How to Request Medical Records
You will need Abode Acrobat Reader installed to download the following forms.
Yale-New Haven Hospital
Complete this Authorization for Access/Release of Information form.
| Then, fax or mail to: |
203.688.4645
Yale-New Haven Hospital
Medical Record Department
Medical Information Unit
20 York Street
New Haven, CT 06504 |
| For questions, call: |
203.688.2231 |
Yale-New Haven Children's Hospital
Complete this Authorization for Access/Release of Information form.
| Then, fax or mail to: |
203.688.4645
Yale-New Haven Hospital
Medical Record Department
Medical Information Unit
20 York Street
New Haven, CT 06504 |
| For questions, call: |
203.688.2231 |
Yale-New Haven Psychiatric Hospital
Complete this Authorization for Access/Release of Information form.
| Then, fax or mail to: |
203.688.9941
Yale-New Haven Psychiatric Hospital
Medical Record Department - LV3
Medical Information Unit
184 Liberty Street
New Haven, CT 06504 |
| For questions, call: |
203.688.9933 |
When Completing Request Forms
Specify what information you want sent from your medical record. Please be as specific as possible. Be sure to include your/the patient's:
- Full name
- Date of birth
- Current address
- Current phone number
- Dates of service
Applicable Fees
If copies are going directly to a physician or hospital, there is no charge. If copies of your medical records are to be sent directly to you, there is a fee of 65 cents per page.
Electronic Medical Records
All Yale School of Medicine physicians and many of the community physicians affiliated with Yale-New Haven Hospital are using the Epic medical record system. As part of this system, patients can use MyChart to access medical records, view test results, communicate with providers, renew prescriptions and find helpful medical information.