Please review the documents below and complete the forms as instructed:
Patients may submit the completed application with all required proof of income to any RHCI medical facility (or mail to: 202 Island Drive, Suite 1, Fort Pierre, SD 57532).
If the application is missing information or is not signed, it will be denied. Incomplete applications will be considered void if all information is not received within 30 days.
Rural Health Care, Incorporated (RHCI) offers a sliding fee program to patients based on your household income and ability to pay.