2007 MAP TO OFFICE

November 3, 2017pabh2017

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Schedule Appointment

Office: (605) 348-6500

If you are a new patient inquiring about making a first appointment, please click on the Request Services button above. Upon receiving your request we will reply to you with a phone call. Thank you.

Please do not email or use the form below to schedule an appointment.

Rapid City Office
825 Columbus St Ste. #1, Rapid City, SD 57701

Email: rappsy18@gmail.com

Custer Office (Dr. Perrenoud only)
14 West Mount Rushmore Road, Suite C, Custer, SD 57730

Clinicians

Margaret D. Kelsey, Ph.D.
Jennifer J. Kozel, Ph.D.
Trisha T. Miller, Ph.D., Inc.
Mark Perrenoud, Ph.D, Inc.
Lynette R. Quast, Ph.D

NEW CLIENT FORMS

Email/Texting Consent Form
*Childhood History Form
*Adult Intake Form
Release of Information Form
Client Registration Form
Telehealth Consent Form
Your rights under the No Surprises Act
—(Clients who are self-pay or provider who is out of network)

*not all providers require the Childhood History Form or the Adult Intake Form – please inquire with office.

PSYCHOLOGICAL ASSOCIATES OF THE BLACK HILLS | Rapid City

825 Columbus St., Suite 1
Rapid City, SD 57701

Office: (605) 348-6500

Fax: (605) 341-7409
Monday - Friday
8am - 5pm & by appointment

PSYCHOLOGICAL ASSOCIATES OF THE BLACK HILLS | Custer Office (Dr. Perrenoud only)

14 West Mount Rushmore Road, Suite C, Custer, SD 57730

Office: 605-348-6500

Fax: (605) 341-7409
Hours: By appointment only

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DIRECTIONS TO OFFICE

DOWNTOWN RAPID CITY LOCATION | If you are coming from downtown Rapid City: drive south on Mount Rushmore Road (8th Street), turn right on Columbus St, turn left into our parking lot just before 9th St. We are on the corner of 9th and Columbus.

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