Patient Information
Fill out your Patient Forms prior to your visit by printing them out here. Click on the link, open the file and print. Please allow 2 to 4 minutes for each form to print.
Forms in Adobe (PDF) Format
LASIK Screening History
HIPAA Records Release
New Patients
Please download, print and fill out the following four forms:
Patient Information
HIPAA Notice of Privacy Practices
Location
203 Rue Louis XIV
Lafayette, LA 70508
Hours
Monday - Thursday 8:00 am to 5:00 pm
Friday 8:00 am to 12:00 pm
Contact Us
P: (337) 981-2393
F: (337) 981-9470
Leoni Eye Clinic
203 Rue Louis XIV, Suite A
Lafayette, LA 70508
P: (337) 981-2393
F: (337) 981-9470