Unless its an emergency, appointment cancellations are required within 24 hours of your appointment.
NEW PATIENT PAPERWORK INSTRUCTIONS
OPTION 1: ONLINE
You can fill out your new patient paperwork online, its fast & easy! Call 605-373-9090 or email us at [email protected] and we'll email you a secure link to our online portal.
OPTION 2: DOWNLOAD & PRINT
Follow the Steps and click on the form(s) below, then either save them to your computer and email them to us OR print them out and bring them with you to your appointment. If you have any problems filling them out on the computer, just print the blank form(s), fill them out by hand and bring them to your appointment.
STEP 1: Every new patient fills out this PATIENT INTAKE
STEP 2: Fill out these additional form(s) IF:
- you are being seen for FERTILITY
- this is related to a recent / open CAR ACCIDENT
- this is related to a recent / open WORK INJURY
* Your computer should have a built in PDF reader which will automatically open when you click on these forms to view and fill them out. If for any reason, you can't view them, you can install Adobe Reader for free which should allow you to view them. Click Here for Adobe Reader.
We are located at 2200 W. 49th St. Suite 106 in the Gallatin Building just between the Fischer Rounds & Associates and Runnings (formerly Campbells Home & Auto Supply) on 49th Street just off of Western Avenue.
We have a smaller parking lot to the west of our building beside the Agape Salon entrance and a much bigger parking lot on the north of the building if you just keep driving around the building as you turn off of 49th St as indicated by the arrows. You can enter the building through either entrance.