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Health services

VA Black Hills Healthcare System offers a wide range of health, support, and facility services for Veterans in South Dakota and the surrounding region. Click on a service below for more details like which clinic or medical center offers that service.

Primary care

Select a topic to learn more.

Emergency care

In an emergency, call 911 or go to the nearest VA or non-VA emergency department. We provide immediate treatment for serious, life-threatening health emergencies such as severe chest pain, seizures, heavy uncontrollable bleeding or moderate to severe burns.

Available at these locations

Care we provide at VA Black Hills health care

Available at these locations

Fort Meade VA Medical Center

Pharmacy

Our specialists provide a full range of services to help you get and understand your prescription medicines and supplies. You can refill VA prescriptions online, by phone or by mail.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

Our pharmacy provides you and other Veterans with convenient, efficient service to make it easy to get your medications and medical supplies. You can:

  • Pick up new prescriptions in person
  • Refill prescriptions online and by phone or mail
  • Safely dispose of medicines

Learn more about our pharmacy

Primary care

Your VA primary care provider will work closely with you to plan for all the care you need to stay healthy and well throughout your life, including immunizations and vaccinations. They will also work with family members or caregivers who support you.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

A strong network of family and internal medicine specialists and services can offer you the best possible care. Internal medicine doctors (internists) prevent, diagnose, and treat adult diseases. Doctors who specialize in family medicine provide personalized primary health care to Veterans. Your primary care team can coordinate the many services you receive such as:

  • Labs and blood work
  • Mental health care
  • Women's health care
  • Radiology
  • Social services
  • Telehealth

Women Veteran care

Common conditions: women's primary care, mental health, obstetrics and gynecology, pap smear, mammogram

We offer women’s health services to meet your specific needs such as disease screenings, mental health treatment, recovery from military sexual trauma, maternity care and female-specific medical equipment.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

Our women's health program offers complete health care for women Veterans of all ages. Our primary care providers specialize in women’s health. They work closely with specialists in gynecology, obstetrics, female urology, oncology, medicine, radiology, surgery, and breast illness. Our services for women Veterans include:

  • Ultrasounds, mammograms, Pap and HPV tests
  • Mental health care and counseling
  • Lifestyle wellness services
  • Menopause treatment, including hormonal therapy
  • Family planning, contraceptive care, and infertility evaluation

Learn more and connect with a care coordinator

 

Dr. Nadia Tymkowych

Women Veterans Program Manager

VA Black Hills Health Care System

Phone:

Email: Nadia.Tymkowych@va.gov

Mental health care

Select a topic to learn more.

Addiction and substance use care

We can help you overcome substance use problems from unhealthy alcohol use to life-threatening addiction. We match our services—like counseling, group therapy or medication—to your specific needs.

Available at these locations

Care we provide at VA Black Hills health care

Our Mission is to provide the appropriate range of effective clinical services to meet the physical, emotional, psychological, and spiritual needs of those entrusted to our care. Our goal is to help you learn how to cope with life stressors without the use of alcohol or drugs; and to assist you acquiring relapse prevention skills.

The residential ADS program is an 8 week intense program within the Residential Rehabilitation Treatment Program (Domiciliary).

Services Provided:

  • Female specific services
  • OEF/OIF specific programming
  • Co-morbid conditions
  • Individual and group therapy
  • Behavioral treatment groups
  • Motivational counseling
  • Integrated therapy for substance Use Disorder/Post Traumatic Stress Disorder
  • 12 Step Facilitation
  • Cognitive Behavior Therapy for relapse prevention

Criteria: Veterans of all eras are eligible for the Residential Substance Abuse Program.  Veterans must be willing to actively participate in their treatment.  A phone screen will be conducted to see if the Veteran meets criteria specific for the Hot Springs program.

Learn more about our VA treatment programs

Mental health care

Common conditions: addiction, depression, anxiety, trauma, PTSD, bipolar disorder, schizophrenia, OCD

If you’re struggling with issues like PTSD, depression, grief, anger or trauma, we offer counseling and other support. All VA health care facilities offer same-day help. You may qualify even without enrolling in VA health care.

