34 Maple St. Norwalk, CT 06856
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Medical Records

Health Information Services or Medical Records, at Norwalk Hospital, is available to help you when you need to request copies of your medical records.

Request Copies of Your Medical Records

You can request copies of your medical records by contacting the Health Information Services (Medical Records) Department at 203-852-2320.

Please note that there may be a fee associated with your request.

Release of Information

You may also complete the Release of Information Authorization form, available in English, Spanish and Portuguese. Please fax the completed form to Health information Services at 203-855-3519. Please be sure to include current address and phone contact information in case we need to reach you about your request.

Click on a Release of Information Authorization to view online or print a copy.  The Release of Information Authorization is available below online in PDF format. You may need to download the free PDF reader from Adobe.com.

Amending Your Medical Record

If you need to change the information currently included in your medical record, please contact Health Information Services at 203-852-2320.

Patient Request to Amend Health Information

You may also complete the Patient Request to Amend Health Information form and fax to Health Information Services at Norwalk Hospital at 203-855-3519.

Please be sure to include current address and phone contact information in case we need to reach you in regard to your request.

Contact Medical Records

Please contact us if you have any questions about medical records:

Norwalk Hospital
Health Information Services
34 Maple Street
Norwalk, CT 06850

Request Copies of Medical Records or Information Regarding Patient Portal Accounts

203-852-2320
Fax: 203-855-3519
Monday through Friday: 8 am – 4 pm

Amending Medical Records

203-852-2320
Fax: 203-855-3519
Monday through Friday: 8 am – 4 pm

Birth Certificate Questions

203-852-2186
Monday through Friday: 8 am – 4 pm