Forms

Medical Records

If you require a copy of your medical records, please be aware that your medical records contain confidential information that we release only with your written consent. You may pick up a copy of the consent form in our office, or have us mail or fax you a copy. Please allow sufficient time to process your request.

Forms

If you need to have a physical examination form completed for your child, and your child has been to the office for a regular well-child exam within the last year, most forms can be filled out without another office visit. Your doctor will complete the form based on the previous examination. Please allow approximately a week for us to complete the form.

Please mail all forms to:

UPMC Shadyside Family Health Center
5215 Centre Ave.
Pittsburgh, PA 15232

Or Fax to 412-623-6629.

Contact Us

UPMC Shadyside Family Health Center
5215 Centre Ave.
Pittsburgh, PA 15232

412-623-2287

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