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Patient Paperwork

Please print, complete, and bring these forms to your appointment in order to make your check-in more time-efficient.  You can also fax them to 337-233-3367 or mail them to 5000 Ambassador Caffery Pkwy, Bldg 13, Lafayette, LA 70508.

 

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Dr. Summers-Ophthalmology

5000 Ambassador Caffery Pkwy, Bldg 13, Lafayette, LA  70508

Phone (337) 233-3368 - Fax (337) 233-3367

All Rights Reserved

 

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