• Patient Paperwork

    The following information is required to be completed for all new patients and updated on a yearly basis for current patients.
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  • Medical and Eye History





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  • Authorization and Consent Form

  • Patient Instructions - it is your responsibility to read & follow the required guidelines that have been set by the Louisiana State Board of Optometry in accordance with the Governor's Phase 3 requirements. We are unable to make ANY exceptions to these guidelines at this time

    1. DO NOT BRING ADDITIONAL PEOPLE  TO THIS APPOINTMENT, our office is small and cannot accommodate proper social distancing for those not on our schedule. Only the patient, (1 parent for patients 17 & younger NO SIBLINGS), will be allowed into the clinic. All others will not be permitted into the clinic.
    2. You are required to wear a mask throughout the duration of your appointment. Parents & caregivers are also required to be masked.
    3. Do not arrive early to your appointment. Arriving early will only increase your wait time.
    4. Have your insurance card and photo ID ready for check-in.
    5. If we are at max capacity, you may be asked to wait back in your vehicle.
    6. Remember to bring all your eyewear with you to your appointment
    7. If you have a cough, sore throat, shortness of breath or fever the day of your appointment or within 14 days of your appointment please call us to reschedule as we will be unable to allow you into the clinic.
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