Skip to main content
Find a DoctorGet Care Now
Skip to main content
Search icon magnifying glass

Contrast

Contact

Share

Give Now

MyChart

Help

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 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:

  

For Bridgeport, Greenwich, Yale New Haven Hospital, Yale New Haven Health Urgent Care, Northeast Medical Group and Yale Medicine Providers

pdf Download this fillable PDF form  and complete it. Print the document, sign it, then fax or mail it to:
Health Information Management
Release of Information Services
PO Box 9565
New Haven, CT 06535

YNHHS Hospital(s) Fax Number: 203-688-4645 | Email to: [email protected]
NEMG Provider Fax Number: 203-200-1286 | Email to: [email protected]
YM Provider Fax Number: 203-200-1287 | Email to: [email protected]

For X-rays or other radiology images download this form

For substance use disorder treatment information download this form

For Lawrence + 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 radiology images download this form

For Westerly Hospital


pdf Download this fillable PDF form  and complete it. Print the document, sign it, then fax or mail it to:
Attention: Medical Records
25 Wells Street
Westerly, RI 02891
Fax: 401-348-3774
Email: [email protected]

For X-rays or other radiology images download this form

Customer Service Locations

 
Yale New Haven Hospital
East Pavilion
20 York St
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

woman on ipad

Access your test results

With MyChart, you can view your test results and doctor's comments from the comfort of your own home.