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930 N. 10th Street, Spearfish, SD 57783

Connects people to safe and confidential services related to preventing pregnancy, achieving pregnancy, and assisting to achieve the desired number of children. Also offers STI screening, pregnancy testing, birth control options, and resources to maintain a healthy reproductive system.

2920 Sheridan Lake Road, Rapid City, SD 57702

Birthparent Counseling Program provides options counseling to assist birth parents who are in an unintended/crisis pregnancy in reaching decisions regarding their futures and the future of the child. Services to birth parents are free of charge. Services are available anywhere in South Dakota, LSS can travel to meet with birth parents. ​Parenting and adoption options are explored: If parenting is the decision, the counselor will assist in setting up community resources. If adoption is the decision, the birth parent can choose from adoptive parent profiles, including pictures and information about the family. The birthparent also can choose what degree of openness they want in the adoption plan. LSS does provide both open and closed/confidential adoption. The purpose of this program is to assist birthparents in reaching a permanent plan for themselves and their child. Adoption Program provides options for those desiring to pursue having a family, including Infant Domestic Program and International Adoption Program. Training and Home Study Services are provided prior to placement of a child.

2500 W. 49th Street, Sioux Falls, SD 57109

An independent non-profit Christian agency licensed by the Department of Social Services in the states of Iowa, Minnesota, and South Dakota providing pre- and post-placement counseling, support and services for birth parent(s) and adoptive parent(s), and Hague and non-Hague home study services.

221 Mall Drive, Suite 102, Rapid City, SD 57701

Bright Start pairs first time pregnant women with a personal nurse. The nurse assists the family in meeting goals of improved pregnancy outcomes, improved child health and development, and life, school and work goals. Families may stay enrolled until their child turns two years old. Visits are arranged on a schedule the mother/family chooses.

523 N. Duluth Avenue, Sioux Falls, SD 57104

Available to individuals or couples experiencing an unplanned pregnancy so that abortion is not needed because of financial reasons. Mother Teresa helps with expenses that community/county agencies do not provide assistance with such as rent, utilities, car payments, etc. An application is required and documentation of bills, insurance, and other assistance must be included. This fund is limited.

2407 Broadway Avenue, Calvary Baptist Church, Yankton, SD 57078

A 12-week support group for single/unmarried women with unplanned pregnancies. A baby shower is given at the end of each session.

2101 W. 41st Street, Suite 44, Sioux Falls, SD 57109

For anyone facing an unplanned pregnancy, All About U provides crisis pregnancy counseling, help finding emotional support, help finding necessary resources, emotion support throughout adoption and beyond, if adoption is chosen, emergency transitional housing available, and general case management for resources: connection to prenatal care, housing, food, clothing, addiction, and more. For adoptive families, All About U provides training to help them through the adoption process and prepare them to be an adoptive family, home studies, and on-going support for adoptive families.

103 22nd Avenue, Brookings, SD 57006

Option 1 does not perform or refer for abortions. ​​Each legal, zero-cost appointment includes: abortion Information, medical-grade pregnancy test, limited ultrasound (if applicable), gonorrhea and chlamydia test (with positive pregnancy test), and pregnancy options.

2007 Locust Street, Yankton, SD 57078

ZoeCare seeks to meet the needs of women and men experiencing an unplanned pregnancy through free and confidential pregnancy resources. Services include Pregnancy Testing, Limited Obstetric Ultrasound, Pregnancy Options Counseling, Lactation Counseling, Pregnancy and Parenting Education, Baby Supplies, STI Testing and Treatment, and Abortion Pill Reversal.

745 E. 8th Street, Winner, SD 57580

Connects people to safe and confidential services related to preventing pregnancy, achieving pregnancy, and assisting to achieve the desired number of children. Also offers STI screening, pregnancy testing, birth control options, and resources to maintain a healthy reproductive system.

3409 W. 47th Street, Suite 103, Sioux Falls, SD 57106

Caseworkers work with women who are going through an unplanned pregnancy. Support services are available to clients at no-cost. Includes: options counseling, evidence-based decision making, adoption planning, adoption parent selection, parenting preparedness program & courses, before & after birth support, mental health counseling, Medicaid & WIC applications, transportation assistance, case management, job application & resume writing, help with difficult family or partner communication, community & state resource connection, and referrals related to housing, substance use, and domestic violence.

