Medical Records Release for UPMC Hamot

Patients requesting a release of their medical records must complete the Patient Authorization Form. This form gives us the authorization to release records to the patient or others such as another doctor.

Once the form is completed, it should be mailed to:

Health Information Management Department
UPMC Hamot
201 State Street
Erie, PA 16550

Please make sure that all sections of the authorization are completed. Click here to download patient authorization form.

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