Refer a Patient
Brookings Health System accepts patient referrals from other providers for the following list of services. Please click on each service for information on how to refer a patient. If you have any questions, please contact Central Scheduling at (605) 696-8888 or the contact number listed for each service.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
- Type of Diagnostics (Stress Test, Holter Monitor, Cardiac Event Monitor, EKG)
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Discharge Date
- Insurance
- Hometown
- History and Physical
- Pulmonary or Cardiac
- Supporting Documentation
- Primary Physician
- Cardiologist
- Surgeon
- Referral Site Phone Number
Please fax the order to Cardiac Rehab at (605) 696-8828. Questions may be directed to Cardiac Rehab at (605) 696-8065.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Type of Scan
- With or Without Contrast
- Patient Weight
- Insurance Authorization
- Physician Signature
- Completed CT Screening Form
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Nuclear Medicine at (605) 696-8059.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Recent Lab Results
- Physician Signature and Printed Name
- Completed Diabetic Educator Form
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
A signed order is not needed for e-consult/telemedicine services. However, our scheduling team will need the following pieces of information in order to book the appointment:
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
No referral is required for foot care. If you would like us to contact the patient to setup an initial appointment, please send the following:
- Patient Name
- Date of Birth
- Patient Phone Number
Please fax the information to Central Scheduling at (605) 696-8889 or e-mail BHSCentralScheduling@brookingshealth.org. Patients may also directly setup their own appointment by calling Central Scheduling at (605) 696-8888.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Referring Provider Phone Number
- Service Request (Home Health, Hospice or HEARTH)
Please fax the order to Home Services at (605) 696-8832. Questions may be directed to Home Health & Hospice Director at (605) 696-8090.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Referring Provider Phone Number
- Service Requested (Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Bath Aide)
Please fax the order to Home Services at (605) 696-8832. Questions may be directed to Home Health & Hospice Director at (605) 696-8090.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Referring Provider Phone Number
- Service Requested (Home Health, Hospice or HEARTH)
Please fax the order to Home Services at (605) 696-8832. Questions may be directed to Home Health & Hospice Director at (605) 696-8090.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
- Dosage and Length of Treatment
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
- Patient Name
- Date of Birth
- Patient/Representative Phone Number
- Diagnosis
- Payer Source: Medicare, Medicaid or Private
- Physician Order
- List of Current Medications
- Recent History and Physical
Please fax the order to the Social Worker at (605) 696-8709 or call (605) 696-8714.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
- Type of Scan
- With or Without Contrast
- Patient Weight
- Completed MRI Screening Form
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
- Patient Weight
- Type of Scan
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Nuclear Medicine at (605) 696-8059.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature and Printed Name
- Recent Lab Results
- Completed Dietitian Order Form
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
Please fax the order to Rehab/Therapy Services at (605) 696-8820. Questions may be directed to Rehab/Therapy Services at (605) 696-8060.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
Please fax the order to Wound Care at (605) 696-8814. Questions may be directed to Wound Care at (605) 696-8068.
Order Requirements
Patients may walk-in with a signed doctor order for lab work at any time. Walk-in patients should present their signed order to the Emergency Department receptionist.
Formal referrals require:
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
- Lab Tests to be Performed
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Laboratory at (605) 696-8048.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
- Patient Weight
- Type of Scan
- Completed Order Form
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Nuclear Medicine at (605) 696-8059.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
Please fax the order to Rehab/Therapy Services at (605) 696-8820. Questions may be directed to Rehab/Therapy Services at (605) 696-8060.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Test Type (PFT, Mask Fitting, Pulmonary Screening)
- Physician Signature
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
- Patient Name
- Date of Birth
- Patient/Representative Phone Number
- Diagnosis
- Payer Source: Medicare, Medicaid or Private
- Physician Order
- List of Current Medications
- Recent History and Physical
Please fax the order to the Social Worker at (605) 696-8709 or call (605) 696-8714.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
- Supporting Documentation
- Completed Sleep Study Form
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
Please fax the order to Rehab/Therapy Services at (605) 696-8820. Questions may be directed to Rehab/Therapy Services at (605) 696-8060.
Order Requirements
- Patient Name
- Contact Information for Person Making the Referral
Swing Bed patient referrals can be made by calling the Case Management department at (605) 696-8016. You may also fax a patient referral to (605) 696-8803.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
- Type of Scan
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Insurance Authorization
- Physician Signature
- Completed Wound Center Referral Form
Please fax the order to the Wound Center at (605) 696-8814. Questions may be directed to Wound Center at (605) 696-8068.
Order Requirements
- Patient Name
- Date of Birth
- Patient Phone Number
- Diagnosis
- Type of Scan
- Insurance Authorization
- Physician Signature
Please fax the order to Central Scheduling at (605) 696-8889 or send a scanned, signed order to BHSCentralScheduling@brookingshealth.org. Questions may be directed to Central Scheduling at (605) 696-8888.
The Brookings Health Buzz
Meet Our NUTTY Diabetic Education Team!
Fall 2022
Diabetic Nurse Educator, Gala Woitte, RN, and Dietitian Katy VanderWal, RDN, make-up the diabetic education dynamic duo at Brookings Health System.
Hand Therapy Expands Rehabilitative Services
Fall 2022
Brookings Health System has expanded its comprehensive rehabilitative and therapy services to now include hand therapy.
New Lab Testing Reduces Result Wait Times
Summer 2022
Three new diagnostic testing platforms are helping Brookings Health System’s lab team to speed up turnaround time for laboratory results.
Outpatient Medical Nutrition Therapy
Summer 2022
Medical nutrition therapy (MNT) improves clinical outcomes for patients while also enhancing their quality of life and lowering health care costs.
New da Vinci Xi Surgical Robot
Spring 2022
Brookings Health System first invested in da Vinci surgical robot technology in 2013. October 2021 we upgraded to the newest robot surgical platform, the da Vinci Xi.
Celebrating One Year of Hyperbaric Oxygen Therapy
Spring 2022
April 2021 Brookings Health System’s Wound Center added two new hyperbaric oxygen (HBO) chambers to care for patients with difficult to heal and non-healing wounds.
