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