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Request Medical Records

As required by the Health Insurance Portability and Accountability Act of 1996 and Connecticut law, you have a right to request the opportunity to inspect and copy health information that pertains to you. We will evaluate your request and will either grant it or explain the reason why it will not be granted.

To request a copy of your medical records please click on the following link, complete the form and fax back to the medical record office.

Request for Medical Records Form

Fax the form to (203) 983-6760.

For questions regarding Medical Records, please call (203) 869-1145, ext 522.

 

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