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
  • Medical Treatment for Nearsightedness


  • Medical Treatment for Nearsightedness

    Atropine 0.01% is a treatment for children that slows progression of myopia, or nearsightedness. Children receive one drop in each eye at bedtime for two years. Request an appoinment today to talk to our doctors about Atropine 0.01%.

    Learn More