Patient Forms

In an effort to help expedite your wait time and give you the most comprehensive service available from Azar Eye Clinic we have made a available for our new patients the forms you will need to have filled out and completed for your appointment. If time allows, you may download the form and either mail it to 516 St. Landry Street, Lafayette, LA, drop it by our office or bring it with you at the time of your visit.

All forms are .PDF files – you will need an Adobe PDF reader to download – if you do not have one please click the Get ADOBE Reader logo below to download a free copy.

Azar Eye Clinic Patient Forms

New Patient Intake Form
– Patient Insurance Information
– Patient HIPPA Regulations
– Patient Consent Form
– Privacy Notice
– Financial Responsibility Notice