For Our New Patients
As in any medical practice, CCMC requests a number of forms be completed to initiate your patient file. Our patients have found it helpful to complete the forms prior to their arrival. Please print and complete these forms prior to your arrival at Celebrity Care.
PLEASE READ BEFORE STARTING
You need to access the forms using a desktop (or laptop) computer. If you do not have access, you can still download the forms and fill them out by hand using Option 1 below. Otherwise if you can access this page on a desktop at some point, using Option 2 is recommended.
Completing The CCMC Medical Forms
If you are a new patient, please follow the instructions below to complete our medical forms and submit them to CCMC before your first visit. For your convenience, we have made the forms available on this site. By filling out the forms in advance, you can help ensure a smooth and efficient check-in process. There are a couple of options when filling out the required medical forms. The text below gives you all the information on the best ways for doing this.
OPTION 1 – Fill forms out by hand & fax them to Celebrity Care Medical Clinic (DO NOT MAIL them.) All of the forms are in a single PDF document. To fill them out do the following:
- Download the CCMC Medical Forms Packet,
- Print out the entire document
- Fill out the forms completely and sign them
- Fax the forms to (830) 255-4660 (make sure to include your name and birth date on the cover sheet)
OPTION 2 – Fill forms using your computer and upload to Celebrity Care Medical Clinic (Recommended) Due to the large amount of required information to enter you may download the forms and fill them out on your computer. Once completed, you may upload the filled out forms using the upload button below. These forms were designed to make it easier to fill out on the computer. There are a number of fields that are duplicate across pages and forms. When filling out these forms electronically, duplicate fields will be automatically filled in when you enter the first one. There are other calculations done during surveys that will automatically be calculated when filling it out on a computer. We recommend filling it out on a desktop/laptop computer (not a mobile device such as a phone or tablet) using one of the following applications:
- The Google Chrome browser
- One of the following Chromium based browsers, Vivaldi or Microsoft Edge. Note: Not all Chromium browsers will work, or have been tested. We only recommend using the ones listed.
- Adobe Acrobat (if you already use it and have an Adobe subscription). If you do not have one of these apps, it will be worth downloading and installing it for filling this out. Links are provided below to download one of the applications for this.
These were the only browsers and PDF viewers verified to work correctly. Please note, other software, such as Safari, Firefox, Opera, Preview, PDF Expert etc. will not work properly. Also, please upload the document containing your completed forms using the secure upload link below. DO NOT EMAIL them. If you have any questions or need assistance with the forms, please don’t hesitate to contact our office. We look forward to welcoming you as a new patient at Celebrity Care Medical Clinic.
Download & Fill Out Forms
1. Download and install one of the following (if not already using):
2. Return to this page in one of the above browsers and download the CCMC Medical Forms Packet. To expedite things and make sure your forms are processed as quickly as possible, please rename the PDF from CCMC_COMPLETE-LM-PACKET.pdf to your full name and date of birth (minus the \slashes\).