Requesting Your Medical Records from UPMC Western Psychiatric Hospital

To request your records from UPMC Western Psychiatric Hospital:

• Download the Authorization for the Release of Protected Health Information Form (PDF).
• Please type or print neatly.
• View for step by step instructions.
• Sign and date the form.
• Make a copy for yourself.
• Mail the original to:
  

  UPMC Western Psychiatric Hospital
  Health Information Management Department
  Suite A-34
  3811 O'Hara Street
  Pittsburgh, PA 15213

  OR

  Fax to:
  UPMC Western Psychiatric Hospital HIM Department
  ROI
  4122-586-9280

  OR

  Email to:
  wpicroi@upmc.edu