Patient & visitor information

Request for medical records

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

If copies of your medical records are to be sent directly to you, there is a fee of 65 cents per page. If copies are going directly to a physician or hospital, there is no charge.

Please choose to download one of the following forms:

You will need Adobe Acrobat Reader installed in order to read the pdf files that contain the forms.

Records from Yale-New Haven Hospital

• Instructions to obtain a copy of your medical records
• Authorization for Access/Release of Information form (pdf; 60KB)

Records from Yale-New Haven Children's Hospital

• Instructions to obtain a copy of your medical records
• Authorization for Access/Release of Information form (pdf; 60KB)

Records from Yale-New Haven Psychiatric Hospital

• Instructions to obtain a copy of your medical records
• Authorization for Access/Release of Information form (pdf; 40KB)

Last revised: July 30, 2007 (dh)

Home page URL: http://www.ynhh.org

All information is intended for your general knowledge and is not a substitute for medical advice or treatment for specific medical conditions. You should seek prompt medical care for any specific health issues and consult your physician before starting a new fitness regimen.