Medical Records Requests

Any request for copies of Medical Record will be subject to the following terms:

  1. A Request for Records form must be completed and signed by the legal guardian/parent of the patient
  2. Patients age 18 and above themselves are legally responsible for completion of forms and the terms associated with the Request for Records.
  3. A $25 fee will be charged for completion of all other forms: medical leave of absence, disability, repeated requests for forms.

Please call us today or fill out the form below once the request form has been completed.

Prescription Requests & Information

Prescriptions are now sent automatically to the pharmacy of your choice. Please call your pharmacy to request a refill. If you believe your child is in need of a new prescription or a refill please call us today or fill out the form below. Always use the dispenser that comes with the product. Never a kitchen teaspoon. If possible, use weight to dose; otherwise use age.

Get In Touch

For non-emergencies please fill out the form below to contact our New Haven or Cheshire offices