surgical rehab, aquatic therapy, hand therapy, chronic pain, amputee rehab, women's health, pediatric physical therapy, accidents & injuries, kinesiotaping, custom orthotics, and vestibular rehabilitation. Also offers virtual sessions for those who are not able to make it into the clinic.

Offers over 30 specialties including: child abuse, pediatric genetics, cardiology, critical care, developmental, emergency medicine, endocrinology, gastroenterology, hospitalist, hematology and oncology, infectious disease, neonatology, nephrology, neurology, orthopedics, palliative care, psychiatry, psychology, pulmonology, radiology, rehabilitation, rheumatology, sleep medicine, surgery, and urology. Also provides CHILD services, genetic counseling, immunizations, diabetes education, nutrition, and travel medicine.

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.

A food pantry that consists of non-perishable food items and personal hygiene items.

Providing services and resources for Houseless Relatives including mail distribution to receive mail and packages once an individual completes a mail registration form, a Clothing Closet with essential clothing and personal items when available, daily access to Showers & Laundry (on a first-come, first-served basis), daily meal, food bags, and a Resource Center with computer and phone access for job applications, housing applications, and other resources. Housing Resources is an access point for Coordinated Entry.

Provides the following services - Advocacy: Teaches people with disabilities the skills needed to advocate for themselves. Independent Living Skills: Provides hands-on training in daily-living skills including cooking, budgeting, organizing, and more. Information and referral: Connects people with resources which can provide needed information to assist individuals to live independently. Peer counseling: Provides opportunities for people with disabilities to engage with others in small or large groups or on an individual basis. Transition: Facilitates the transition of individuals with disabilities from a nursing home to independent living; providing prevention services to individuals who choose to live independently and not in a nursing home or assisted-living setting; and assisting youth to gain skills as they transition into adulthood. Community Living Services: Assists individuals in obtaining accessible, affordable housing, transportation, and other community living services. Home Modifications Adaptive Devices: Provides home modifications and adaptive devices, which could include ramps, lift chairs, bathroom modifications, reachers, canes, walkers and more. Telecommunication Adaptive Devices: Provides adapted telecommunication services, which includes an emergency phone dialer. American's with Disabilities Act: Serves as educators and consultants for contractors, businesses, organizations, and individuals regarding the American with Disabilities Act (ADA) and its guidelines and requirements. Assistive Daily Living Services: Provides services for people ages 18 and older, with physical disabilities affecting all four limbs, who need assistance with daily living activities. Services include program education and support and personal attendant services. Home Again South Dakota: Provides options for older adults and/or people with disabilities living in nursing homes, hospitals, or long-term care facilities to enable them to successfully return to their homes and communities. Helps individuals identify barriers to living on their own, helps them find a place to live that meets their needs, and helps them find the services and supports they need to continue living independently.

A one-time a month food pantry, managed by The Treasure Hut and supported by St. Anthony's Parish.

Medical assistance programs include: ​Children's Health Insurance Program (CHIP): Coverage includes such things as doctor, hospital, prescription drugs, counseling, dental and glasses. Insurance for children up to age 19 at no cost to the family if the income is below certain income levels found on the Federal Poverty Guidelines. If the family income is below 140%, the children may be eligible with or without private health insurance. If there is insurance, CHIP will pay the deductibles, co-insurance, and possibly some medical services not covered by the private insurance. ​Medicaid: Health care coverage for people who qualify. To be eligible for Medicaid, individuals must fall into a coverage group and meet certain financial and non-financial eligibility criteria. Provides help for older adults and people with disabilities.

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 and Sisseton locations are also able to provide car seats for all ages at no cost.

Food pantry available to those in need up to 1 time per month. Tuesdays are designed for elders to visit the pantry by a basis of need.

Free and confidential pregnancy tests, emotional support, maternity and baby clothing, diapers size 1-3, and community resource referrals.

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 and Sisseton locations are also able to provide car seats for all ages at no cost.

The Ready to Start program is for children who are eligible for kindergarten but have not had access to pre-kindergarten services or have demonstrated a need for additional services prior to their first day of school. That may include children who were on the Head Start waiting list, who tested below basic skills on their kindergarten screening, or who may not be ready developmentally for kindergarten but will enroll due to cost savings associated with childcare. Ready to Start runs four half days per week for five weeks just prior to the start of the school year. Ready to Start classrooms include 15 students with one teacher and one assistant. Because consistent attendance is critical for the children, transportation is provided.

Provides individual and family counseling for adolescents and adults. Areas of specialty include depression, anxiety, mood disorders, trauma, grief and loss, divorce adjustments, life transitions, postpartum depression, parent/ adolescent conflict management, stress management and relaxation training, acute and chronic medical conditions, and life adjustments due to medical conditions, especially in area of Type 1 Diabetes.

Rural Office of Community Services, Inc offers the following basic needs services:

• Emergency Rental Assistance

Must be behind (i.e.: if rent is due on the 5th, come for assistance after the 5th). Eviction notice is not required, however, there will be a form the landlord needs to complete the verify rent is past due.

• Emergency Utility Assistance

Must be behind AND have disconnection notice. Employment Program Food Vouchers Homeless Prevention and Rapid Re-Housing Public Transportation Pass Program

• Security deposit or first months rent

Can help with one or the other, but not both School supply vouchers (income qualifications apply, children K-12) Weatherization See website for details and application information.

Offers the following services: primary care, birth control, morning-after pill (emergency contraception), breast and chest exams including mammogram referrals if necessary, HIV testing, LGBTQ Services, men's health care, pregnancy testing and services, STD testing/treatment/vaccines, women's health care, gender affirming hormone therapy (GAHT), HPV vaccinations, Hepatitis B vaccinations, and Flu shots. Telehealth visits are available on Tuesdays for some of these services.

Individual and couple counseling. Treatment of depression, anxiety, bipolar disorder, mood disorders, stress management, life transitions, health problems, aging, boundaries, self-esteem, coping skills and grief. Telehealth is available for existing clients. A brief phone interview would be necessary to determine if new patients would be eligible for telehealth services.

The United Methodist Church of Madison has a long-standing tradition of a free community meal every Monday night. This meal is open to all.

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.

The county is a resource of last resort, available only after all other resources have been exhausted. Any applicant who receives assistance will have a lien filed in their name for that amount and will be responsible for repayment of that lien to the County. Requests for assistance with:

• Rent/Deposit

Partial assistance with the current month's rent. Rental deposits are limited to the availability of grant funds.

• Mortgage

Partial assistance of one month's payment if applicant meets program qualifications.

• Utilities

Partial assistance with past due bills for water, electric, natural gas and propane usage. Additional utility charges and fees limited to the availability of grant funds.

• Transportation Costs

Assistance with bus passes or gasoline for verifiable medical appointments or new employment.

• Medical

Assistance may include emergency prescription medications, specialty physician services, hospitalizations, and insurance premiums. Services may require prior approval.

• Burial or Cremation

Pennington County residents without resources or family members to assist.

Provides services for individual, couples, children, and family counseling as well as anger evaluations, and anger management. Committed to helping people who are experiencing emotional, psychological, personal, or family problems to increase hope and fulfill their treatment goals for a better life.