Obtaining Medical Records or Birth / Death Certificates

1. Download the appropriate form(s) above

2. Complete the form(s) and send or fax to:

Mailing Address:
Hartford Hospital
Health Information Management
80 Seymour Street
P.O. Box 5037
Hartford, CT 06102

Patient & Healthcare Requests Fax:
860.545.6764

Legal, Ins, 3^rd Party, Disability, IOL Requests Fax:
860.545.2328

Requests are processed on a first come, first served basis. Information is mailed to patients -- or patients can chose to pick it up at Hartford Hospital, Bliss Building, Room B104, First Floor. (Patients will get a phone call when the copies are ready for pick up.)

Birth or Death Certificates

Hartford Hospital does not retain copies of birth or death certificates. This archive is maintained by the City of Hartford's Bureau of Vital Records.

Hartford Hospital can provide or release copies of medical records at the written request of patients or their legal representatives.

Birth Certificates
A Hartford birth certificate may be obtained in person, through a mailed-in request, or online through VitalChek. Note that in accordance with State of Connecticut Statutes, birth certificates are legally available to:

• The person him/herself sixteen years of age or older
• A parent, spouse, grandparent or child of said person
• A legal representative or legal guardian with appropriate proof of legal status

Death Certificates
A Hartford death certificate may be obtained in person, through a mailed-in request, or online through VitalChek. Mailed-in requests must be accompanied by a check or money order made payable to the City of Hartford. See the City of Hartford website for further details.