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  • Hospital Of St. Raphael Release Of Information Form - Ct

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The Saint Raphael Healthcare System 1450 Chapel Street, New Haven, CT 06511 Authorization Form for Disclosure/Release of Protected Health Information (PHI) General Health Information/Drug/Alcohol/Psychiatric/HIV.

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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.

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.

Yale New Haven Health is making it easier for people to access the latest medical treatments, advanced research and innovations through our five outstanding hospitals – Yale New Haven, Bridgeport, Greenwich, Lawrence + Memorial and Westerly – and our affiliation with the prestigious Yale University and its highly- ...

The hospital operates a second campus on the site of the former Milford Hospital in Milford, Connecticut, which was integrated with Bridgeport Hospital by Yale New Haven Health in June 2019.

(Bridgeport Hospital is a member of Yale New Haven Health System.)

Bridgeport Hospital is a Yale-affiliated community teaching hospital.

Bridgeport Hospital is a member of Yale New Haven Health which is comprised of Yale New Haven Hospital, Greenwich Hospital, Lawrence + Memorial Hospital, Westerly Hospital and Northeast Medical Group.

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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