Requesting Your Medical Records from Magee-Womens Hospital of UPMC

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 yourself, physician or insurance company, or if you are requesting medical records on behalf of someone else, you must complete the Authorization for the Release of Protected Health Information Form (PDF).

  • Download the 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 Presbyterian
200 Lothrop Street
Melwood Building - Lower Level
Release of Information Department
Pittsburgh, PA 15213

OR

  • Scan the form and e-mail it to ROIRequest@upmc.edu.
  • After we receive your request, we will send you an invoice for the cost of the records you requested. You should receive this invoice seven to 10 days after we receive your request.
  • Send payment as indicated on the invoice. Records will be mailed the day after we receive payment.

Questions?

If you have questions,
call 412-802-0100.

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