Authorization of Release of Protected Health Information
At Magee-Womens Hospital of UPMC, we are committed to protecting the privacy of your medical information — health, treatment, or payment information that identifies you — as federal and state laws require. Please review our Notice of Privacy Practice. This notice explains how we meet this commitment.
To authorize Magee-Womens Hospital of UPMC to release your medical records to you or someone other than yourself, such as a physician or insurance company, or if you are requesting medical records on behalf of someone else, you must complete the Authorization for Release of Protected Health Information form. (PDF)
Please complete and mail your forms to:
Magee-Womens Hospital of UPMC
Attn: Health Information Management
300 Halket Street
Pittsburgh, PA 15213
Please call 412-641-3070 or 412-641-3071 if you have questions or need additional information.
Notice of Privacy Practice