Available at these locations

Care we provide at VA Black Hills health care

Our medical center and clinics provide consultation, evaluation, and treatment for a range of issues that may impact your mental health or emotional well-being. Our confidential outpatient services include individual and group therapy for:

  • Psychiatric disorders such as schizophrenia, bipolar disorder, and depression
  • Marriage and relationship problems
  • Post-traumatic stress disorder (PTSD)
  • Anxiety, addictive behaviors, and personality disorders
  • Aggressive or self-harming behaviors

Learn more and connect with a care coordinator

PTSD care

If you have symptoms of PTSD after a traumatic event, we can help. We offer assessment and treatment support such as private counseling, group therapy and medication. It’s never too late to get help.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

Post-traumatic stress disorder (PTSD) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault. It’s normal to have upsetting memories, feel on edge, or have trouble sleeping after this type of event. If symptoms last more than a few months, it may be PTSD. We can help you with effective treatments and support services, like:

  • Psychiatric and psychological counseling
  • Services for Veterans who are homeless
  • Treatment for addictive disorders
  • Transition and care management for post-9/11 combat Veterans of Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND)

Learn more about PTSD

Suicide prevention

Call our Veterans Crisis Line at 988 and press 1 for free, private help anytime 24/7. Our local suicide prevention coordinators can also connect you with ongoing counseling and services.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

We work with behavioral health providers and community organizations to help you and your family during times of crisis. We offer:

  • Suicide prevention care coordinators
  • Suicide prevention case managers
  • Gun safety locks
  • Outreach and community education

Learn more and connect with a care coordinator

Specialty care

Select a topic to learn more.

Audiology and speech

Common conditions: tinnitus, vertigo, hearing loss, vestibular conditions, swallowing conditions

We diagnose and treat conditions affecting your hearing, speech or balance. These include hearing loss, tinnitus (noise or ringing the ears) & dizziness—also speech, language, voice or swallowing disorders.

Available at these locations

Care we provide at VA Black Hills health care

Audiology provides comprehensive hearing examinations, Compensation and Pension examinations, hearing aid fittings and repairs, balance evaluations, and tinnitus assessments and cochlear implant management. 

COVID-19 vaccines

Common conditions: coronavirus, COVID-19

We offer COVID-19 vaccines to all Veterans enrolled in VA health care. This includes Veterans who live or travel outside of the U.S. and are eligible for the VA Foreign Medical Program.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

  • COVID-19 vaccines for all Veterans, their spouses and caregivers and our staff

Learn more about COVID-19 vaccines at VA

Chiropractic

Chiropractors work closely with your health care team to diagnose and manage muscle and joint conditions, including problems in the back, neck and other areas.

Available at these locations

Care we provide at VA Black Hills health care

Available in the following locations

Fort Meade VA Medical Center

Hot Springs VA Medical Center

Rapid City CBOC

Dental/oral surgery

Common conditions: teeth cleaning, fillings, restorations, root canal, bridges, dental implants, dentures

If you’re eligible for VA dental care, we provide dental screenings, cleanings, X-rays and fillings. We also provide specialty dental procedures like root canal, restorations and dentures.

Available at these locations

Care we provide at VA Black Hills health care

Available in these locations

Fort Meade VA Medical Center

Hot Springs VA Medical Center

Laboratory and pathology

We offer blood tests and other advanced testing services to help you and your VA health care team monitor your health, find and understand any health problems and make informed treatment decisions.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

Our laboratories provide a full range of clinical and diagnostic testing services. Our laboratory and pathology services include:

  • Study of blood, urine, and other bodily fluids for illness management
  • Testing for infectious diseases
  • Cytopathology (study of unusual cells) and surgical pathology (study of tissue removed during surgery)
  • Autopsy services

MOVE! weight management

Common conditions: overweight, obesity, diabetes, high blood pressure

We offer easy-to-follow weight management plans backed by the latest science. Our experts can help you reduce health risks, prevent or reverse some diseases and live a better—and even longer—life.

Available at these locations

Care we provide at VA Black Hills health care

MOVE! is a weight-management program designed to help you live a longer, healthier life. With the help of your MOVE! care team, you can eat a healthier diet, get more exercise, reduce your health risks, and improve your quality of life. The MOVE! program offers:

  • Weight-loss support groups to help you lose weight and keep it off
  • Healthy eating tips and cooking classes
  • Behavioral change strategies to help you live a healthier lifestyle
  • Individual coaching and supportive group sessions offered 

Learn more about MOVE!

Nephrology

Common conditions: Dialysis, kidney disease, high blood pressure, hypertension

Our specialists offer you advanced care for kidney-related diseases like chronic kidney disease, high blood pressure and fluid and electrolyte problems. We also provide dialysis and related support.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

Our team of kidney doctors (nephrologists) actively manage all aspects of adult kidney disease, kidney and bladder stones, renal hypertension (high blood pressure caused by kidney disease), and mineral and bone disorders. We provide inpatient and outpatient services, like:

  • Dialysis preparation and referral
  • Home patient monitoring
  • Kidney transplant evaluation
  • Kidney disease education

Neurology

Common conditions: cognitive disorders, epilepsy, headache motor neuron and movement disorders, multiple sclerosis, stroke

Our specialists evaluate and treat conditions and diseases of the brain, spine, and nervous system, including headache, stroke, Alzheimer's disease, epilepsy, Parkinson’s disease and other conditions.

