Patient Forms

Birthday Discount!

10% discount during your entire birthday month

Customer Rewards


You can become an Eye Spy, and be rewarded by referring new patients to the Eye Center of the Dakotas. Our greatest compliment is the referral of a friend or relative to our clinic!

If you know someone looking for an optometrist for their next eye exam, or someone who needs a new pair of glasses that is new to our clinic, participate in our Eye Spy program and earn credits on your account to be used however you like on future purchases or services. You can either write the person’s name on a card with your name also on the card and send it with your referral to our clinic. Or, you can print the Eye Spy certificate, fill in your name and date of birth, and we will credit $30 to your account for each new patient or customer you send our way. We appreciate you and your referrals! The more people you send to us, the more you earn towards your next pair of eye wear! Thank you!

Eye Spy Certificate