Patient Forms and Medical Records
To make it easy for you to request your medical records or preregister for hospital services, including maternity services, you can access the necessary forms by following these instructions.
Medical Records Release
Please download, print, complete and return the Authorization for Release/Exchange of Information form (below) to obtain or send copies of your Saint Mary’s Hospital medical records.
Return the completed form to our Release of Information staff via fax, mail or deliver it in person:
Fax to: (203) 709-3420
Release of Information
Health Information Management Department
Saint Mary’s Health System
56 Franklin Street
Waterbury, CT 06706
Deliver in person
From the hospital’s main lobby, take the first hallway to your left. The Release of Information office is located five doors down on the left just past the chapel
For questions or to check on the status of a pending request, please call (888) 252-4146 and select Option 1 or e-mail: RequestInformation@mrocorp.com.
Find our online Pre-Registration Form here. For more information on registration, please see the Admissions page.
Patient Rights & Responsibilities Brochures
Please see the Admissions page.
Please see the Advance Directives page.