OrthoConnecticut

To request a copy of your medical records by mail from or for OrthoConnecticut, patients must do so in writing using the form below, available for download.

  • Please allow 5-7 business days to accommate your request.
  • OrthoConnecticut may charge a reasonable fee not to exceed 65 cents a page for copying a patient’s record and will charge the costs of materials for copying x-rays.

Patients can also pick up copies of their medical record between 8:30am and 4:30pm, Monday through Friday. Front Desk Staff is required to ask and view a driver’s license that matches the name on the records release form. If someone other than the patient is picking up medical records, a signed release is required.

FOR THE NORTHERN OFFICES:

  • Please complete and return the following form:
    pdfAuthorization for Release of OrthoConnecticut Medical Records
  • DANBURY, RIDGEFIELD & SOUTHBURY patients please return above form to J. DeGross:

    • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

    • Fax: 203-797-1817

    • Mail: OrthoConnecticut, 2 Riverview Drive, Danbury, CT 06810. Attn: J. DeGross, Medical Records

    • Questions: please call 203-702-6666
  • LITCHFIELD, NEW MILFORD & SHARON patients please return above form to Penney Webb:

    • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

    • Fax: 860-350-6291

    • Mail: OrthoConnecticut, 131 Kent Road, New Milford, CT 06776. Attn: Penney Webb, Medical Records

    • Questions: please call 860-355-8000 x1108

FOR THE SOUTHERN OFFICES:

  • Please complete and return the following form(s) as required:
    pdfAuthorization for Release of OrthoConnecticut Medical Records
    pdfAuthorization for Release of Medical Records to OrthoConnecticut
  • DARIEN, NORWALK & WESTPORT patients please return above form to Valerie Leone:

    • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

    • Fax: 203-847-1940

    • Mail: OrthoConnecticut, 761 Main Ave., Suite 115, Norwalk, CT 06851. Attn: Valerie, Medical Records

    • Questions: please email This email address is being protected from spambots. You need JavaScript enabled to view it.