Crossroads Vision Care
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patient  forms

Patient Forms

Crossroads Vision Care implements Electronic Medical Records in our office to reduce the time on needless paperwork. All information gathered is directly uploaded to a safe and secure electronic medical system.


​Click the full screen icon to view this form in its entirety. At the top right corner it allows you to download and print this form. 
Contact Us
Crossroads Vision Care
9250 FM 78
Converse, TX 78109
Phone: 210-659-1223
Fax: 210-659-2924
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Notice of Privacy Practices
  • Home
  • Our Practice Staff
  • Services
  • Patient Center
    • Patient Forms
    • Reorder Contacts
    • Browse Catalogs
    • Eyeglass Tools
    • Eye Care Articles
    • Promotions
  • Contact Us
  • Privacy Notice
  • Have a suggestion or concern?