Western Connecticut Medical Group
Under Connecticut State Statute Section 20-7c, Western Connecticut Medical Group will provide every patient, who requests so, a copy of their medical records (health information).
To Request a Copy of Your Medical Record
To request a copy of your Western Connecticut Medical Group medical record you must authorize the release by using the Western Connecticut Medical Group authorization for record release; or any Health Insurance Portability & Accountability Act (HIPAA) approved release form. For your convenience, you can download our Authorization Record Release Form as a PDF document.
A patient can specifically request certain or all health information to be copied, sent, or retrieved from any of the Western Connecticut Medical Group offices from which you received services. All HIPAA-approved forms must be signed by the patient, legal guardian, or authorized person, such as Power of Attorney with accompanying documentation.
Determined on the amount of information you need copied and/or the time frame of services, the processing of your request may take up to five to ten business days before they are received in the mail or retrieved in person. As stated in the Section 20-7c, Western Connecticut Medical Group may charge up to forty-five cents ($0.45) per page for copied records or bills.
The HIPAA-approved forms, such as the Western Connecticut Medical Group authorization, do explain the limits for Western Connecticut Medical Group to release the information beyond a certain date and/or to other entities not listed by you, the patient.
Specific inquiries for radiologic copies may take longer than stated above. All questions related to your requests should be directed to the respective Western Connecticut Medical Group office manager or coordinator.
Addendum to Release of Information
If you are a family member, executor, or administrator requesting a copy of a deceased patient's records, please note that this form needs to accompany the Release of Information form.
For More Information
If you have questions, contact Western Connecticut Medical Group, or ask your doctor about Danbury Hospital. For a doctor referral call 1-800-516-3658, or search our online Find a Doctor tool to find a doctor near you.