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Requesting Your Medical Records from UPMC Lititz

Need a copy of your medical records?

To obtain copies of your medical records for yourself, another individual, or an organization, you must complete a signed authorization form.

You may complete the authorization form by either:

  • Coming directly to the hospital campus
  • Downloading, printing and completing the online Authorization to Use or Disclose Health Information Form

All completed authorization forms can be faxed to: 717-782-3671 OR sent to:

UPMC Pinnacle
Health Information Department
Release of Information
PO Box 8700
Harrisburg, PA 17105

You can then give the completed authorization form to the individual or organization to whom you wish to give access to.

For questions, please contact UPMC Lititz Health Information at 717-782-3293.

Download Authorization to Use of Disclose Health Information Form (PDF)

Additional Information and Resources

To Access to Your Medical Records Online

You can access your medical records online and request additional medical records through your MyPinnacleHealth patient portal. Please click here to learn more.

Photo Identification (ID) at Registration

Properly identifying patients is the first step in safety in any health care system. Improper identification can result in treatment errors and wrong-person procedures, as well as privacy violations, billing errors, insurance fraud and even identity fraud.

That's why UPMC Pinnacle requires all patients to show photo identification at registration. All patients age 18 or older are asked to present photo identification at registration.

Acceptable forms of ID include:

  • Current driver's license
  • Government-issued identification card
  • Tribal identification card
  • United States uniformed service identification card
  • United States passport
  • Certificate of Naturalization
  • Employment card
  • Student identification card

Please note that no one will be denied care if they don't have photo identification.

Patient Photos for Your Medical Record

For patient safety purposes, we will be taking patient photos using a webcam to be applied to our emergency department's electronic medical record. The photo will be stored in your file to identify you on your next visit. We’ll only need to take your picture once.

Copies of Birth Certificates

UPMC Pinnacle does not provide copies of birth certificates. Copies can only be issued by the PA Department of Health, Division of Vital Records. Their website, health.pa.gov/MyRecords/Certificates contains details on how to obtain a copy of a birth certificate.

UPMC Central Pa. Portal

UPMC Central Pa. Portal provides patients across the central Pennsylvania region with secure access to their health information. It is the fastest way to send a message to your doctor, refill prescriptions, get test results, and schedule and manage appointments, including video visits.

Log-In or Sign Up Today