Requesting Your Records From UPMC In Home

Not Affiliated with UPMC Home Health or UPMC Hospitals

To request your medical records

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

Mail the form to:

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

Medical Records Questions?

If you have questions call 724-720-9709.

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 changes associated with your request if applicable.
• Send payment as indicated on the invoice.