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Requesting Your Medical Records from the UPMC Rehabilitation Hospital

To request your records from UPMC Rehabilitation Hospital,

  • Download the Authorization for the Release of Protected Health Information Form (PDF), indicating UPMC South Side as the hospital.
  • Fill out the form. Please type or print neatly. Be sure to complete both Part 1 and Part 2.  (Review the informational guide for completing the form)
  • Sign and date the form.
  • Make a copy for yourself.
  • Send the original to UPMC:
Mail the authorization to:

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

  • After we receive your request, we will send you an invoice for the cost of the records you requested. You should receive this invoice 7 to 10 days after we receive your request.
  • Send payment as indicated on the invoice.
  • After we receive payment, records will be mailed the next day.

Questions?

If you have questions, call
412-802-0100.

UPMC
200 Lothrop Street Pittsburgh, PA 15213

412-647-8762 800-533-8762

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