Lafayette Family Eye Care

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)

PDF Version

Children's Information Sheets

(17 years or younger)

PDF Version

Obtain / Release
Medical Records

(All patients)

PDF Version

Privacy Practices Form

(All patients)

PDF Version
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Located In Cordoba Square

(Across from Our Lady of Lourdes Hospital)

4906 Ambassador Caffery Pkwy
Building G
Lafayette, Louisiana 70508

(337) 989-2600

Office Hours

  • MONDAY 8 am - 5 pm
  • TUESDAY 8 am - 5 pm
  • WEDNESDAY 8 am - 5pm
  • THURSDAY 8 am - 5 pm
  • FRIDAY 8 am - 12 pm
The information contained on this website is for information and education purposes only and should not be a substitute for medical advice.
Consult with a physician for your specific medical needs.