Patient Forms


Patient Forms

Please fill out the information sheets for your age bracket. Conveniently submit the forms online or print them and bring them with you to your appointment.


Adult Information Sheets

(18 Years or older)

Online Form PDF Version

Children's Information Sheets

(17 years or younger)

Online Form PDF Version

Obtain / Release
Medical Records

(All patients)

Online Form PDF Version

Privacy Practices Form

(All patients)

Online Form PDF Version
  • Conditions


  • Eye Conditions

    At Lafayette Family Eye Care, we treat an array of eye conditions to ensure optimal eye health. Find out more information about these commonly diagnosed conditions, including the symptoms, types, and treatments, by clicking below!

    Learn More
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