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  • Yale-new Haven Hospital Release Of Information Form - Ct

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STATE: ZIP: Please send completed form to: Yale-New Haven Psychiatric Hospital. Medical Record Department-LV3. 184 Liberty Street. New Haven, CT 06519.

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Patient Directory You may call the hospital's patient information line at 203-688-4177 any time to get a patient's room and phone number.

If you have questions about your bill, insurance coverage or financial assistance, please call 855-547-4584. Our customer service staff is available to assist you Monday - Friday from 7:30 am - 5 pm.

Patients treated at Yale New Haven Health hospitals can request a copy of their medical records by faxing, emailing or mailing a signed Authorization for Access/Release of Information form, as indicated on the authorization.

Alternatively, employees may call 844-543-2147 (844-543-21HR) 7:30 am - 5 pm Monday - Friday to speak to an HRConnect associate.

Appointment Information Records may be picked up in person, sent by certified mail, sent by secure email, or by fax. Our team will work with you to ensure that you obtain your records securely and efficiently. We are available by phone, 203-432-0062, to answer your questions.

Unless specified otherwise herein, all parts of a medical record shall be retained for a period of seven (7) years from the last date of treatment, or, upon the death of the patient, for three (3) years. (a) Pathology Slides, EEG and ECG Tracings must each be kept for seven (7) years.

203-688-4242 (York St.) 203-789-3000 (Chapel St.)...General Information. Yale New Haven Hospital (York Street Campus)203-688-4242Yale New Haven Children's Hospital203-688-42424 more rows

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232