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 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.
Use the instructions for your provider in the sections below:
We encourage you to use our secure online form to request medical records. The form only takes a few minutes to complete. Please have a copy of your government or photo ID ready.
OR
For X-rays or other radiological images, call 203-688-6054. Fax completed forms to 203-688-4645.
Download this fillable PDF form and complete it.
Print the document, sign it, then fax, email or mail it to:
For X-rays or other radiological images, call 860-442-0711, ext. 2578.
We encourage you to use our secure online form to request medical records. The form only takes a few minutes to complete. Please have a copy of your government or photo ID ready.
OR
Download this PDF form. Print the form, complete and sign, then fax or mail to::
For X-rays or other radiological images, call 203-688-6054. Fax completed forms to 203-688-8812.
We encourage you to use our secure online form to request medical records. The form only takes a few minutes to complete. Please have a copy of your government or photo ID ready.
OR
For X-rays or other radiological images, call 203-688-6054. Fax completed forms to 203-688-4645.
Download this fillable PDF form and complete it. Print the document, sign it, then fax or mail it to:
For X-rays or other radiological images, call 401-348-3292 or fax 401-348-3488.
We encourage you to use our secure online form to request medical records. The form only takes a few minutes to complete. Please have a copy of your government or photo ID ready.
OR
Download this PDF form. Print the form, complete and sign, then fax or mail it to:
For X-rays or other radiological images, call 203-688-6054. Fax completed forms to 203-200-1287.
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: 8:30 am to 4 pm M-F
860-442-0711
Westerly Hospital
25 Wells Street
Westerly, RI 02891
Hours: 8 am to 3:30 pm M-F
401-348-3262
All offices are closed holidays and weekends
With MyChart, you can view your test results and doctor's comments from the comfort of your own home.