Available at these locations

Care we provide at VA Black Hills health care

Available at the following locations

Fort Meade VA Medical Center

Hot Springs VA Medical Center

Rapid City CBOC

Nutrition, food, and dietary care

Our nutrition experts work closely with you and your care team to help make sure you’re getting the nutrition you need to get and stay as healthy as possible.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

Our registered dietitians can help you maintain or improve your health with good nutrition tailored to your needs. Through group, individual, and telehealth sessions, we provide nutrition education and counseling in areas such as:

  • Cardiovascular and heart health
  • Chronic kidney disease
  • Diabetes (including gestational diabetes)
  • Eating disorders and digestive health
  • Pregnancy and postpartum nutrition
  • Weight management

Ophthalmology

Common conditions: cataracts, glaucoma, macular degeneration, diabetic eye disease

Our ophthalmology specialists diagnose and provide medical and surgical care for conditions that affect your eyes—like cataracts, glaucoma, macular degeneration and diabetic retinopathy.

Available at these locations

Care we provide at VA Black Hills health care

Available at these locations

Fort Meade VA Medical Center

Hot Springs VA Medical Center

Optometry

Common conditions: vision exams, prescription eyeglasses, contact lenses

Our optometrists offer you routine eye exams, preventive vision testing and treatment for conditions like glaucoma. We also provide prescriptions for eyeglasses and other assistive devices.

Available at these locations

Care we provide at VA Black Hills health care

Available at these locations:

Fort Meade VA Medical Center

Hot Springs VA Medical Center

Orthopedics

Common conditions: arthritis, musculoskeletal disorders, tendon and ligament repair, joint replacement

Our orthopedists offer advanced care and treatment for issues related to muscles, bones and joints, including arthritis, disorders of the muscles and bones, tendon and ligament repair and joint replacement.

Available at these locations

Care we provide at VA Black Hills health care

Available in these locations

Fort Meade VA Medical Center

Hot Springs VA Medical Center

Palliative and hospice care

Palliative care focuses on comfort, quality of life and reducing suffering. Hospice care is a type of palliative care offered to patients with life-threatening illness under certain conditions.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

Our palliative and hospice care services support you and your family as you cope with a life-threatening or terminal illness. Palliative care works to provide comfort, reduce suffering, and improve the quality of life for patients being treated for serious illnesses. Hospice care focuses on helping patients with terminal illnesses to manage the final stages of their lives. Our palliative and hospice care services include:

  • Pain and symptom management
  • Emotional, spiritual, and psychosocial support for you and your family
  • Help with practical issues that include an advance directive (living will), health care power of attorney, funeral arrangements, and applying for VA death and burial benefits
  • Education to help you and your family make informed health care decisions and know what to expect as your health declines
  • Bereavement care to help surviving family members during the grieving process

Physical therapy, occupational therapy and kinesiotherapy

Physical therapy, occupational therapy and kinesiotherapy can help restore movement and function if you have been disabled by injury or disease.

Available at these locations

Care we provide at VA Black Hills health care

Physical Therapy Available at the following locations

Fort Meade VA Medical Center

Hot Springs VA Medical Center

Rapid City CBOC

 

Occupational Therapy Available at the following locations

Fort Meade VA Medical Center

Hot Springs VA Medical Center

 

Podiatry

Common conditions: arthritis, bunions, diabetic foot care, foot deformities, skin and nail conditions

Our podiatry specialists evaluate and treat a wide range of injuries, diseases and disorders that affect your feet and ankles—from ingrown toenails to inflammation to diabetic foot ulcers.

Available at these locations

Care we provide at VA Black Hills health care

Available in these locations

Fort Meade VA Medical Center

Hot Springs VA Medical Center

Polytrauma and traumatic brain injury

We provide a thoughtful, wide-ranging approach to treating Veterans who have injuries to multiple body systems caused by a single event.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

Our specialized rehabilitation program network serves severely injured Veterans and service members who have multiple combat- or civilian-related traumatic injuries. We offer:

  • Physical, visual, and cognitive rehabilitation
  • State-of-the-art prosthetics
  • Psychological and psychosocial services
  • Ongoing case management services

Radiology

We use imaging to help screen for, diagnose, and treat illness and injury. We provide X-rays and other imaging technologies.

