Dr. Paul Harris, Optometrist

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Patient Registration

The following forms are to be printed out and then filled in and brought to the office for your first visit. All forms are in ADOBE PDF format. If you need the free reader from Adobe go to DOWNLOAD Pre-Examination Questionnaire (Select Only One)

  • Pre-Examination Questionnaire Child Pre-School
  • Pre-Examination Questionnaire Child School Age
  • Pre-Examination Questionnaire Adult
  • Pre-Examination Questionnaire Acquired Brain Injury or Traumatic Brain Injury

Other required forms:

  • Financial Policy Form
  • Records Release Form
  • HIPAA Privacy Notice

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Map and Driving Directions Call 1-410-252-5777 with any questions you may have about these forms Email: Dr. Paul Harris with any questions you have for Dr. Harris

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© Dr. Paul Harris, Optometrist 2010

110 Old Padonia Rd. Suite 300 | Cockeysville, MD | Phone: 410-252-5777 | Fax: 410-252-1719


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