Please Download the Forms you will need prior to your first visit, and fax to our office 843.342.6210.
English Forms:
- New Patient Form
- Medical History
- Patient Consent Form
- Consent of Release of Patient Information
- Workers Compensation Form
Spanish Forms:
Please check the link below to find out your Privacy Rights:
Patient Forms Coming Soon:
- Patient Intake Form
- Financial Responsibility Agreement
After you fill the patient forms out, you can either fax them back to us at (843) 342-6210, or bring them with you when you come into the office for your visit.
Contact Cross Island Medical Center Today!
Phone: 843-681-8260
Fax: 843-342-6210
Get Directions to the Cross Island Medical Center, Hilton Head: