| 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. |
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| PRK Post-op Form | If you are a doctor's office caring for a PRK patient from the Black Hills Regional Eye Institute, please use this PRK post-op form. |
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| LASIK 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. |
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| LASIK 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. |
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| 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. |
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| Hotel Listing | Many hotels in Rapid City provide medical discounts for our patients. Please review this form for participating hotels. |
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| LASIK Patient Form | If you are a new LASIK patient at the Black Hills Regional Eye Institute, please fill out this form and bring it to your first appointment. |
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| Fax Referral Form for MD | If you are a physician and are referring a patient to the Black Hills Regional Eye Institute, please complete this form and fax to the Eye Institute. |
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| 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. |
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| Eye Institute Map | Use this map if you need directions to the Black Hills Regional Eye Institute. |
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| HIPPA Policy | This form outlines the HIPPA Policy at Black Hills Regional Eye Institute. |
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| Patient Registration Form | If you are a new patient to the Black Hills Regional Eye Institute, please complete this registration form and bring it with you to your first appointment. |
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| Patient History Questionnaire | If you are a new patient at the Black Hills Regional Eye Institute, please complete this medical history questionnaire and bring it with you to your first appointment. |
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| Eye Institute Information | This form includes general information about the Eye Institute including medical staff, doctor services, hours, appointments, policies, fees, insurance, and medicare. |
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| Employment Application | If interested in employment at Black Hills Regional Eye Institute, please download this application and return to 2800 3rd Street, Rapid City. Application can also be emailed to bhreiadm@bhrei.com or faxed to 605-719-3211. |
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