Skip to Content
Also part of the UPMC family:

Requesting Your Medical Records from UPMC Western Psychiatric Hospital

To request your records from UPMC Western Psychiatric Hospital:

  • Download the Authorization for the Release of Protected Health Information Form (PDF).
  • Please type or print neatly.
  • View for step by step instructions.
  • Sign and date the form.
  • Make a copy for yourself.
  • Mail the original to:

    UPMC Western Psychiatric Hospital
    Health Information Management Department
    Suite A-34
    3811 O'Hara Street
    Pittsburgh, PA 15213

    OR

    Fax to:
    UPMC Western Psychiatric Hospital HIM Department
    ROI
    4122-586-9280

    OR

    Email to:
    wpicroi@upmc.edu