New Patients

Welcome to Crystal Run Healthcare! We're dedicated to providing a new kind of healthcare, through:

Patient-centered, quality care
Convenient locations with top-tier providers and leading-edge technology
Care when you need it with Urgent Care locations, same-day appointments, and extended hours including evenings and weekends
Online tools that make it easy to schedule and manage appointments, email your doctor, refill prescriptions, and pay bills
Great resources and information to help you stay healthy

Your Path to Great Health Care

Step 1: Explore locations that are convenient for you - or doctors that specialize in the care you need.

Step 2: Take advantage of the benefits of a Primary Care Provider (PCP). Your PCP partners with you to achieve the best health outcomes - from preventive services and care for routine health conditions to coordinating with the specialists you visit. Get tips to choose a PCP.

Step 3: Make an appointment by calling Crystal Run Healthcare.

Step 4: Complete your registration forms in advance.

Step 5: During your visit, sign up for Crystal Run's Patient Portal - a convenient and secure online tool for managing appointments, requesting medication refills and more.

Step 6: Take advantage of Crystal Run's health information, preventive services, and health classes - because We Want You Healthy

Welcome to Crystal Run Healthcare's online Appointment Request Form.

You can request to schedule a doctor's appointment - For Non-Urgent Medical Visits - from the comfort and convenience of your own computer. If you are currently enrolled in NextMD®, click here to request to schedule an appointment.

Please fill out the following form in its entirety (*=required field). You will have the opportunity to provide us with three dates and times that are convenient for you. When you are finished, please click the Submit button.

Please note that your appointment is NOT scheduled until you have received a confirmation email from Crystal Run Healthcare.

Patient Information

First Name

Last Name

Date of Birth *

DOB (Day) *

DOB (Year) *

Contact Information

Home Phone *

Email *

Appointment / Cancel Details

Provider Name *

Location *

Please choose up to THREE desired appointment dates.

Note: The appointment request form must be sent at least five (5) business days prior to your first preferred appointment date. You will receive confirmation of your appointment via email within two (2) business days. The form is for Non-Urgent Medical Visit requests only.

Date 1 *

Appointment 1 (Day) *

Appointment 1 (Year) *

Time *

Date 2

Appointment 2 (Day)

Appointment 2 (Year)

Time

Date 3

Appointment 3 (Day)

Appointment 3 (Year)

Time

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Welcome to Crystal Run Healthcare! We're dedicated to providing a new kind of healthcare, through:

Your Path to Great Health Care