Patient Resources

Our Secure Patient Portal Log-in:
Patient Login
OR  Click Here to Pay My Bill Online


You may print and fill out any of these forms to help speed up your check-in time at your next appointment. Fax 605-341-0278

Please click on the image below to view our patient information book.
Black Hills Regional Eye Institute For Your Information

Patient Information Form


Medical History Form


Release Of  Information Form – Medical Records

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.

Financial Policy for Patients

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

HIPAA Policy

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

Notice of Medical Information Privacy Rights


Patients Bill Of Rights


Rapid City Hotel Listing


Eye Institute Map – Rapid City Location

Eye Institute Map

Scleral Lens Insertion Video