Request Your Medical Record

Medical Record Requests

To obtain copies of your medical records from Bridgeport Hospital please:

  • Dowload this interactive PDF, complete it and save the document:

    YNHHS Authorization for Access/Release of Document pdf

  • Print the document, then fax or mail to:
    203-688-4645
    Yale New Haven Hospital
    Medical Record Department
    Medical Information Unit
    PO Box 9565
    New Haven, CT 06535

  • For questions, call 203-384-3430

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:

  • Full name
  • 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.

Electronic Medical Records

All Bridgeport Hospital physicians and many of the community physicians affiliated with Bridgeport Hospital are using the Epic medical record system. As part of this system, patients can use MyChart to access medical records, view test results, communicate with providers, renew prescriptions and find helpful medical information.