Referring Providers

Check-in frequently for information on the upcoming 2022 Continuing Education Program coming this February!



To receive updates please send your current e-mail to Riann Reurink at liaison@bhrei.com or call 605-719-3162


Clinical Trials Currently Enrolling Patients

Click Here to View  Dr. Bergman, 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:

Download

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:

Download

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

Marketing Director & Optometric Liasion

| 605-719-3162  |  liaison@bhrei.com

Please contact if you need forms, books, maps, or any other information regarding the Eye Institute.