Refer a Patient

Thank you for trusting Black Hills Orthopedic & Spine Center to care for your patients.

Print a Practice Overview Sheet

Order Printed Referral Pads

Print Our Rapid City Referral Sheet

Print Our Gillette Referral Sheet

To refer your patient for an appointment with one of our doctors, please submit an online request by completing our online form.

Once we receive your request, we will contact your patient directly within 24 hours to schedule an appointment. 

If you have any questions, please contact our office at (605) 341-1414 or (800) 446-9556.

Referring Office Contact Information
If you would like a confirmation of your patient's appointment, please provide your fax number.
Patient Information
Was this injury/condition related to workers' compensation?
Patient Has Completed
Requested Time to Be Seen

If requested to be seen immediately, please call our office at (605) 341-1414 or (800) 446-9556.

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