MEMORANDUM NO. 2025-07
| TO: | Administrative Law Judges, District Administrators, Advisory Board, Legal Advisory Panel, Medical Advisory Panel, Medical Practitioners, Self-Insureds, Insurance Carriers, Claimants, Attorneys, and Unions |
| FROM: | Stephen M. Morelli, Chairperson |
| DATE: | October 1, 2025 |
| RE: | Updated Authorization for Release of Medical Records |
A new, updated Authorization for Release of Medical Records (PDF) is now available on the Workers’ Compensation Commission website. The form has been revised to be HIPAA compliant, as well as compliant with Connecticut’s Reproductive Rights Shield Law.
The use of WCC’s form is not mandatory. It has been provided for your convenience. Parties may use another HIPAA compliant form if they prefer.
We encourage all parties to review the updated form and utilize it if it suits your needs. Should you have any questions or require further information, please do not hesitate to contact the office.