Medical Records

Medical Records (Health Information Management)
First Floor, Lab/Finance Wing
(860) 496-6670

Medical Requests
(860) 496-6672 
FAX (860) 496-6629

The CHH Health Information Management Department maintains and safeguards the confidentiality of medical record information in accordance with the patient’s right to privacy, legal requirements and appropriate ethical considerations. The medical record and its contents are the property of the Charlotte Hungerford Hospital, however, patients and/or their authorized representative are entitled to examine and/or receive copies of the information contained within the medical record.


How do I obtain a copy of my medical record?

HIPAA requires a properly completed and signed authorization release be given to the Health Information Management Department by the patient in order for the Hospital to release medical records.

The form is available online (below) or can be obtained by visiting the Health Information Management Department during normal business hours. Depending on the purpose of the request there may be a fee associated with the copy costs. The Department requires a 48 hour notice to process and a valid photo identification to pick up requests.

This form should be brought to the hospital’s Health Information Management Department (First Floor),
faxed to (860) 496-6629 or mailed to:
 
Charlotte Hungerford Hospital
Health Information Management Department
540 Litchfield Street
Torrington, CT 06790 

For more information, please call (860) 496-6672.


How do I obtain a copy of my radiology (X-ray) films?

HIPAA requires a properly completed and signed authorization release be given to the Radiology Department by the patient in order for the Hospital to release medical radiology records.

The form is available online (below) or can be obtained by visiting the Radiology Department during normal business hours. Depending on the purpose of the request there may be a fee associated with the copy costs. The Department requires a 24 hour notice to process the request, and a valid photo identification is require for pick-up.

This form should be brought to the hospital’s Radiology Department (First Floor),
fax to the Department at (860) 482-2514, or mailed to:

Charlotte Hungerford Hospital
Radiology Department
540 Litchfield Street
Torrington, CT 06790

For more information, please call (860) 496-6541.