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 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.
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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

Eye Institute Map

Hotel Listing

HIPAA Policy

Notice of Medical Information Privacy Rights

Rapid City Hotel Listing

Eye Institute Map

Where We Are