UPMC Horizon

Medical Records at UPMC Horizon

UPMC Horizon, Greenville

To request your records,

• Download this form.
• Fill out the form. Please type or print neatly. Be sure to complete both Part 1 and Part 2. 
• Sign and date the form.
• Make a copy for yourself.
• Send the original to:
  

  Medical Records
  UPMC Horizon, Greenville
  110 N. Main St.
  Greenville, PA 16125

UPMC Horizon, Shenango Valley

To request your records,

• Download this form.
• Fill out the form. Please type or print neatly. Be sure to complete both Part 1 and Part 2. 
• Sign and date the form.
• Make a copy for yourself.
• Send the original to:
  

  Medical Records
  UPMC Horizon, Shenango Valley
  2200 Memorial Drive
  Farrell, PA 16121