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Telehealth Appointment

Crystal Run Healthcare is now offering access to Telehealth visits, which enables you to have a virtual visit with your provider from your smartphone or computer. If you’d like to schedule a new virtual telehealth visit or convert your existing appointment to a telehealth visit, please fill out the form below and select the appropriate check box for your request.

*Please note if you are converting an existing appointment, you will receive confirmation via email along with instructions for your telehealth visit. If you are are requesting a new telehealth visit, you will be contacted by phone to schedule your appointment.*

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First Name: *

Last Name: *

Contact Email: *

Contact Phone Number: *

Type of Telehealth Request: *

Request a New Telehealth Appointment

Convert an Existing Appointment to Telehealth

Date of Existing Appointment: *

Time of Existing Appointment:

Which Provider is your existing appointment with? *

Disclaimer: Crystal Run Healthcare welcomes the ability to communicate with our patients via email and other electronic means. However by law we have the responsibility to remind you that public email may not be the most secure method for communications. We offer other means of communication via phone, secure email and/or our NextMD web portal. Crystal Run Healthcare will assume that you understand the risks of using email and are comfortable with using email as a means of communications with our providers should you choose to proceed. Please contact us at 845-703-6999 if you need further assistance.