Available at these locations

Care we provide at VA Black Hills health care

Available at these locations

Fort Meade VA Medical Center

Hot Springs Medical Center

Rapid City VA Clinic

Rehabilitation and extended care

We provide medical care and rehabilitation services to Veterans in our Community Living Center and in their homes. Services include home-based primary care, medical foster home support, and hospice and palliative care.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

We provide long-term care to help you and your family when you’re dealing with a disability, chronic (long-lasting) illness, terminal illness, or serious health issues related to aging. Our long-term health care services include:

  • 24/7 nursing and medical care
  • Physical therapy
  • Help with daily tasks like bathing, dressing, making meals, and taking medicine
  • Pain management and palliative care to relieve suffering and improve quality of life for people with serious illnesses
  • Hospice care to provide comfort and compassionate care for people in the last phases of an incurable illness
  • To learn more about the different types of extended care that VA provides, see our guide to long-term services and support.

Learn more about VA long-term care

Smoking and tobacco cessation

If you are trying to quit smoking or want to stop using tobacco, we can help you with support, resources and programs.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

You can quit smoking or chewing tobacco. Our goal is to provide support and strategies to add to optional nicotine replacement therapy prescribed by your primary care doctor. These include:

  • FDA-approved medications to manage nicotine withdrawal and the urge to smoke
  • Counseling in person or by phone
  • Tobacco Cessation Quitline for individual counseling and strategies
  • SmokefreeVET text message program for daily advice and interactive support
  • Stay Quit Coach mobile app to help you quit smoking and stay smoke-free

Learn more about how to quit

Spinal cord injuries and disorders

If you have a spinal cord injury or disorder, our specialists provide coordinated care throughout your life. We work to help you achieve your goals for independence, productivity and quality of life.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

VA has the nation’s largest system of care for spinal cord injuries and disorders. We provide a convenient, connected network of experts to care for you during each phase of your life. Our experienced primary care providers are trained to check for problems unique to spinal cord injuries.

  • Pressure ulcers
  • Pneumonia
  • Blood clots
  • Bladder and sexual issues
  • Constipation and other gastrointestinal problems
  • Sexual issues

Learn more about the VA spinal cord injuries and disorders care system

Surgery

If you are having surgery, we make sure that your procedure and follow-up care are safe and high-quality.

Available at these locations

Care we provide at VA Black Hills health care

Available at these locations

Fort Meade VA Medical Center

Urology

Common conditions: prostate cancer, erectile dysfunction, urinary disorders

We offer understanding and advanced care and treatment to Veterans with conditions that affect the male urinary and reproductive systems and the female urinary system.

Available at these locations

Care we provide at VA Black Hills health care

Available at these locations

Fort Meade VA Medical Center

Hot Springs VA Medical Center

Rapid City VA Clinic

Wound care and ostomy

We provide thoughtful, compassionate diagnosis and treatment for Veterans with acute or chronic wounds or those who need ostomy care.

Available at these locations

Care we provide at VA Black Hills health care

Our wound care specialists evaluate and treat a wide range of wounds, injuries, diseases and disorders that can affect wound healing.

  • Common conditions: Pressure ulcers, diabetic/neuropathic ulcers, arterial ulcers, venous ulcers and/or venous stasis, lower extremities wounds, and edema.

    Skin tears, lacerations, abrasions, avulsions, puncture wounds, bites, crush injuries, and gunshot wounds. Moisture Associated Skin Damage (MASD), and fungal dermatitis.

    Suture/staple assessments, suture removal, surgical dehisce and I&D's. Donor sites, grafts, and flaps. Thermal and radiation burns. Palliative wound care.

Social programs and services

Select a topic to learn more.

Caregiver support

If you are caring for a Veteran with serious illness or disabilities, we can help you support them—and take care of yourself. You may qualify for services like training, counseling or respite care when you need a break.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

If you’re a caregiver for a Veteran, you can get support by contacting one of our caregiver support coordinators. If the Veteran you care for was injured post-9/11, you may be eligible for even more services, including a stipend to help with expenses, training, and medical coverage if you aren’t already covered. For all caregivers, we can:

  • Help you get caregiver assistance available through VA
  • Provide progressive needs planning to help you manage degenerative conditions
  • Match you with services and benefits
  • Connect you with local resources and programs
  • Listen to you when you struggle and need support

Learn more and connect with a support coordinator

Homeless Veteran care

If you’re homeless or at risk of becoming homeless, we can help. We offer many programs and services, including free health care. And we can help you connect with resources in your community.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

We help Veterans who are homeless or at risk of becoming homeless due to financial hardship, unemployment, addiction, depression, or transition from jail. Contact one of our care coordinators to get help with:

