Patient Center


At LaFollette Eye Clinic, we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!

I had a positive experience I had a negative experience

Patient Forms

Speed up your visit by completing the necessary form(s) below. For your convenience, you can download and print the form(s) and bring them with you to your appointment.

Patient Demographics Form - Download & Print

Patient Medical History Form - Download & Print

Payment Options

We understand health care costs can be a concern. That's why we maximize your insurance benefits and offer you financing through Care Credit. We'll even let you pay on your account using more than one method. We accept most payment methods:

  • Cash
  • Check
  • Visa, MasterCard, and Discover
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • CareCredit

Participating Insurances

We accept most insurance plans, and we have a billing specialist on site. Coverage may vary from one plan to the next. Please call our office to verify your benefits before your visit.