This registration should be used only for RETURN patients who have previously been seen by Dr. Janot's Vision Source Office in Sulphur. If you are a NEW patient to our office, please use the Registration Form for NEW Patients.

PLEASE NOTE: There are 2 types of "Eye" Insurance, Medical Insurance (through your major medical provider) and Vision Plans / Insurance (always a separate part of your health insurance OR, more commonly, a separate plan given by your employer). You may have one, both, or neither of these coverages. Here's a description for each:

*MEDICAL: Covers "non routine care" such as eye examinations for Diabetes, Cataracts, Glaucoma, Macular Degeneration, Dry Eyes, Allergies, Infections, Red Eyes, etc. WE ACCEPT & FILE MOST MEDICAL INSURANCES.

*VISION: These plans (often called insurance) pay SOME AMOUNTS toward Glassses, Contact Lenses, and Routine Eye Exams. We are an open network provider with most vision plans. That means that we are not "in network providers" but we will file your insurance to reduce your costs. We research your coverage for vision services and let you know how much you will save and how much your vision plan will pay. We take care of the insurance filing for you so you don't have the headache of dealing with vision plans.

PLEASE BRING YOUR INSURANCE CARD(s) WITH YOU TO YOUR APPOINTMENT AND, IF YOU CAN, PLEASE UPLOAD THEM BELOW.

FOR EVERYONE'S SAFETY, HERE ARE SOME OF THE NEW CDC PROTOCOLS WE HAVE PUT INTO PLACE:

--you will be contacted by our staff prior to your appointment if we have any questions about this registration form.
--our door will be locked, so upon arrival, we ask that you practice social distancing by calling or texting us to let us know you have arrived; we will notify you with further instructions.
--we will still have our wonderful smiles, but they will be behind face masks...we ask that you wear a face mask as well.
--upon entering, we will be taking your temperature and having you use hand disinfection.
--please limit only essential family members in the office.

IMPORTANT: If you are not feeling well, infected with COVID-19, or think you may have been infected, please contact us in advance before coming in.

Let us know if we can accommodate you or your family in any way and please know that we have your best interest at heart. We are here for you, as always. Thank you for your understanding and we can't wait to see you face to face again (even under a mask!).