Release of 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, fax, or scan/email  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)

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