Patient Privacy is a priority at Saint Raphael's. We work hard to protect your medical records. To have a copy of your medical record sent to your doctor or other healthcare provider, click here to print our "Authorization to Use/Disclose Protected Health Information" form.
Mail the completed form to: Hospital of Saint Raphael, 1450 Chapel St., New Haven, CT 06511
For more information, please call the Health Information Management (medical records) department at (203) 789-3739 or e-mail jdombek@srhs.org.
Page last updated on
Sep. 12, 2008
1450 Chapel Street
