Help For A Teen Help For An Adult
phone
866-542-4455
203-966-3561
Get Help Now

Silver Hill Hospital - Providing Addiction Counseling and Services Since 1931 Silver Hill Hospital - Provides Counseling and Therapy fo Co-Occurring Disorders Silver Hill Hospital - Providing Addiction Counseling and Services Since 1931 Silver Hill Hospital - Provides Counseling and Therapy fo Co-Occurring Disorders Silver Hill Hospital - Providing Chronic Pain and Recovery Counseling and Services Since 1931 Silver Hill Hospital - Providing Addiction Counseling and Services Since 1931

Request Your Records

All information contained in the Silver Hill Hospital medical record is confidential and protected by Federal  Law under the Health Insurance Portability and Accountability Act (HIPAA).

An original properly completed HIPAA authorization form is required prior to the release of any information (exceptions per HIPAA regulation).

All authorizations must be signed by the patient or legal representative.

Requirements to sign an authorization for release of medical records:

  • Patient - must be competent and of legal age of 16 or older

  • Minor patients - signed authorization by legal guardian or custodial parent

  • Deceased patients - signed authorization by Executor of the Estate with copy of court papers granting conservatorship

  • Conservator - signed authorization by conservator with copy of court papers granting conservatorship

Fee: 

No charge for copies of 15 pages or less, 16 pages or more are $.65 per page
No charge for copies sent directly to physicians, hospitals, therapists or social service agencies

All requests for medical record information are completed by the Health Information Management Department (HIM).

Contact Information:    
Silver Hill Hospital
HIM Department
208 Valley Road
New Canaan, CT 06840
203 801.2250