Requesting Your Medical Records

Your medical records contain important information, including diagnoses, medications, treatment plans, immunization dates, test results, and more. If you would like a copy of your medical records, please complete our Authorization for Access/Release of Information form:

Fill out the form online: [Click here for English] | [Click here for Spanish]

Or download a form: [Click here for English] | [Click here for Spanish]

Once completed, you can return your form to any of our locations during normal business hours or email it to medicalrecords@fhchc.org. Please allow up to four weeks for a response.

Accessing Your Immunization Records

Need proof of immunization? You can securely access your immunization records through CT WiZ, the Connecticut Department of Public Health’s Immunization Information System:

• Learn more about CT WiZ: Click here
• Log in to the CT WiZ Portal: Click here

CT WiZ is a safe and confidential system that provides official immunization records for you and your family. All you need is your name and date of birth as they appear in your medical records.

Fair Haven Community Health Care is here to provide care you can trust. We focus on helping you and your family feel welcome, understood, and supported at every step. Here are three reasons why patients choose us: