Patient Privacy

Crystal Run Healthcare LLP is committed to protect your privacy.

In conducting its business of providing healthcare and treatment services to you and your family, Crystal Run Healthcare LLP is dedicated to maintaining the privacy of your medical information.

Notice of Privacy Practices at Crystal Run Healthcare:
Please click below to access our Notice of Privacy Practices which provides you with our legal duties and privacy practices concerning your medical information, particularly the following:

1. How we may use and disclose your medical information
2. Your privacy rights regarding your medical information
3. Our obligations concerning the use and disclosure of your medical information   

Notice of Privacy Practices

Your medical record is our property. However, the information contained in your medical record is kept confidential and it will be used only for your treatment, our payment, our business operation and any reporting required by law.

Required Written Authorization for Release:
In general, the use and disclosure of your medical information requires your written authorization. Please click below and follow the instructions to fill out an authorization to release your health information.

pdficon Authorization for Release of Protected Health Information

Completed and signed authorization can’t be sent by e-mail, it must be mailed or faxed to us at the address or fax number below:

Via Mail:  

Attention: HIM Department
Crystal Run Healthcare, LLP
155 Crystal Run Road
Middletown, NY 10941

Via Fax:  

845-796-5899

To have Medical Records sent TO your CRHC physician:
Please click below and follow the instructions to fill out this Request for Medical Information and send it to your physician so your medical records can be sent to your Crystal Run Healthcare physician.

pdficon Request for Medical Information