Dr. Rhinehart's Online Forms
Crossroads Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know! The more we understand your symptoms and concerns the better we can determine what's wrong and if we can help.
Simply print out the following forms, complete them and bring them in to our office We look forward to seeing you soon!
Location
Click the map to view the location nearest to you
Office Hours
Closed daily from 1-2 for lunch
