Requesting Your Medical Records

Medical records are documentation of a patient’s key clinical data and medical history. This includes diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results. Having a complete and accurate medical record is important for health care clinicians and patients alike.

Patients treated at Shoreline Family Health Care can request a copy of their medical records. Please note that our medical records are handled by our partners at Fair Haven Community Health Care. If you will like a copy of your medical record, please download and fill out our Authorization for Access/Release of Information form:

Click here to download in English
Click here to download in Spanish

You can return this completed form to any of our locations during normal business hours or email it to Please allow up to four weeks for a response.

For Official Immunization Records

Get your immunization record through the secure CT WiZ Public Portal, a free service provided by the Connecticut Department of Public Health Immunization Program. Patients and legal guardians can access official immunization records for themselves and their children as well. All you need to provide is first name, last name, and birth date.

Click here to learn more about the portal
Click here to log-in to the portal

CT WiZ is the statewide Immunization Information System (IIS) designed to meet national standard requirements for effective tracking and administration of immunizations in a public health setting. It is a web-based database that maintains complete, accurate, and secure immunization records for all patients vaccinated in Connecticut.  All personal information including immunization status and dates of immunization of individuals shall be confidential as required by Connecticut law.