Patient Resources

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FORMS

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

Patient Information Form

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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

Fill Form OnlineDownload Form

Location Maps

Rapid City Clinic & Surgical Location Map
Chadron Clinic Location Map
Pierre Clinic Location Map
Gillette Clinic Location Map
Gillette Surgical Location Map
Lead/Deadwood Surgical Location Map
Spearfish Surgical Location Map

Policy List

HIPAA Policy
Notice of Medical Information Disclosure
Patients Bill Of Rights
COVID-19 Policy
Financial Policy
Nondiscrimination Notice
Patient Financial Disclaimer