Referring Providers
2021 Continuing Education Program
We will not be offering our program this year due to Covid-19.
To receive updates please send your current e-mail to liaison@bhrei.com or call us at 605-719-3162
Clinical Trials Enrolling Patients
Click Here to View Khachikian & Jorgensen Studies
Click Here to View Dr. Abraham Studies
Referring Doctor Forms
Fax Referral Form for OD:
If you are an optometrist and are referring a patient to the Black Hills Regional Eye Institute, please complete this form and fax to the Eye Institute.
Download
Retina Detachment Form:
Diagnostic Testing Form:
Diagnostic Testing Form:
If you are a doctor’s office referring a patient for a diagnostic test at the Black Hills Regional Eye Institute, please use this form.
Download
Cataract Post-op Form:
If you are a doctor’s office caring for a cataract patient from the Black Hills Regional Eye Institute, please use this cataract post-op form.
Download
Laser Vision Pre-Op Form:
If you are a doctor’s office caring for a LASIK patient from the Black Hills Regional Eye Institute, please use this pre-op form.
Download
Laser Vision Post-Op Form:
If you are a doctor’s office caring for a LASIK patient from the Black Hills Regional Eye Institute, please use this LASIK post-op form.
Download
Hotel Listing:
Location Maps
Rapid City Clinic 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
Liaison Contact Information
Riann Reurink | 605-719-3162 | liaison@bhrei.com
Please contact if you need forms, books, maps, or any other information regarding the Eye Institute.
