Requesting Your Medical Records from UPMC Mckeesport

To request your medical records from UPMC McKeesport:

1. Download the Authorization for the Release of Protected Health Information Form (PDF).
2. Fill out the form. Please type or print neatly. Be sure to complete both Part 1 and Part 2.
   • For help completing the form, review the completion guide (PDF).
3. Sign and date the form.
4. Make a copy for yourself.
5. Mail, drop off or email the original authorization form to UPMC.

Mail the original form to:

UPMC, Release of Information Department
450 Melwood Avenue – Lower Level
Pittsburgh, PA 15213

To email, scan the form and send it to ROIRequest@upmc.edu.

After We Receive Your Request for Medical Records

• After we receive your authorization form, we will send you an invoice for the cost of your medical records. You should get this invoice within 7 and 10 days from when we received your request.
• Send payment as indicated on the invoice.
• After we receive payment, we will mail your records the next day.