How to Request Copies of Your Medical Records
Patients treated at Danbury Hospital can request a copy of their medical records by faxing or mailing a completed and signed Authorization for Release of Information form as outlined below.
- You may need to install Adobe Acrobat Reader in order to download our forms.
- Download this interactive PDF version of the Authorization for Release of Information form.
- Print it and complete all sections on paper or save it to your computer and complete it electronically, then print it:
- Fax or mail form to:
Fax #: 203-749-9000
Mailing Address: Danbury Hospital
Health Information Services Department
24 Hospital Avenue, Danbury, CT 06810
If copies of your records are going directly to a physician or hospital there is no charge. If copies are being sent directly to you, there is a fee of 12 cents per page. Please note an additional form is required to obtain records for a deceased patient, see link below. If you have additional questions please call us at 203-739-7218.
Additional Forms:
- Spanish - Release of Information Authorization
- Portuguese - Release of Information Authorization
- Radiology Images – Release of Information Form
- Addendum to Release of Information - Records for Deceased Patient Form
- Spanish - Addendum to Release of Information - Records for Deceased Patient Form
- Western Connecticut Medical Group - Release of Information Form
Access Your Electronic Medical Records via the Patient Portal
All WCHN facilities (Danbury, New Milford & Norwalk Hospitals) and affiliated WCMG medical practices use the Cerner electronic medical record system. As part of this system patients can use the WCHN Cerner “Be Well” patient portal to view sections of their medical records along with test results, medication lists, communicate with providers, request prescriptions renewals and find other helpful medical information. There is also a free mobile app you can download to access the Cerner portal called HealtheLife.
- wchn.iqhealth.com
- HealtheLife Mobile App (Apple / Google)
- For technical questions or password issues please call Cerner support:1-877-621-8014
- For questions regarding your patient portal content please contact your WCMG provider office directly or for hospital records call the Health Information Services Department at 203-739-4753.
Requesting an Amendment to Your Medical Records
If you identify that information in your medical record is incorrect please submit a completed request to amend health information form. Please be sure to include your current address and phone contact information in case we need to reach you in regard to your request. If you have additional questions please call us at 203-739-7218.
- Patient Request to Amend Health Information
- Fax or mail form to:
Fax #: 203-749-9000
Mailing Address: Danbury Hospital
Health Information Services Department
24 Hospital Avenue, Danbury, CT 06810
Contact the Danbury Hospital Medical Record Department
Our office is open Monday thru Friday 8:00 am to 5:00 pm, closed weekends and holidays.
Danbury Hospital
Health Information Services
24 Hospital Avenue
Danbury, CT 06810
Phone: 203-739-7218
Fax: 203-749-9000