Medical Record Requests

UPMC’s free patient portals give you access to your current UPMC medical record 24/7. Log in or create an account to view your record and health information.

Medical Records Release Form

Patients may request a copy of their medical record or ask to send it to someone else.

To safeguard your privacy, complete and sign a protected health information release form.

On the form, you can let us know:

• What records you want us to release.
• Where to send your records.
• What format — either electronic or paper — you want your records.

UPMC may charge fees allowable under State law and the Federal Health Insurance Portability and Accountability Act (HIPAA). We do not charge a fee to release medical records to physicians or other health care facilities. There may be a fee to release copies for personal use or to release copies to a third party.

To download the protected health information form, please select the correct provider or facility form from the sections below:

UPMC Physician/APP’s Office

Medical Record Requests, in Partnership with Verisma

(including UPMC Children's Community Pediatrics, UPMC Hillman Cancer Center, and/or UPMC Rehabilitation Institute practices)

• Request your medical records from your UPMC provider’s office.

NOTE: This online form is not applicable for patients of UPMC in Central Pa. (Harrisburg, Carlisle, Hanover, Lititz, and York) patients. Please contact your provider’s office to request your records.

UPMC Hospitals

To request your records from a UPMC Hospital, click on the hospital where you received services.

Southwest Pa.

• UPMC Children’s Hospital of Pittsburgh
• UPMC East
• UPMC Horizon, Greenville and Shenango Valley
• UPMC Jameson
• UPMC Magee-Womens Hospital
• UPMC McKeesport
• UPMC Mercy
• UPMC Montefiore
• UPMC Passavant
• UPMC Presbyterian
• UPMC St. Margaret
• UPMC Shadyside
• UPMC Western Psychiatric Hospital

Northwest Pa. and Western N.Y.

• UPMC Chautauqua
• UPMC Hamot
• UPMC Northwest

Central Pa.

• UPMC Carlisle
• UPMC Community Osteopathic
• UPMC Hanover
• UPMC Harrisburg
• UPMC Lititz
• UPMC Memorial
• UPMC West Shore

North Central Pa.

• UPMC Cole
• UPMC Lock Haven
• UPMC Muncy
• UPMC Wellsboro
• UPMC Williamsport

West Central Pa.

• UPMC Altoona
• UPMC Bedford

Closed Hospitals

• UPMC Braddock
• UPMC Mercy Southside Outpatient Center
• UPMC Rehabilitation Hospital

UPMC In Home Urgent Care Plus and UPMC Home Healthcare Requests

(not affiliated with UPMC Home Health or UPMC Hospitals)

• Download the Authorization for the Release of Protected Health Information Form (PDF)
• Fill out the form. Be sure to complete both parts 1 and 2.
• Sign and date the form.
• Make a copy for yourself.
• Mail the original authorization form to UPMC.

Mailing address
UPMC Home Healthcare:
Medical Records Department:
300 Northpointe Circle, Suite 201:
Seven Fields, PA 16046

After We Receive Your Request for Medical Records

• After we receive your authorization form, we will send your records, along with any charges associated with your request if applicable.
• Send payment as indicated on the invoice.

For billing requests, please call the UPMC Billing Department at 800-854-1745.

• To request radiology images, please contact the radiology department at the facility the testing was performed.