Dakota Vision Center is proud to provide a smooth and painless appointment-making process.

Simply fill out the form below, and one of our appointment coordinators will reach out to you.

Please complete the form below:

Name

First Name

Last Name

Are you already a Dakota Vision Center patient?

Yes

I'm not sure

Phone

(###)

###

####

Email Address

Preferred Doctor

Preferred Location

Comments (Optional)

Preferred Appointment Date

YYYY

Preferred Appointment Time

Want to save time?

If you're a new patient, please print and fill out these PDF forms, and bring them with you to your first appointment!

HIPAA Form (Patient Information Request)
Release of Identifying Health Information
Form for Children Ages 5-18
Form for InfantSEE Exams

Filling out these forms ahead of time is optional, but it will save you time in the waiting room! If you have any questions, please contact us or give us a call at our Main office (605) 361-1680 or at our East location (605) 271-0464. We look forward to seeing you!

Dakota Vision Center is proud to provide a smooth and painless appointment-making process.

Please complete the form below:

Want to save time?

We'd love to see how we can help you.