online forms

At Bossier Family Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.​​​

Please complete all forms as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.


  • Medical History Record

  • DOWNLOAD
  • Refraction Charge Acknowledgment
    What is refraction and why is it important?

  • DOWNLOAD
  • Patient Paperwork
    New patient demographic form.

  • DOWNLOAD
  • Financial Policy

  • DOWNLOAD
  • Notice of Privacy Practices

  • DOWNLOAD
  • Alternate Contacts

  • DOWNLOAD
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