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Health Center
Authorization for Release of Health Information

In order to obtain medical records, please follow the directions below:

1.  Please fill out an Authorization to Release Protected Health Information. This “Release of Information Authorization” must be Trinity College Health Center’s form which can be found here:Authorization to Release Information.  Once complete, mail or fax it to:

Trinity College Health Center
300 Summit St., Hartford, CT, 06106
Fax #: 860-297-2020

2.  This request MUST include a cover page that indicates:

  • Name while attending Trinity College
  • Year of graduation
  • What information is to be released (i.e. immunization records, etc.)
  • How the information should be forwarded (i.e. fax or mail)

NOTE: Trinity College will only release information to the student, not to any other 3rd party.

Expect a 5 day turnaround time for information to be forwarded from our office.

 

 

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