Request Medical Records

In accordance with the Health Insurance Portability and Accountability Act of 1996 and Connecticut law, you have a right to obtain a copy of your health information.

Please complete and electronically sign the online form below to request a copy of your medical record/s. Requests will be processed in one to three days.  A medical records coordinator will contact you if necessary. Records will be sent to the address you supply.

PLEASE NOTE: We cannot release records without this completed and signed authorization.

For other questions related to medical records, please call 203.869.1145, option 5.