School Forms

Back to School Physical Forms

Each year, schools require their records to be updated with your child's annual physical/well-child exam information. Crystal Run is happy to complete the appropriate forms and provide this information. In general, forms can take up to 5 business days to complete; so, the sooner you can provide the forms to your Crystal Run Provider, the sooner we can complete them. 

Parents or guardians can enjoy the convenience of submitting forms online through Crystal Run's secure Patient Portal.  If you're not already signed up, please ask a staff member for help setting up your access, at 845.703.6999.

Forms can be dropped off in person, mailed, or faxed to: 

Mailing Address:
155 Crystal Run Road
Middletown, NY, 10941
*ATTN: MD/Please specify Provider's Name

Fax Information:
Fax #: 845.703.6294
*Attn: 300 unit secretary /MD name  845-703-6294
*Attn: 100 unit secretary/MD name 845-703-3824
*Attn: 155 unit secretary /MD name 845 - 703-6297 

Check out our Return to School - Resources for Parents & Families webpage to help you prepare for the 2020-21 school year.