You can request a copy of your health information by completing a Authorization to Release Information Form (Solicitud de Divulgación del Registro Médico del Paciente). You may submit the form by mail, in person, or by email to: email@example.com.
Please mail your request to:
28 Crescent Street
Middletown, CT 06457
Attn: Release of Information Unit
If you are submitting your request in person at Middlesex Hospital, you may do so from 8:00 a.m. to 4:00 p.m. Monday through Friday. The Release of Information Department is located on the first floor of the hospital.