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​Medical Records for UPMC Northwest

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:
UPMC Northwest
Health Information Management Department
100 Fairfield Drive
Seneca, PA 16346
 
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Contact Us

UPMC Northwest
100 Fairfield Drive
Seneca, PA 16346
814-676-7600
Schedule an appointment at 1-800-533-UPMC or request an appointment online.

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For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

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