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IF YOU NEED ASSISTANCE COMPLETING THE HEALTH INFORMATION AUTHORIZATION FORM, PLEASE CALL (203) 573-7368.

Completed Health Information Authorization forms (see hyperlink to the right) can be faxed to 203-573-7107 or mailed to:

Waterbury Hospital
Health Information Management Dept.

64 Robbins Street
Waterbury, CT 06721



Accessing Health Information
Health Information Authorization Form

 

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