Requesting Medical Records

Patients of Northeast Medical Group may request their medical records by following these instructions. You will need Abode Acrobat Reader installed to download the form.


For questions, call 203-688-2231.

When Completing Request Form

Specify what information you want sent from your medical record. Please be as specific as possible. Be sure to include your/the patient's:

  • Date of birth
  • Current address
  • Current phone number
  • Dates of service