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.

Please click on the image below to view our patient information book.

Patient Information Form

Medical History Form

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.
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Financial Policy for Patients

Please take a moment to review our Financial Policy. If you have any questions please call 605-341-2000
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HIPAA Policy

This form outlines the HIPAA Policy at Black Hills Regional Eye Institute.
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Patient Resources

Please click on the image below to view our patient information book.

Patient Information Form

Medical History Form

Medical Records Release Form

Financial Policy for Patients

HIPAA Policy

Notice of Medical Information Privacy Rights

Patients Bill Of Rights

Rapid City Hotel Listing

Eye Institute Map – Rapid City Location

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