All request for records must be submitted in writing.  You can use our Access PHI form here.  You will be required to provide a copy of your ID when you submit your request.  If you are the legal representative of the client, you will be required to attach a copy of the documentation identifying your legal authority.  We can send records a few ways: MyChart, DocuSign, fax or they can be picked up in person, we do not mail records.  MyChart is the quickest way to access your record, if you do not have a MyChart account and are interested in creating one, please visit our MyChart page for more information. To submit a request please send it to:

CMHA-Medical Records Department

233 Main St., New Britain CT, 06051, OR

Phone: (860) 348-2310

Fax: (860) 827-3473  

You must submit a HIPAA compliant authorization to the Medical Records department. The authorization must be signed by the client or their legal representative such as a conservator, legal guardian or parent. Please ensure the authorization is sufficient to release Mental Health and/or Substance Use records, a general release will not be sufficient. If you are not sure if the authorization is sufficient, please have the client or legal representative complete a CMHA form, click here.

CMHA-Medical Records Department

233 Main St., New Britain CT, 06051, OR Phone: (860) 348-2310 | Fax: (860) 827-3473

All requests must be submitted in writing signed, dated and must include a photo ID.  You can submit the request using the Access PHI form, found here.  We do not mail paper records, we can send records via DocuSign, MyChart or fax.  To submit a request please send it to:

CMHA-Medical Records Department

233 Main St., New Britain CT, 06051, OR

Phone: (860) 348-2310

Fax: (860) 827-3473   

We require a photo ID, this can include a state issued ID card or license, passport, or current school ID. 

Yes. When completing the authorization form, you choose what information you want CMHA to disclose.The information we disclose is limited to what you select when completing the authorization form at the time of your visit. 

You can revoke an authorization at any time by completing the Revocation Form, found here.  You will be required to complete a revocation form for each authorization/release of information you are revoking.  

If you wish to grant access to someone you previously revoked access from, you are required to complete a new release form. 

If you are conserved of person, your conservator is required to sign the authorization/release forms. If the authorization is for your attorney, you can sign the authorization/release without the conservator. Any client between the ages of 12 through 17 must sign the authorization in addition to the legal representative.   

You can authorize anyone over the age of 18 to pick up your record.  You will be required to complete an authorization/release of information form to allow us to release your record. They will be asked to provide their ID and sign a receipt of records. 

Medical records are kept for 7 years after the discharge date. If we no longer have your medical record, we can provide you with a letter indicating you were a client and an explanation of our retention policy. 

You have the right to request information in your record be amended. You can complete the Request to Amend PHI form and submit it to the Client Rights officer. 

All request sent to medical records must include a written request along with the authorization/release.  Since a request for records is time sensitive, please ensure that the request and the authorization/release form is complete, accurate, legible and HIPAA compliant. 

Please submit your request to:  

CMHA-Medical Records Department 

233 Main St., New Britain CT, 06051, OR 

Fax: (860) 827-3473