Requesting Your Medical Records from UPMC Presbyterian

To request your records from UPMC Presbyterian:

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

Scan the form and email it to ROIRequest@upmc.edu or mail the completed form to:

UPMC, Release of Information Department
600 Grant Street, Floor 21
Pittsburgh, PA 15219

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 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.

Contact Us

If you have questions about requesting your medical records from UPMC Presbyterian, call 412-647-0357.