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Pathology Slides/Block Consent and Release Form

To have your Pathology Slides sent to another facility or provider outside of Crystal Run Healthcare, please fill complete and return this form.

The form should be mailed  along with a copy of the pathology report to:

Crystal Run Healthcare
Department of Anatomical Pathology
155 Crystal Run Road
Middletown, NY 10941
Telephone: 845-703-6999