Upon your written request and authorization, your medical records will be forwarded to any designated individual or institution.
Mail or fax the completed form to the Health Information Management Department (address and fax number are found directly on the form).
Call the Health Information Management Department (formerly known as Medical Records) at 203-432-0062 or email firstname.lastname@example.org for more information. Please plan ahead as requests are generally processed in the order received and at certain times of year the waiting time for obtaining records may be as long as 30 days. Please note that the following items can be released as soon as the completed form is received: immunization records, prescription records and the most current physical.