Medical Records and Release Forms

New London Hospital keeps a private, secure medical record about your health.

You can:

  • Review the information in your medical records.
  • Request a copy of your medical records. This often involves a fee.
  • Request that your medical records be released to someone else.

We take every precaution to keep these records secure and in order. Our Notice of Privacy Practices explains the ways we may use or disclose (release) your medical records. Contact us if you have any questions.

Note: To protect the confidentiality of our patients, we can only fax medical records in extreme emergencies. Please plan ahead to leave enough time for records to be mailed.

Important forms

The forms on this page are for New London Hospital patients at all locations.

Note: You can find new patient registration packets on the Registration Packet page.

Designation of a Person Representative form

Medical records release forms

Use these forms to have copies of your medical record sent from New London Hospital to someone else:

Use these forms to have copies of your medical record sent to New London Hospital:


While we have transitioned to the myDH patient portal, for those who utilized our prior patient portal and need to access information prior to October 2020, you can access the myNLH portal here. Please note, this portal is no longer updated since October 2020.