Trinity Health Of New England Health Information Management Department (formerly, Medical Records) is dedicated to processing your request or inquiry for protected health information in a timely manner. To aid us in fulfilling your request or inquiry please review the listing of frequently asked questions.
Hours of Operation:
Monday through Friday
8:00 a.m. to 4:30 p.m.
Health Information Management
201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone: (860) 714-4646
Fax: (860) 714-8130
Health Information Management
271 Carew Street
Springfield, MA 01104
Phone: (413) 748-9722
Fax #: (413) 748-9809
Health Information Management
490 Blue Hills Avenue
Hartford, CT 06112
Phone: (860) 714-4646
Fax #: (860) 714-8130
Health Information Management
114 Woodland Street
Hartford, CT 06105
Phone: (860) 714-4646
Fax #: (860) 714-8130
Health Information Management
56 Franklin Street
Waterbury, CT 06706
Phone: (203) 709-6257
Fax #: (203) 709-3420
Phone: (860) 714-4646
Fax #: 1 (833) 213-5417
Phone: (413) 796-6712
Fax #: (413) 782-4047
Authorization to Disclosure PHI Form
(English)
Trinity Health Of New England Hospitals
This includes:
Johnson Memorial Hospital
Mercy Medical Center
Mount Sinai Rehabilitation Center
Saint Francis Hospital
Saint Mary's Hospital
Request for Correction - Amendment of Health Information
(Saint Francis Hospital)
Authorization to Disclosure PHI Form
(Espanol/Spanish)
Trinity Health Of New England Hospitals
This includes:
Johnson Memorial Hospital
Mercy Medical Center
Mount Sinai Rehabilitation Center
Saint Francis Hospital
Saint Mary's Hospital
Contact Numbers and Addresses:
Bureau of Vital Statistics Municipal Building Room 103 550 Main Street Hartford, CT 06103 (860) 757-9690 https://www.vitalchek.com |
Saint Francis Hospital and Medical Center |
Contact Numbers and Addresses:
Springfield City Clerk's Office City Hall, Room 123 36 Court Street Springfield, MA 01103 (413) 736-3111 https://www.vitalchek.com |
Mercy Medical Center |
Bureau of Vital Statistics |
Trinity Health Of New England Phone: (860) 714-4415 |
Springfield City Clerk's Office |
Mercy Medical Center Email: birthregistry@trinityhealth.org |
Return the completed form to your applicable hospital’s Release of Information staff via fax, mail or deliver it in person:
Your request for medical records will be processed within 30 calendar days from receiving the completed request unless we notify you that the request cannot be processed within that time frame, the reason for the delay, and the date by which we will complete action on the request.