Forms and Instructions for New Patients

The following are the forms all new patients must complete. Please print and complete these forms, and bring them with you to your first appointment at our office. 

Download and Print 

Please bring the following items with you for your first appointment:

  1. Current copies of all insurance cards

  2. Photo ID

  3. Names, addresses, and phone numbers of your current physicians

  4. Previous medical records relating to your visit, and all information related to your eye condition

  5. You will need to bring your glasses to your visit. If you wear contact lenses and are unable to bring your glasses, please bring a copy of your most recent glasses prescription from your eye doctor.

  6. Completed forms

  7. A form of payment for your co-payment, deductible, or any out-of-pocket amount required by your insurance.

 

IMPORTANT - PLEASE READ:
On your first visit, we make every effort to do a comprehensive exam and complete all testing, so please be prepared to spend two or three hours with us. Your eyes will be dilated, and there will be special diagnostic testing performed. We ask that you bring someone with you to drive you home since the dilation of your eyes can last up to four hours.

                                                      Please contact us if you have any questions.

Location

1211 Coolidge Blvd

Suite 401
Lafayette, LA 70503

337-541-1700

Phone

Fax

337-534-4992

Hours

MON    8AM - 5PM

TUES    8AM - 5PM

WED     8AM - 5PM

THURS 8AM - 5PM

 FRI       8AM -12PM

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