First Name Last Name Contact Number Reason for Contact Request an Appointment Refill Medications Medical Question Convert an Existing Appointment to Telehealth Radiology Copy of Test Results (Labs, Imaging, etc.) Best Time to Call AM PM Any Comments Disclaimer Disclaimer: Crystal Run Healthcare welcomes the ability to communicate with our patients via email and other electronic means. However, by law, we have the responsibility to remind you that public email may not be the most secure method for communication. We offer other means of communication via phone, secure email, and/or our Patient Portal. Crystal Run Healthcare will assume that you understand the risks of using email and are comfortable with using email as a means of communication with our providers should you choose to proceed. Please contact us at 845-703-6999 if you need further assistance. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit