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      Request Medical Records

      Patients treated at Yale New Haven Health hospitals can request a copy of their medical records by faxing, emailing or mailing a signed Authorization for Access/Release of Information form, as indicated on the authorization.

      Important: When filling out your form, be as specific as possible with what information you would like from your medical record. Be sure to include your/the patient's date of birth, current address, current phone number and dates of service.

      Copies of medical records will be provided to patients (or their legal representatives) at no cost. All other requests for medical records will be provided in accordance with the state rate for copies of medical records.
       

      For Bridgeport, Greenwich
      and Yale New Haven hospitals
      or Northeast Medical Group

      pdf Download this fillable PDF form and complete it.

      Print the document, sign it, then fax, email or mail it to:

      Yale New Haven Health
      Health Information Management 
      Release of Information Services
      PO Box 9565
      New Haven, CT 06535
      Fax: 203-688-4645
      Email: [email protected]

      For Yale Medicine Providers:
      Fax: 203-200-1287
      Email: [email protected]

      For X-rays or other radiological images, call 203-688-6054. Fax completed forms to 203-688-8812.

       

      For Lawrence and Memorial Hospital

      pdf Download this fillable PDF form and complete it.

      Print the document, sign it, then fax, email or mail it to:

      Lawrence + Memorial Hospital
      Health Information Management
      365 Montauk Ave, New London, CT 06320
      Fax: 860-444-3760;
      Email: [email protected]

      For X-rays or other radiological images, call 860-442-0711, ext. 2578.

       

      For Westerly Hospital

      pdf Download this fillable PDF form and complete it.

      Print the document, sign it, then fax or mail it to:

      Westerly Hospital
      Attention: Medical Records
      25 Wells Street
      Westerly, RI 02891
      Fax: 401-348-3774

      For X-rays or other radiological images, call  401-348-3292 or fax 401-348-3488.

       

       

      Customer Service Locations

      Yale New Haven Hospital
      West Pavilion
      20 York St, Suite 108
      New Haven, CT  06519
      Hours: 8 am to 4:30 pm M-F
      203-688-2231
       
      Medical Center South
      100 Church St. South
      Medical Records, Suite 300
      New Haven, CT  06519
      Hours:  8 am to 4:30 pm* M-F  
      203-688-2231
      *Until 7 pm Wednesdays 
        
      Bridgeport Hospital
      267 Grant Street
      Bridgeport, CT  06610
      Hours: 8 am to 4:30 pm M-F
      203-688-2231

      Bridgeport Hospital Milford Campus 
      300 Seaside Avenue
      Milford, CT  06460
      Hours: 8 am to 4:30 pm M-F
      203-688-2231

      Greenwich Hospital
      5 Perryridge Road
      Greenwich, CT  06830
      Hours: 8 am to 4:30 pm M-F
      203-688-2231
       
      Lawrence + Memorial Hospital
      365 Montauk Avenue
      New London, CT  06320
      Hours: 8 am to 4:30 pm M-F
      860-442-0711
       
      Westerly Hospital
      25 Wells Street
      Westerly, RI  02891
      Hours: 8 am to 4:30 pm M-F
      401-596-6000

      All offices are closed holidays and weekends

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