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Referring Doctors Forms

Fax Referral Form for OD:
If you are an optometrist and are referring a patient to the Black Hills Regional Eye Institute, please complete this form and fax to the Eye Institute.
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Diagnostic Testing Form:
If you are a doctor's office referring a patient for a diagnostic test at the Black Hills Regional Eye Institute, please use this form.
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PRK Post-op Form:
If you are a doctor's office caring for a PRK patient from the Black Hills Regional Eye Institute, please use this PRK post-op form.
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Cataract Post-op Form:
If you are a doctor's office caring for a cataract patient from the Black Hills Regional Eye Institute, please use this cataract post-op form.
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LASIK Post-op Form:
If you are a doctor's office caring for a LASIK patient from the Black Hills Regional Eye Institute, please use this LASIK post-op form.
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LASIK Pre-op Form:
If you are a doctor's office caring for a LASIK patient from the Black Hills Regional Eye Institute, please use this pre-op form.
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