Patient Forms

For your convenience, we have made a number of forms available for patients to download. If you are new to our practice, we encourage you to download and print out the new patient forms. Filling these out in advance of your first visit will minimize the time you spend in the waiting room filling them out when you get here. Other forms are informational. If your doctor has given you a form with specific information or instructions different from the information on these online forms, rely on the information given to you by your doctor, not on the online forms. If you're not sure which forms you need, please call 713.666.4224 for assistance or email us your questions at mariela@drcross.com.

If you're unable to open these files, you probably need to download the free Adobe Acrobat Reader program, which is available at the following location: www.adobe.com/products/acrobat/readstep.html

Click on the forms you would like to download:

Forms in English:

• New Patient Information
• Payment and Insurance Information
• Refraction Consent
• Medical Eye History

Formas en Espanol/Spanish Forms:

• Informacion del Paciente Nuevo
• Payment and Insurance Information
• Poliza de Refraccion/Refraction Consent
• Historia Medica en Espanol