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JEFF LAFERLA VISION INSTITUTE OD PC

Patient Forms

Medical Release Form

Jeff_Laferla_authorization_of_release_form_830.pdf
File Size: 61 kb
File Type: pdf
Download File

New Patient Paperwork

Jlvi_welcome_to_our_office_form_final.pdf
File Size: 65 kb
File Type: pdf
Download File

You have the option to bring your completed paperwork with you to your appointment.

​Medical release forms can be sent prior to your appointment so we can have your records before
​Dr. Jeff sees you.  

JEFF LAFERLA VISION INSTITUTE​

1735 SWIFT AVE
NORTH KANSAS CITY, MO 64116
816-221-2020
Hours
Mon - Thu:
9 am - 6 pm
Friday
9 am - 4 pm
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  • Home
  • About Us
    • Services
  • Contact Lenses
  • Frames
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  • Contact Us
  • Eye Care