Request Your
Medical Records
OrthoConnecticut has partnered with HealthMark Group to ensure the accurate and timely completion of medical record requests
(including X-ray images and/or records.)
How?
Requests may be submitted electronically to HealthMark's Request Manager at https://requestmanager.healthmark-group.com. Once logged in, select "Submit Request" from the menu options and enter all required fields to provide an authorization directly to HealthMark. Your medical record request will be processed and a notification will be sent via mail or email once complete and available for download.
Any questions?
Please log in to Request Manager for status updates or to chat with support. If you have any questions, you may contact HealthMark at 800-659-4035 or status@healthmark-group.com.
Pain Center Patients:
Please return the following release form to Yanet Fernandez:
→ Authorization for Release of OrthoConnecticut Medical Records
Email: yfernandez@myorthoct.com
Mail:
OrthoConnecticut
2 Riverview Drive
Danbury, CT 06810
Attn: Yanet Fernandez, Medical Records
Questions: please call 203 792-7256
For ALL Worker's Comp medical notes, and authorization ONLY, please email Vanessa at Vanessa@myorthoct.com.
For all other legal requests including financial report and statements, email Maria at mjimenez@myorthoct.com.
FOR THE SOUTHERN OFFICES:
- Please complete and return the following form(s) as required:
→ Authorization for Release of OrthoConnecticut Medical Records
→ Authorization for Release of Medical Records to OrthoConnecticut -
DARIEN, NORWALK & WESTPORT patients please return above form to Valerie Leone:
-
Email: vleone@myorthoct.com
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Fax: 203-847-1940
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Mail: OrthoConnecticut, 761 Main Ave., Suite 115, Norwalk, CT 06851. Attn: Valerie, Medical Records
- Questions: please email vleone@myorthoct.com
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