  • Immediate food and shelter needs, including both transitional and permanent housing
  • Job training, life skills development, and education
  • Justice system navigation and community reentry from jail
  • Financial support to prevent homelessness
  • Addiction and depression treatment
  • Health and dental care

Learn more and connect with a care coordinator

LGBTQ+ Veteran care

If you're a Veteran who identifies as lesbian, gay, bisexual, transgender, queer/questioning, or a related identity, we’re committed to serving your needs. The LGBTQ+ Veteran care coordinator at your VA health care facility can help you get the care you need in a safe, sensitive environment.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

We promote the health, welfare, and dignity of Veterans who identify as lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+) or a related identity. We focus on ensuring a safe, welcoming, and affirmative environment when providing you with sensitive and high-quality health care services like:

  • Hormone therapy
  • Substance use and alcohol treatment
  • Testing and treatment for HIV and sexually transmitted infections (STI)
  • Mental health care
  • Psychosocial assessments for gender-confirming surgeries and hormone therapy

Learn more and connect with a care coordinator

Minority Veteran care

We offer resources and support for minority Veterans to help address your specific needs with benefits and services at VA.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

If you’re a minority Veteran, we can help you get the services and benefits you need. Our Minority Veterans Program serves all Veterans who are Black American, Asian American, Hispanic American, and Native American (including American Indians, Alaska Natives, Native Hawaiians, and Pacific Island Americans). We work to:

  • Help the medical center address minority Veterans’ needs
  • Meet minority Veterans’ needs in their local community
  • Identify barriers and create a more accessible environment for minority Veterans
  • Inform minority Veterans of VA benefits, services, and programs

Learn more and connect with a care coordinator

Patient advocates

VA wants to make sure that you get the best possible care. If you need help finding care or getting problems resolved, please contact a patient advocate.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

Our patient advocates work hard to make sure you receive the best possible care at our health care facilities. They can:

  • Help you get answers or address concerns with your care team
  • Advocate for patient and family rights
  • Serve as advocates for minority Veterans, women Veterans, and Veterans with disabilities

Learn more and connect with a patient advocate

Recreation and creative arts therapy

We offer a wide range of activities (arts and crafts, games, sports, exercise) that we can adapt to your needs.

Available at these locations

Care we provide at VA Black Hills health care

We offer a wide range of activities (arts and crafts, games, sports, exercise) that we can adapt to your needs.

Returning service member care

If you’re returning from military service, we can help you readjust to civilian life and get started with VA health care. We can also help connect you with programs like mental health services and education and career counseling.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

We can help you readjust to civilian life if you’re returning from military service, on active duty, or an activated National Guard or Reserve member. Talk to one of our care coordinators about how to best use your health care benefits.

  • Polytrauma care (if you have multiple traumatic injuries)
  • Counseling and rehabilitation
  • Mental and behavioral health services
  • Family benefits counseling and assistance
  • Referral assistance

Learn more and connect with a coordinator

Social work

Social workers are here to help Veterans, families and caregivers with almost any need, from help with finances or housing to questions about treatment to just feeling overwhelmed. We are here for you.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

Social work is integral to health care. We can help you and your family manage stress-related problems due to injury or illness, and find VA community resources to meet your needs like:

  • Home health services
  • Legal services
  • Transportation
  • Community living

Other services

Select a topic to learn more.

My HealtheVet coordinator

Your My HealtheVet coordinator can help you start using the VA online portal to manage your appointments and records, refill prescriptions, view your lab and test results and communicate with your health care team.

Available at these locations

Care we provide at VA Black Hills health care

Care we provide at VA Black Hills Health Care System

My HealtheVet is a web-based tool you can use to manage your care and improve your health from your computer or mobile device. You can access your personal health records and use tools to manage your care through our My HealtheVet online system. You can also use My HealtheVet to refill your prescriptions, track appointments, and read informative health articles. If you need help using My HealtheVet, you can contact our coordinator by phone or in person. With My HealtheVet, you can:

  • Ask questions and exchange secure online messages with your VA health care team
  • Check your lab and test results
  • Refill your prescriptions, track delivery, and view a list of your medications
  • Keep track of your VA medical appointments and get email reminders
  • View, download, or print a copy of your VA medical records
  • Enter or update your personal information

Learn more and register for My HealtheVet

Whole health

Whole health puts you at the center of care, rather than your illnesses or conditions. We work with you to develop a personalized health plan based on your values, needs, and goals.

Available at these locations

Care we provide at VA Black Hills health care

Available at the following locations

Fort Meade VA Medical Center

Hot Springs VA Medical Center