Patient Forms


 

Please review the information and forms provided below. If you are a new patient, please review the information provided here and allow extra time for processing. If you have questions, please feel free to contact us.

Thank you for choosing our practice for your medical care.  We look forward to meeting you!

Please complete the new patient forms below (women’s and/or men’s forms ) and bring them with you to your appointment. Please make sure that you arrive at our office at least 10 minutes prior to your appointment to allow us time to process your paperwork. If you are unable to bring your completed forms with you, please arrive at least 20 minutes prior to your appointment so that you have time to complete them here before your scheduled appointment time.

It is also necessary to bring your:

  • driver’s license
  • insurance card
  • list of current medications
  • pharmacy information

We will ask to see your insurance card and driver’s license at every visit to verify that what we have on file is correct and there have not been any changes.  If you have insurance changes please notify the office as soon as possible. There are a very large range of policies underneath each carrier, therefore your coverage terms could change considerably even if you have the same carrier. We would also like to confirm that we are in-network providers for your plan.

What You Should Know About Your Insurance Before Your Appointment

As a courtesy to our patients, our office attempts to verify your insurance coverage prior to your office visit. Unfortunately, the information we receive from your insurance company is minimal and is not a guarantee of coverage or benefits.  It is rare, but we have been quoted incorrect benefits in the past from the insurance companies.

We strongly encourage all patients to “know” their insurance policy.  Knowing what your plan does or does not cover will provide you with the information needed to make medical decisions and to know your options.  Also, you are more likely to receive the maximum benefits allowed by your policy if you are aware of what your coverage provides.

Please feel free to contact our office if you have additional questions prior to your appointment.

Please download the forms first, complete and save, then send as an attachment to smile@crwhealth.com.  If you prefer to, you may print and complete the forms by hand, then bring them with you to your appointment.

Women's Forms

Men's Forms

Location
Cross Roads Hormonal Health & Wellness
3201 US Highway 380, Suite 201
Cross Roads, TX 76227
Phone: 940-213-2694
Office Hours

Get in touch

940-213-2694