Your Visit

Western Psychiatric Institute and Clinic of UPMC

To request your records,

• Download this form.
• Please type or print neatly.
  View for step by step instructions. 
• Sign and date the form.
• Make a copy for yourself.
• Send the original to:
  

  Western Psychiatric Institute and Clinic
  Health Information Management Department
  Suite A-34
  3811 O'Hara Street
  Pittsburgh, PA  15213

Questions?

If you have questions, call
412-586-9270.