350 Pine Street, Rapid City, SD 57701

Connects people to safe and confidential services related to preventing pregnancy, achieving pregnancy, and assisting to achieve the desired number of children. Also offers STI screening, pregnancy testing, birth control options, and resources to maintain a healthy reproductive system.

922 22nd Avenue S., Brookings, SD 57006

Connects people to safe and confidential services related to preventing pregnancy, achieving pregnancy, and assisting to achieve the desired number of children. Also offers STI screening, pregnancy testing, birth control options, and resources to maintain a healthy reproductive system.

1530 N. Highway 29, Evangelical Free Church, Watertown, SD 57201

A 12-week support group for single/unmarried women with unplanned pregnancies. A baby shower is given at the end of each session.

621 E. Presentation Street, Sioux Falls, SD 57104

Providing free, confidential pregnancy counseling, options counseling, and adoption services to help with decision making across the state of South Dakota. Pregnancy counseling assists in looking at priorities by helping assess the physical, emotional and financial aspects of both parenting and making an adoption plan. Services are also available via Zoom or phone if necessary.

119 E. Grant Street, Suite 2, Spearfish, SD 57783

Providing confidential and no-cost early pregnancy services including pregnancy testing and limited obstetrical ultrasound. Other services include Confidential peer counseling, emotional support, information and education on pregnancy options, post-abortion help, pregnancy and parenting classes and referrals for community resources.

1774 Centre Street, Ste. 1, Rapid City, SD 57703

A non-profit relief organization that is supported by churches, organizations, local businesses, and individuals. Provides the following services - 24/7 helpline answered by trained advocates, free pregnancy tests and follow-up support, ultrasound and confirmation of pregnancy, diapers, wipes, and other items provided within Earn While You Learn program (until child turns 3), fatherhood program (until child turns 3), referrals to community resources; medical, financial, housing, and adoption, parenting classes - open to anyone pregnant, or with infants or toddlers up to age 3, post abortion support, sexual integrity and abstinence education, and volunteer opportunities at events.

350 Pine Street, Rapid City, SD 57701

Provides care to people of all sexes and gender identities on a sliding fee scale. Confidential birth control services including birth control pills and injections (donations only or sliding scale charge). Physical exams, pap-tests, exams/testing and treatment for sexually transmitted infections (male and female patients including teens), information about all forms of birth control, infertility information and referral, pregnancy diagnosis and referrals.

3220 W. 57th Street, Suite 111, Sioux Falls, SD 57108

Works with clients toward personal growth and healing. Areas of specialty include: anxiety, depression, trauma, abuse history, relationship dysfunction, grief, co-dependence, life adjustment, phobias, post-traumatic stress disorder (PTSD), bipolar disorder, and a host of other issues. Therapeutic interventions include cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), family therapy, solution focused brief therapy, Adlerian therapy, Gestalt techniques, Gottman Method, couples therapy, guided imagery, pain management, anger management, and more. Offering telehealth services. Prefer first session in person.

1314 E. Main Street, Vermillion, SD 57069

ZoeCare seeks to meet the needs of women and men experiencing an unplanned pregnancy through free and confidential pregnancy resources. Services include Pregnancy Testing, Limited Obstetric Ultrasound, Pregnancy Options Counseling, Lactation Counseling, Pregnancy and Parenting Education, Baby Supplies, STI Testing and Treatment, and Abortion Pill Reversal.

825 Main Street, Deadwood, SD 57732

Provides marriage and family counseling, pregnancy counseling, grief counseling, trauma-informed counseling, career counseling, domestic violence/spouse/intimate partner abuse counseling, child abuse survivor counseling, parent counseling, and telemental health.

2002 5th Street, Rapid City, SD 57701

A crisis pregnancy center guided by the principle that it is the right of every pregnant woman to give birth and the right of every child to be born. Birthright offers f​ree and confidential pregnancy tests, emotional support, referrals for legal, medical, and educational information within the community, prenatal information, maternity and baby clothes, newborn layettes, diapers (available based on donations and usually only newborn/infant sizes), and formula/baby food (available based on donations).

6511 W. 41st Street, Sioux Falls, SD 57106

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.