Request Medical Records
Day Kimball Hospital’s Medical Records Department is the administrative arm of the hospital responsible for ensuring that patients’ medical records are complete, accurate, confidential and readily available for future patient care.
In addition, all birth certificate information is generated from this department and transmitted to the Connecticut Department of Public Health Vital Records Section.
Services Provided
Copies of Medical Records
These can be obtained by the patient upon request. Patients must provide picture identification (driver’s license preferred) for proof of identification.
Back to Top
Newborn Social Security Number
New parents can request that a social security number be assigned to their newborn at birth. The Medical Record staff transmits the request to the Social Security Administration. The Social Security number is then sent to the parents within six to eight weeks. Follow up should be with the Social Security Administration.
Please contact the Social Security Department in Willimantic, CT to inquire about social security numbers for newborns at (860) 423-6386.
Back to Top
Copies of Patient Records
These can be released only with the permission of the patient. Only the patient can authorize release of information, unless the patient is under 18 years of age. If the patient is currently less than 18 years old, his parent or guardian must sign the authorization to release the medical records. (For Psychiatric records some restrictions may apply. Please call our office before completing the request and authorization forms.)
The following form is available for download in Adobe PDF format.
They require Adobe Acrobat Reader available here.
Back to Top
Important reminders/things to remember
Please bring photo identification, such as a driver’s license, to obtain copies of medical records.
Please call for an appointment to complete paternity acknowledgements for newborns within 8 days of birth. Parents must show picture ID for identification. If the acknowledgement is not signed within 8 days of birth, it must be completed with the Department of Social Services. Please call the Department of Social Services in Norwich, CT at 860-823-3325 for more information.
Certified Birth Certificates can be obtained through the Town Clerk of the town of birth or through the State Department of Public Health Vital Records Section. The Medical Record Department cannot issue a certified Birth Certificate.
Back to Top
Location
Day Kimball Hospital,
320 Pomfret St., Putnam, CT
Back to Top
Directions
The Medical Records Department is located on the main floor of the hospital. Enter through the main Visitors Entrance. Bear right at the Information Desk and continue straight down the hallway. Take your last left and then a right at the end of the hallway. The Medical Records Department will be in front of you.
Back to Top
Hours
Monday – Friday
8:00am to 4:30pm
Back to Top
Contact Information
Phone: 860-928-6541
Fax: 860-963-6375
e-mail: Angela Levesque, alevesque@daykimball.org
Back to Top