Request Copies of Your Medical Records

You can request copies of your medical records by contacting the Health Information Services (Medical Records) Department at 203-739-7218.

Please note that there may be a fee associated with your request.

Release of Information

You may also complete the Release of Information Authorization form, available in English, Spanish and Portuguese. Please fax the completed form to Health information Services at 203-739-6689. Please be sure to include current address and phone contact information in case we need to reach you about your request.

Release of Information Authorization Form

• Release of Information Authorization 
• Spanish-Release of Information Authorization
• Portuguese-Release of Information Authorization
• Addendum to Release of Information - Records for Deceased Patient Form 

For More Information

If you have questions, please contact Medical Records or ask your doctor about Danbury Hospital. For information about our doctors search our online Find a Doctor tool, or if you need a referral call 1-800-516-3658.