​Dr. Smith's Eye Care & Optical
  • Home
  • About Us
    • Our Mission
    • Our Doctors & Staff
  • Our Services
    • Comprehensive Eye Exams
    • Dry Eye Testing
    • Contact Lenses >
      • Contact Lens Policy
    • Retinal Imaging
    • Glaucoma Screening
  • Patient Resources
    • About the Portal
    • Forms
    • Insurance
    • First Visit Information
  • Contact Us
  • Patient Portal
Picture
Online patient forms are for exiting patients only.
Click here to fill out patient forms

Printable Patient Forms

Registration Form
HIPAA Compliance
Medical Records Release
​
​[NOTE: This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader.]
Picture

​Dr. Smith's Eye Care & Optical

LOCATION​
12656 Jefferson Hwy
​Baton Rouge, LA 70816
​OFFICE  HOURS
Monday-Thursday  9AM-6PM
Friday-Saturday  9AM-2PM
CONTACT US
Phone
: (225) 751-4100
  • Home
  • About Us
    • Our Mission
    • Our Doctors & Staff
  • Our Services
    • Comprehensive Eye Exams
    • Dry Eye Testing
    • Contact Lenses >
      • Contact Lens Policy
    • Retinal Imaging
    • Glaucoma Screening
  • Patient Resources
    • About the Portal
    • Forms
    • Insurance
    • First Visit Information
  • Contact Us
  • Patient Portal