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Patient Resources

Our Secure Patient Portal Log-in Below:

 

You may print and fill out these forms to help speed up your check-in time at your next appointment.

                Patient Information Form
                Download

                Medical History Form
                Download

 

 



Please click here to view our patient information book.

 


Medical Records Release Form:
If you would like a copy of your records or need a copy sent to a doctor's office, please fill out this form and return to the Eye Institute.
Download
 

Financial Policy for Patients
Please take a moment to review our Financial Policy. If you have any questions please cal  605-341-2000
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Eye Institute Map:
Use this map if you need directions to the Black Hills Regional Eye Institute.
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Hotel Listing:
Many hotels in Rapid City provide medical discounts for our patients. Please review this form for participating hotels.
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HIPAA Policy:
This form outlines the HIPAA Policy at Black Hills Regional Eye Institute.
Download