At Cate Street Optical, 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. Click here to download.
- 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.
New Patient Health History Form – Required
Please complete this form 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.
- A processing fee of $5.00 will be charged when records are requested (Should the request exceed 10 pages, an additional .50c will be applied per page). This processing fee includes labor, supplies, and any applicable postage.
- If Cate Street Optical is requested to prepare a written explanation or summary in lieu of copies, you may be billed $75.00 per hour of preparation.
- Please allow 1-2 weeks for processing.
To request medical records please contact:
Attn: Medical Records
Cate Street Optical
201 S. Cate Street Ste. C
Hammond La 70403