Patient Resources

Prepare For Your Visit at Dakota Radiology Imaging Center!

Prepare for your visit at Dakota Radiology Imaging Center with our patient resources! Get started on your patient intake forms for radiology services so you can get into your appointment fast. Select the links below to get started. If you have any questions or concerns, please don’t hesitate to contact us.

Please bring completed forms to your appointment, email them to us at, or fax them to (605) 342-3930.

eCheck-In & Results via My ChartMy Chart

Authorization for use and disclosure of PHI

MRI Screening

CT Questionnaire

Consent for Mammogram with breast implants

DEXA History

Consent to Treatment

IHS Purchased Referred Care

Medical Records Release Form

Notice of Privacy Practices

Financial Responsibility Agreement

Dakota Radiology is a proud supporter of the active military, veterans, and their families. We look forward to serving you!