Medical Records

Patients treated at Yale New Haven Hospital, Yale New Haven Children's Hospital or Yale New Haven Psychiatric Hospital can request a copy of their medical records by faxing or mailing the appropriate, signed Authorization for Access/Release of Information form per the instructions below.

How to Request Medical Records

For records from Yale New Haven Hospital, Yale New Haven Children's Hospital, Smilow Cancer Hospital, the Saint Raphael Campus and the former Hospital of Saint Raphael, complete the following steps: 

• Download this interactive form (or translation) and complete it:
   
  YNHHS Authorization for Access/Release of Document  
  (Arabic, Pashto, Spanish)
  
  
• Print the document, sign it, then fax or mail it to:
  
  Yale New Haven Health 
  Health Information Management 
  Release of Information Services 
  PO Box 9565 
  New Haven, CT 06535
  
  FAX: 203-688-4645
  EMAIL: releaseofinfo-Hosp@ynhh.org
  
  For Yale Medicine Providers:
  FAX: 203-200-1287
  EMAIL: releaseofinfo-YM@ynhh.org

For questions, call 203-688-2231.

To request copies of X-rays or other radiological images

Please call 203-688-6054.
Fax completed forms to 203-688-8812.

When Completing Request Form

Specify what information you want sent from your medical record. Please be as specific as possible. Be sure to include your/the patient's:

• When Completing Request Form
• 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.