Online Forms
Patient Forms
- Film Release Form - Please FAX to Records Management at (605) 342-3930.
- Notice of Privacy Practices
Financial Policy
All services at Dakota Radiology are to be paid in full at the time of treatment. Payment for these services may be made by Cash, Check, Visa, MasterCard, or Discover Card.
As of 3/15/2007, we participate with the following Healthcare Plans and Provider Networks. This list is subject to change. Please verify your Plan's benefits and pre-authorization requirements for services at Dakota Radiology prior to scheduling an appointment.
- TLC Network
- 1st Choice of the Midwest Network
- Western Health
- DakotaCare
- Wellmark Blue Cross / Blue Shield
- America's PPO Network
- SD Medicaid
- Medicare
- Sioux Valley Health Plan
- Preferred TriCare Provider
Dakota Radiology offers extended payment plans to our patients for meeting their financial obligations. Our Patient Account Representatives will be happy to confidentially discuss whether this may be an option for you.
To help answer your patient financial and insurance questions,
please contact our Patient Services Department:
605-721-1662 ext 321 toll free 800-456-1361 ext 321 or

