Day Kimball Hospital Authorization to Release Medical Records Form (opens a PDF in a new tab)
This form must be presented at the Day Kimball Hospital Medical Records Office along with proof of identification in order to obtain records.
Day Kimball Healthcare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak a language other than English, are deaf or hard of hearing, language assistance services are provided free of charge. Call (860) 928-6541 ext. 2342 or ext. 2229; for TTY, dial 711 and ask to be connected to (860) 928-6541 ext. 2342 or ext. 2229.