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

Consultation Request

Full Name

Phone (xxx-xxx-xxxx)

Consultation Wanted

Patient Status

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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