Requesting Your Records From UPMC In Home

To Request Your Medical Records

• 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, email or fax  the original authorization form to UPMC.

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

Email address:
Scan the form and email to: Inhomemedicalrecords@upmc.edu

Fax number:
412-578-9682

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.

Contact Us

If you have any questions about requesting your medical records from UPMC In Home, call 412-578-9682.