Information for our patients:

About Coronavirus Disease 2019 | Center For Disease Control
Community Guidance & Resources | South Dakota Department of Health
What to do if you are sick and are told to stay home.
What to do if you are caring for a sick patient with suspected Covid 19.
When can I go back to work after being sick with possible Covid 19?.


Join the waitlist at Monument Health for Covid 19 vaccine

Patient Forms


For Adult Registration

Adult Past Medical History Form

PDF Form | Online Form

Adult Discount Program Application

PDF Form | Online Form

Patient Consent For Treatment Form

PDF Form | Online Form

Patient Consent for Telehealth Treatment Form

PDF Form | Online Form

Self-Attestation Form Total Household Income

PDF Form | Online Form


For Minor Registration

Pediatric/Adolescent Health History Form

PDF Form | Online Form

Pediatric Discount Program Application

PDF Form | Online Form

Patient Consent For Treatment Form

PDF Form | Online Form

Patient Consent for Telehealth Treatment Form

PDF Form | Online Form

Self-Attestation Form Total Household Income

PDF Form | Online Form


Dental Registration

Dental Health History

PDF Form | Online Form

Discount Program Application

Adult Discount Program

PDF Form | Online Form

Pediatric Discount Program

PDF Form | Online Form

Patient Consent for Telehealth Treatment Form

PDF Form | Online Form

Self-Attestation Form Total Household Income

PDF Form | Online Form


Other info and forms

Patient Rights and Responsibilities Form

PDF

Notice of Privacy Practices

PDF

Patient Consent for Telehealth Treatment Form

PDF Form | Online Form