Patient Resources

Medical Appointments

To schedule an appointment call (605) 721-8939. Please let our Patient Support Specialist (PSS) know which LOCATION you would like to be seen at. You should plan to arrive at least 15 minutes before your scheduled appointment.

For routine appointments, please schedule them with as much advance notice as possible. While we do offer some urgent care same-day appointments, it is important that you call ahead to schedule your appointment.

Dental Appointments

To schedule a dental appointment call (605) 721-8919. We provide primary and preventive dental services including routine screenings and cleanings, fillings and other services all at a reasonable cost.

You should plan to arrive at least 15 minutes before your scheduled appointment. You may receive urgent dental care on a walk-in basis and you should sign-in during clinic hours. Walk-in patients are treated on a first-come, first-served basis and space may be limited.

Because of the high demand for our dental services, we are only able to offer ongoing care to adults and children with Medicaid or Private Insurance. Urgent care will be available for low income and uninsured individuals at a discounted rate based upon family size and income level.

On your first visit, please bring:

• Insurance card
• Medicaid or Medicare card
• Proof of income (pay stubs, tax return)
• Photo ID
• A list of all medications you are taking (or bring all medications with you)

Forms to Complete:

Please complete the following forms prior to appointment.

Adult Discount Program Application Online Form

Pediatric Discount Program Application Online Form

Patient Consent For Treatment Online Form

Self-Attestation Form Online Form

Adult Past Medical History Online Form

Pediatric/Adolescent Health History Online Form

Medical

We accept Medicaid, Medicare, and private insurance. Please check with the Health Center for details.

Dental

Medicaid and private insurance are accepted. Medicare does not pay for dental services. Note: Please contact your insurance carrier directly if you have any question on your coverage. You are responsible for any non-covered services.

No Insurance?

Patients who do not have health insurance may be seen as self-pay patients through our CHCBH Discount Program. Self-pay patients will be charged for services based on their income and family size. Patients should bring proof of income (for the last 30 days) to their first appointment.

Income is due within 10 business days and can be emailed to patientsupportstaff@chcbh.org. By signing the Discount Application you are confirming that all information shown is correct. And you understand the requirements for Proof of Income.

Discount Program Application - PDF

There are many programs available through CHCBH to assist self-pay patients and those with high insurance deductibles to obtain affordable health care. Please ask a CHCBH staff member for more information.

Community Health Center of the Black Hills does not refuse service to anyone based on ability to pay. Please call or visit one of our LOCATIONS for information.