UPMC St. Margaret

Requesting Medical Records for UPMC St. Margaret

To request your records, from UPMC St. Margaret:

• 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:
  

  UPMC St. Margaret
  Health Information Management Department
  815 Freeport Road
  Pittsburgh, PA 15215