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Medical Records at UPMC Shadyside

To request your record:

  1. Download the Authorization for Release of Protected Health Information.
  2. Fill out the form. Please type or print neatly. Be sure to complete both Part 1and Part 2. 
  3. Sign and date the form.
  4. Make a copy for yourself.
  5. Send the original to:

    200 Lothrop Street
    Melwood Building – Lower Level
    Release of Information Department
    Pittsburgh, PA 15213

  6. After we receive your request, we will send you an invoice for the cost of the records you requested. You should receive this invoice 7 to 10 days after we receive your request.
  7. Send payment as indicated on the invoice.
  8. After we receive payment, records will be mailed the next day.

Find additional information about requesting medical records from UPMC in the patients and visitors section of UPMC.com.

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UPMC | Affiliated with the University of Pittsburgh Schools of the Health Sciences | Supplemental content provided by Healthwise, Incorporated. To learn more, visit www.healthwise.org

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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Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.

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