Medical Records

If you are a:

– Patient, Healthcare Provider, Insurance Company, Disability, Worker’s Comp:

                – For Patients with Last Name A – M – Call (203) 789-3468
                – For Patients with Last Name N – Z – Call (203) 789-4207

– Attorney, Government Agencies, School, DCF:

– For Patients with Last Name A-L – Call 203-789-3723
– For Patients with Last Name M-Z – Call 203-789-3722

Patient Privacy is a priority at Saint Raphael’s. We work hard to protect your medical records. You have a right to review or obtain copies of your medical records. For patients currently hospitalized who wish to review their medical records, please talk to your attending physician. If you have been discharged from the hospital and would like to see your record, please submit your request to the Saint Raphael Health Information Management Department (HIMD) — address below.

If you would like a copy of your medical records sent to your doctor or other healthcare provider, click here to print our “Authorization to Use/Disclose Protected Health Information” form in English.  For a copy of the form in Spanish: para Espa?ol – haga clic aqui!.

Please use the form as you must submit your request in writing to the HIMD.  Note that the patient’s signature on the authorization form must be notarized. Notary services are available in Saint Raphael’s Patient Relations Department on the first floor just off the main lobby.

If someone other than the patient is making the request to access the medical record, the patient’s signature or signature of the patient’s legal guardian or representative is required. If you would like an actual copy of the medical record, there may be a reasonable charge for making the copies of your medical records. For information, call: 203-789-3739.

Send the request form to:

Health Information Management Department
ATTN:  Correspondence Unit
Saint Raphael Healthcare System
1450 Chapel Street
New Haven, CT 06511