P.O. Box 16852

Bristol, VA  24209-6852

info@crossroadsmedicalmission.org

276.466.1600

276-466-2800 (fax)

Jan June 2021.png

Click Here for our Schedule

Donate
JWDO 2021 Cover.png

THANKS!

  • Home

  • Locations

  • Patient Info

    • Info & Policies
    • CMM Services
    • Our Schedule
  • Support

    • Ways to Contribute
    • Volunteers
    • Annual Gala
    • Just What The Doctor Ordered 2021
  • Staff & Board

  • In the News

  • COVID-19

  • Resources

    • Printable Forms and Lists
  • More

    Use tab to navigate through the menu items.

    Reminder!
    If schools are canceled because of bad weather the day of your appointment,
    you will be contacted at your scheduled appointment time for a telemed visit.

    BigCatII.png

    Printable Resource Lists, Applications and Forms

    CMM Schedule
    Adult Medical and Dental Resource List
    Adult Medical and Dental Resource List
    Cover RX Application
    Cover RX Application
    Medical Records Release.pdf
    Medical Records Release.pdf

    Physical Forms

    VHSL Physical Forms
    VHSL Physical Forms
    TSSAA Physical Form
    TSSAA Physical Form
    CDL Physical Form
    CDL Physical Form
    Elem Physical Forms
    Elem Physical Forms
    Donate: Credit/Debit
    PayPal

    P.O. Box 16852

    Bristol, VA  24209-6852

    info@crossroadsmedicalmission.org