Save time at your next visit — download and complete your paperwork before you arrive. Simply print, fill out, and bring your completed forms to your appointment.
Patient Forms
Download Your Forms
At Laster Eye Center, we want your appointment to be as smooth and efficient as possible. To help us serve you better, please download the appropriate forms below, complete them at your convenience, and bring them with you on the day of your visit. This helps reduce your wait time and ensures our team has all the information needed to provide you with the best possible care.
If you have any questions about which forms to complete, please don't hesitate to contact your nearest Laster Eye Center location.
New & Established Patient Forms
Please download and complete the forms that apply to your visit. All forms are available as PDFs and can be printed and filled out at home.
📋 Patient Information Form
Complete this form with your personal, insurance, and contact information. Required for all new patients and when your information has changed.
👁️ Lifestyle Questionnaire
Tell us about your daily habits, hobbies, and visual comfort. Includes a migraine and light sensitivity assessment on the back page.
💧 Dilation Reversal Drop Consent
Learn about RYZUMVI, our FDA-approved rapid dilation reversal drop, and indicate your preference for use during your exam. A $20 fee applies.
✨ Aesthetic Questionnaire
Interested in our aesthetic services? Share your skincare concerns and learn about our complimentary VISIA skin analysis. Includes Botox and anti-aging options.
🔬 Digital Retinal Screening
Review information about our digital retinal imaging service and indicate your consent. Especially recommended for patients with diabetes, glaucoma, or macular degeneration. A $39 fee applies.
🔒 Receipt of Notice of Privacy Practices
Acknowledge receipt of Laster Eye Center's Notice of Privacy Practices and authorize the disclosure of your medical and financial information as needed.
Tips for Completing Your Forms
- Print and complete at home — Fill out your forms in a comfortable environment without time pressure.
- Bring your insurance card — Have your insurance information handy when filling out the Patient Information Form.
- List all medications — Include prescription and over-the-counter medications when providing your health history.
- Arrive 5 minutes early — Even with pre-completed forms, arriving a bit early ensures a stress-free check-in.
- Contact us with questions — If you're unsure which forms to complete, our friendly staff are happy to help.
New Patient? Here's What to Bring
- Completed Patient Information Form
- Completed Lifestyle Questionnaire
- Receipt of Notice of Privacy Practices (signed)
- Insurance card(s) — vision and medical
- Photo ID
- Current eyeglasses or contact lens prescription (if applicable)
- List of current medications
Have questions before your visit? Contact your nearest Laster Eye Center location — our team is happy to assist!
Ready to Schedule Your Appointment?
Laster Eye Center offers comprehensive eye care at six convenient locations across Arkansas and Oklahoma. Book your appointment today!