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.
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:
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How we may use and disclose your medical information
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Your privacy rights regarding your medical information
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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.
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.
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:
- Attention: HIM Department
- Crystal Run Healthcare, LLP
- 155 Crystal Run Road
- Middletown, NY 10941
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| 845-796-5899 |
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