Frederick R. Harris, O.D., Inc.
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patient  forms

Patient Forms


Welcome to our Office Form
File Size: 6 kb
File Type: pdf
Download File

Feel free to print out and complete this Welcome Form before your office visit for your convenience.
Medical History Record
File Size: 6 kb
File Type: pdf
Download File

Feel free to print out and complete this Medical History Record before your office visit for your convenience.
Contact Us
South Pasadena Medical/Dental Bldg.
1941 Huntington Dr., Suite F
South Pasadena, CA 91030
Phone:
 626-799-2212
Office Hours
Mon    9:00 am - 5:30 pm
Tue     9:00 am - 5:30 pm
Wed    9:00 am - 5:30 pm
Thu     9:00 am - 5:30 pm
Fri       9:00 am - 5:00 pm

Notice of Privacy Practices
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  • Our Practice
  • Our Services
  • Patient Forms
  • Promotions
  • Eye Care Articles
  • Location