Patient Forms

Dr. Harris, Dr. Button

Office Hours

901 Linwood Dr, Paragould, AR 72450

📱(870) 239-2251

Consultation Request
Patient Information
Insurance Information
Dilation Information
Health History

Financial Policy
Consent to Treat Minor
Acknowledgement of Privacy Practice
Authorization to Disclose Health Information

From the list above, please click on the form you would like to complete and submit to the office!

If you want paper forms, Please call or email office!

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OFFICE HOURS

Mon

8:30 - 5:00

Tue

8:30 - 5:00

Wed

8:30 - 5:00

Thu

8:30 - 5:00

Fri

8:30 - 5:00

Sat

Closed

Sun

Closed

Harris Eye Clinic

901 Linwood Dr
Paragould, AR 72450
(870) 239-2251
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Harris Eye Clinic 901 Linwood Dr, Paragould, AR 72450 Phone: (870) 239-2251